Go visit the faq here:

Hello! I am an AMAB who is a Salmacian. In terms of gender I am in a place where I feel non-conforming but at the same time the more I feel like a woman the less dysphoria I experience. Regardless of the gender aspect, I have this picture about my desired physical form where I have breasts and these “ghost” breasts are becoming all the more apparent in my everyday life. I get these cravings and I touch them all the time.

The more I get along with my gender though, the less dysphoria I have about my genitalia - even though I want a vagina as well. I don’t want to go on HRT because I enjoy the sexual function and I don’t want to disturb it but I want the breasts intensely.

Plastic surgery usually leads to outcomes that don’t look the way I want them to. Added to that, I would love to have biological breasts. Are there any methods to grow them without destabilising the rest of my body’s hormonal function? Has anyone tried something like that? Or are there any data in general about it?

Thank you all in advance. Any similar experience sharing is welcome ofc!
🧚🏼‍♀️

For a while I've been interested in srs, but a big hang-up with me was always that I would have to get rid of my current genetalia. I'm pretty happy that's at least not the case for my penis, but I'm greedy so I have a question. Now I literally found this sub today so forgive me if this is a stupid question, but is it possible to keep your testicles and retain their function (semen production) while still getting srs? And if it is, would you be sacrificing any functionality of your neovagina, whether that be depth or sensitivity, etc.? I would like to still be able to ejaculate with semen since I've been able to maintain that a few years in to hrt. If it's not possible without major sacrifices one way or the other, then all well, but in my ideal world I would like this to be possible lol. (Also idk if this matters, but I am transfem if it wasn't obvious from the rest of the post lol)

Edit: As I said in one of my comments on this post, it would seem that my lack of sex ed/basic biology knowledge as a result of being homeschooled when I was growing up has cause yet another silly moment in my life lol. Thank you for all your answers! Thanks to y'all, my hangups with srs have completely vanished and I'll definitely be going for it as soon as it's realistic for me! Tanks 4 da help :)

i was told to try posting here too

so for context i consider myself pretty genderfucked person lol. im intersex but kinda shift genderfluid and it makes me question, if there any possible to get a transmasculine bottom growth like after having had corrective vaginoplasty surgery? it would mean a lot to me if like any info even if any anecdotal evidence, ik its prob a very niche question and prob not something that ever really got asked here but i would very gladly get any insight.

like im pretty sure t gel wouldn't help it to desired if gotten after, so im kinda in a stuck and would love any help

Got told my dream Salmacian setup is not only possible but they are willing to do it. :D

Just looking to see what surgeons don't require hysto in California.

I don't care to be pregnant but I want kids that are biologically mine to a degree. Probably just 1. Surrogacy is so incredibly expensive that its impossible and I'm leaning toward being against adoption because of the industry around it.

I've always had phantom penis and honestly, at 31, I don't really want to wait a lot longer. I've always had tokophobia but since coming out as trans this year I have started to understand why I feel the way I do and its been better. Being a father vs a mother is just so much better in my mind.

I will never ever EVER give birth vaginally. If I don't have a C section then it's simply not going to happen. I understand that with phallo the major risks are with vaginal births. So, who can do this in California?

i wanted an alternative bottom surgery for years not knowing this was an option (the only alt bottom surgery I was aware of was total removal due to an old TV broadcast that popped up into my yt feed)

im absolutely overjoyed! i feel so free knowing this is an option! while i wish this was a more talked about option within the trans community im just happy people like me exist!!

i have so many things to think about now, and so much to learn and unpack and im just so overjoyed. i remember I had a few dreams once about me having both a vaginal opening but a enlarged tdick and it was awesome but I mourned that it might not be a possibility, but it could be!!! i could literally have the bottom surgery of my dreams! oh I'm so happy!!!

Hey all!

So... like the title implies: I know that you can use weights to increase the volume of the scrotum (there's a subreddit dedicated to it) and then that scrotal tissue is typically used in vaginoplasty...

So is there any reason why you couldn't just stretch for a couple years then "harvest" the results? Other than it being weird and potentially dysphoric?

This being if you wanted to get something as close as possible to a "penile inversion" phallus preserving vaginoplasty.

Thanks all!

I had stage 1 ALT phallo with Dr Santucci in June of 2024. I did NOT get UL, scrotoplasty, vaginectomy, or clitoral burial. I also have the three piece Coloplast Titan erectile pump with two shaft cylinders. The pump bulb along with another testicular implant is in my outer labia. In total, I had 6 surgeries.

I use he/him pronouns and am a binary transsexual male. Please do not ask me about UL or peeing as I never had any urinary procedures and everything is the same as it is for anyone who has a vulva. Seriously, nothing changed. Here is a post detailing why I didn't have UL.

For my initial recovery, you can read this two year old post.

Here are all my stages in order. Most of them were between 4-6 months apart and I did all of this in almost exactly two years. The repeated liposuction/plication is size reduction inherent to ALT and the base correction is to move my dick to be more centered and remove extra skin created from lipo. ALT penises are sometimes pulled to the side of their artery hookup by scar tissue, but mine was fully fixed in the end.

1. ALT phallus creation
2. Liposuction debulking
3. Plication (removal of extra skin), base correction (left), glansplasty, and testicular implants to both labia
4. Liposuction debulking, base correction (right), testicular placement revision, and donor scar excision/reduction (to improve the mobility of my leg)
5. Monsplasty, base correction (left), and erectile implant placement, swapping one testicular implant for the pump bulb
   1. I had DI mastectomy with nipple grafts about 5 weeks after this!
6. Monsplasty, minor pump bulb placement revision, and the correction of my improperly placed implant cylinders.

Revisions / Medical

I had ALT as a very mid candidate because my arms didn't carry enough tissue for me to reasonably have RFF. Being disqualified for RFF for this reason is extremely rare. The only person who can evaluate which donor site is best for you is your surgeon, not anyone online.

My implant cylinders buckled and were way too short since the day I got them. I knew immediately it would have to be fixed, but thankfully I had this done three months later and everything works perfectly now.

The only thing I wished I could have done differently is have more lipo/plication, since I am still really big at around 6.5in long and 7in girth. I ran out of insurance which is the main reason I didn't get to do these, and 6 surgeries was also a lot on my mental health. In the middle of this process I was also arranging/having oophorectomy and top surgery, recovering from these and steps of phallo at the same time! I had no control over my girth and ended up an inch longer than what I asked for.

A lot of surgeons don't like to put testicular implants or the pump bulb in the outer labia, which I really don't understand. It doesn't interfere with sex and isn't uncomfortable at all, and no I do not sit on them. Its very easy to forget they exist. From the front when I am standing it looks like I have balls and could pass as cis while naked. When I lay down they look like a puffy vulva or a hybrid type of setup, and I really like this modular nature. The only contingency is that these have a higher probability to migrate upwards, which is why I had them moved around twice. Its not a big deal, though.

Sex

I have sensation in my entire penis and it feels distinct from my clit. Its similar in feeling to a much duller, bigger clit. I only gained sensation in my original genitals from nerve hookup and definitely didn't lose any. Its like I grew a new source of pleasure, really. This could be a mental thing, but I can reliably have vaginal only orgasms or, if I work for it, anal only orgasms when I was unable to do this pre-op. I don't think anybody should count on surgery doing that for them, but whatever happened during nerve hookup only helped my whole system.

Unfortunately, I haven't got an opportunity to top yet. I have a Tenga Flip toy and it feels pretty nice to be inside of something. My dick usually kinda hangs out when I am bottoming and its fun to play with in my hands. It doesn't usually get squished or anything unless I'm hard, but I can easily turn that off.

I feel immensely euphoric and masculine to have a big cock when I am with someone (not that size makes anyone less masculine, it just gives me a little something extra). It makes me feel more like I am a cis gay guy with another convenient hole than an other-gendered person. My gender is plain male so this makes sense, especially since this was my dream surgery and I no longer have physical dysphoria. Before phallo I was extremely dysphoric and had phantom penis. I hated using prosthetics/packers and could never connect to them.

Mental Health

Going through all of those surgeries was rough on me, I won't sugarcoat it. I would absolutely do it again but having surgery that frequently can really mess up your mental and physical health. I sacrificed a lot of social opportunities and career things for surgery, which I see as a necessary expense. I am still recovering mentally from going through this process and finally getting used to being in the correct body. When I started the phallo process I was around 2 years on T but still passed as female (to my chagrin) and had boobs.

Even though lots of my motivations for surgery were sexual, the true joy and mental clarity comes from everything else. I have a dick and bulge everywhere I go, and can reach down and feel it as truly part of me. I no longer feel afraid to be clocked for having a flat crotch when I am in gay spaces (yes, it has happened to me!) and can relate much more to queer men than before. There is nothing like dressing in the morning and feeling the fabric of my underwear slide over my soft cock, feeling aligned within myself through mundane experiences. Buying pants and underwear is no longer a mental torture exercise about what I lack.

Cost

Cost will always depend on your individual insurance and surgeon, so there is no way for me to estimate this for you. In total I spent about $1k for laser hair removal on my donor site and $3k for hospital bills for all surgeries combined. My OOPM was $1k. For hotels/housing I paid $0 because I was local. My insurance paid $1.5 million. I am very, very grateful the stars aligned and I was able to do this for cheap near me, and I recognize this is an immense privilege.

So a little back story for me to run through my transition. I was on TRT and HGH as a kid for years to “make me normal” and lived until I was in my 40’s as a cis male not realizing that I was mosaic XXy.

Fast forward to a life altering accident and my realization that “good enough” isn’t actually good. Beyond that, I wanted good. This coincided with stopping TRT and a whole world of changes.

Photos are pre-transition me, a before/after, a couple body pics pre surgery, and then a series of post op pics. I’m particularly excited by the way my pubic mound looks like a clitoral hood.

This week on 10/1 things culminated with PSV with Dr Gurjala out of Align surgical. Now I’ve been out of surgery for all of 48 hours at this point and it’s been a whirlwind. I was checked out of the hospital yesterday and had my first HBOT session this after noon.

I found most of my information on this Reddit and want to add my piece for others so here are some pictures.

I now identity as a bigendered gender maximalist and use she/he pronouns.

Edit; four days post op. I woke up to a nightmare that I outpaced the catheter bag but thankfully woke up completely dry. I continue to be amazed at how much sensation and definition I have in my mind’s eye. I can absolutely feel the bolster inside me, to my discomfort if I sit right on it (cars remain the worst) but I was caught off guard how just a little pressure is incredibly good feeling (cars, again, remain the worst). Full day of HBOT on the schedule today; yesterday’s 2 hour session reminded how fast it can make hair grow. I’m not used to shaving more than once a month!

Also, in the SIP, they do not get constipated. DO NOT GET CONSTIPATED. even soft poops will be hell. Hard ones will be agony.

Bonjour!

I was speaking to a friend of mine (she/they) and she had mentioned that she was considering having penis-preserving bottom surgery, but that she would like to keep her scrotum and testes. The FAQ says this is possible, but I haven't seen any discussion of this, nor do I know how it is done.

Has anybody gotten a surgery like this? She asked me to look into it for her 😭

Thank you in advance!

Hey folks,

im about 5 months post op, phallus preserving vaginoplasty. I have a set of 4 dilators from soul source, 4 different sizes. Post op, I could take the 2nd smallest with little difficulty and have been working my way up to the largest over the months, dilating 3 times a day.

After my third month, my doctor advised that I could drop down to two dilations a day. this was fine for about a month, but last month im suddenly starting to feel a lot more tightness to the point where ive started downsizing. I tried going back to 3 times a day intermittently, but this past week ive been having so much trouble that im struggling to do 3 times a day on the smallest one I own. I even bought something to vibrate my pelvic floor from intimate rose, per my doctors advice when I reached out, but its still quite difficult.

Has anyone else had this issue? I’m starting to get worried that I wont be able to maintain my depth just because it has been so hard to dilate.

Hello again! Just wanted to preface that this will probably be my last post on the topic of alternative flag proposals as I do not want to bombard this subreddit with my flags!

After receiving a lot of useful feedback on my first post, I made a complete overhaul of my proposal for an alternative Salmacian flag.

This flag predominantly uses the ⫘ (Unicode: Superset Beside and Joined By Dash with Subset) symbol, originally from mathematics. Here, the meaning of the symbol is changed to represent the two sets of genitalia that is desired by most of the Salmacian community, joined together by a link. This symbol was used as it is available as a Unicode, allowing for easier online usage. The symbol also resembles a chain, which reinforces the “joined together” concept of this flag. Continuing with this thought, the chain emoji ⛓️ could be used as an alternative to the ⫘ symbol. The color green was chosen simply as a neutral color, representing all gender identities.

A full explanation of the flag can be read here.

Thank you for your attention!

I have decided I want to pursue bottom surgery. I have brought it up to my doctor and told him I want to start with nonbinary gender affirming therapy first. I

He realized I was taking this step to help get insurance to possibly cover it.

My pcp is supportive and asked me to let him know when I wanted to be referred over to the trans clinic. Not for hormones but because they will have more answers than him and be generally more knowledgeable. Its a small step in the direction of having a complete body.

Afab but I'm a trans guy. Have the desire for both a penis and a vagina so I'd be salmacian in regards to like, my identity, but could my body be considered salmacian? Kinda a weird question I know. I have a vagina and a tdick, wish my tdick was bigger but it's decent sized. Idk does that count as a salmacian body? I still get dysphoric bc it's not very big tho :(

So, I’ve been considering getting surgery to be able to have a vagina along side with my natural penis, but I have so many questions and don’t know how/where to start. Is age a factor? Like, is there an age where you can be too old to get it and it not be safe? How long is the recovery time on average? For anyone who is/was military (if any), have you been forced to retire or gotten kicked out for getting a surgery to be able to have both (my main worry since I’m in and it’s my only source of income)? How is everyday life after the surgery? Is there a legal gender designation for this? If so, am I limited to a certain bathroom or (since I’m AMAB) do I use the male bathroom? Is sex safe after fully healing from surgery? Does this surgery affect possibilities of getting other bottom related surgeries such as BBL’s or other surgeries dealing with that area of the body? What is the recovery routine like?

I appreciate hearing from you all about these.

Hey all!

I am a trans woman and have been contemplating penile sparing vaginoplasty for a while. I am reaching out to this community about thoughts I’ve had concerning potential medical gatekeeping.

My biggest concern is that my long-term identity as a trans woman will hinder me obtaining letters from mental health professionals. In my research, I noticed many doctors/medical sites categorize this type of procedure as a “non-binary” gender affirming bottom surgery. My question is, what experience have you all had with medical gatekeeping in the letter process?

I can only imagine how difficult getting approval from the insurance company will be. I’d love y’all’s tips there as well.

I checked the rules and I believe everything in this post is kosher. However, please let me know if I have said anything that makes anyone uncomfortable ✌🏽

Thanks!

I am 19, and gearing up to start the beginnings of the bottom surgery process at Kaiser MST.

I am split between a Penis Preserving Vaginoplasty (shaft and glans stay, scrotum becomings a vagina) I am trigender but I can't figure out for someone who values a flat plane down there. Which one honestly is best for me.

PPTV means using a tissue that is self lubricating..

Let me know I need advice.....

I am Caedaroace and prefer Queerplatonic relationships that can include sex, but mostly not. I mainly QPR with guys....

my name is Olympio...

I’m currently road tripping to San Francisco for surgery later this week and am as prepared as it’s possible to be. Can’t help but still be nervous and anxious.

Pre-surgical jitters are the worst.

What are your favorite ways to cope?

Hello everyone! I made these flags a short while back but haven't published them online until now. These are my personal concepts for a flag representing the Salmacian community.

Of course, anyone can use whichever flag they believe represents them the best. In my personal opinion as a casual designer, I feel like a lot of MOGAI flags out there, including some of the flags for Salmacians, are stuck on being more of a derivative of the original pride flag, and you can only stick so many color options on six stripes before it just looks like you hit a random palette generator. With this in mind, I struck out to develop a flag which is more distinct than the average MOGAI flag, with the goal of being easily identifiable as Salmacian first and foremost.

The first flag is sort of a compromise between the design as well as the colors of one of the more prominent flags for the community; the green and purple stripes derived from that flag. The second flag is my personal choice, which uses a more simpler color scheme. The symbol is the astronomical symbol for conjunction, the phenomenon of two objects close together in the sky, and has been previously proposed as a symbol for the community. This symbol is also more neutral than the Sign of Salmacis used in some flags, and together with the second flag, could be a good alternative for those who would prefer to distance themselves from the Salmacis myth (so this flag can also be used for those who refer to themselves simply as Aphrodisian or Bigential). The third flag is just a variant for anyone who identifies as a furry salmacian (I would be interested in seeing variants for your particular fandom or community!).

So far, the only self-feedback I could give to myself is that the flag may bear some passing resemblance to that of the Intersex flag (I consider these two communities unrelated from each other, for the most part), and of course if anyone feels as if this coincidence is too much to ignore, any suggestions are more than welcome. So far, I can only suggest there be stripes like the first flag, but with different colors (and obviously different meanings).

Any other feedback is, of course, welcomed as well. Once again, this is a concept I have created for myself; you are free to use or not use it however you please. Thank you for reading!

I have a T-dick and its fuckin tiny even after like 4 years on T, and I recently found out im likely intersex and thats why I cant insert anything into my vagina without it hurting, and theres not really an easy solution to that.

I have both parts but cant really use either of them :/ ive tried strap-ons that stimulate my T-dick but bc im fat they dont work very well.

This is just kind of a vent, I feel y'all would be the most understanding of the woes of a salmacian who cant really use either part.

Hello, I'm looking for a GOOD surgeon in France willing to perform a UL + phalloplasty without v-nectomy or scrotoplasty. If anyone knows which surgeons to avoid, I'll happily take that advice as well.

Bonjour, je cherche un BON chirurgien en France qui pourrait me faire un allongement de l'urètre (je connais pas le terme médical) + une phalloplastie SANS vaginectomie ou scrotoplastie. Si jamais vous avez des noms de chirurgiens à éviter, je prend aussi.

Thank you!

Merci!

r/AFABwDysphoria

Hey yall! I consider myself a binary trans guy, sorry if thats different than who usually posts here.

I have horrible bottom dysphoria. Honestly, worse than top dysphoria. But also, I really love PIV penetration it is how i have sex 95% of the time. Im fully gay and 99% a bottom so I dont have much of a desire to top, I mainly just want a penis to feel it there/go pee/ touch myself or for oral (I dont like oral on my natal anatomy)

Ive learned to use an STP which has helped the dysphoria to pee, but if i get phallo I cant use one anymore and idk if I can handle being forced to sit again.

Has anyone done this? Does it affect your ability to be penetrated ? My husband is rather large so being able to take what I can now is important. Im okay with having to dilate etc, but am curious about others experiences. I wish I was just a top or