To further drive the point home of how bug fuck nonsense SRS procedures are in current year... Let's use the power of positive thinking and working
with them to prove them wrong for once. And a criminal amount of sperging, just a wretched sum of it.
Let's not use harsh current scenarios or averages, let's be generous for once and assume the best possible outcome in all cases. But still grounded in what is currently possible. What does a troon have to look forward to for SRS surgery if they meet someone who mastered the craft with current year tech? Like skies the limit and they have access to every possible advantage. No matter how thin the margin of actually finding the hypothetical SRS surgeon who has all these backgrounds and traits realistically is.
Let's say money is no object, you somehow have a blank check for your procedure. You meet a wonder surgeon, a master of their craft. A person who can vet and match skin tones and grafts with such grace and expertise that you can't even find a seam or a scar in the end result, and has unparalleled wound care teams and an in hospital full suited lab that'd make academics blush. An outright miracle worker of their time. They can even do fine tune micro surgery for nerve routing and repairing. And they have been supplied early life or even from birth stem cells from the exact person they are working on and are top of their field with this research and applications and have a special FDA "Do what you want" clearance in terms of allowance to use and apply all this.
(Remember, stem cells are not magic. Every story of "We grew X bodypart with them!" past the clickbait headline shows that they still had harvested at least some material for the grown part from an original part and used a biological scaffolding. IE: An "ear" grown in a lab is just skin grafted onto a cartilage shape grown from a growing medium frame and the frame is directly seeded with cartilage cells. The stem cells at best are just a booster/bonus to help it all along. In a majority of cases it always needs a growing frame and medium to begin with, you can't make something from oops all stem cells necessarily. And there's a narrow band of what cells taken from someone can do and sex DOES dictate what is and isn't possible and influences the end result IE: It's highly unlikely you can take stem cells from a fetal state male and grow vaginal tissues. And graft VS host complications RISE with a mismatch of donor to recipient sex. )
https://genderedinnovations.stanford.edu/case-studies/stem_cells.html
We know shaping existing flesh into a faux vagina just simply doesn't work well. What about using this man's expertise to grow your own DIY Real and true vagina (or dick if FTM)?
Four young women born with abnormal or missing vaginas were implanted with lab-grown versions made from their own cells, the latest success in creating replacement organs that have so far included tracheas, bladders and urethras.
www.reuters.com
Well- a very important snippet from the article.
"A week later, the team created a cavity in the body and surgically attached the vaginal implants to existing reproductive organs."
meaning this was the internal structure only
And an
important distinction clarified in a secondary article.
Lab-grown vaginas made from the recipient's own cells have changed the lives of four young women, allowing them to have sex for the first time
www.newscientist.com
The women in the study weren't just smooth barbie dolls. They had the outside anatomy and a majority of the proper parts, It just lacked or had a very poor connection to their existing plumbing as it were.
"The four women had undeveloped vaginas because they all have a severe form of a condition called Mayer-Rokitansky-Küster-Hauser Syndrome (MRKH), which affects about 1 in 5000 women. They also had some abnormal development of the uterus, although they did have a vulva – the external part of the sex organ which includes the labia and the clitoris."
IE: This is what it looks like if you have this condition, (Resized for the sake of our brothers and sisters phone-posting and to make it less of a fucking nightmare for the already terrible formatting I'm doing.)
It is less "WE GREW A WHOLE VAGINA" and largely just growing the finer more nagging tissues and supporting and helping along the existing anatomy for whatever they can't modify in the existing structures, and I mean quite literally just modifying the existing anatomy and not outrageously putting entirely new bits and pieces in wholesale.
Medical articles aimed at the average layperson tend to be far more flowery and optimistic and grandiose because it's more exciting and grant and donation money enticing and enthusiasm building than the dry less impressive facts of the matter, and typically the people actually involved had nothing to do with talking to the press or being the face of the operation.
With bonus upsetting "transphobia" if it were used in any other context.
"Currently it is possible to surgically create vaginas using grafts from either intestinal or skin tissue, but these can lead to severe complications. Skin cell grafts do not provide lubrication which causes pain during sex, and can thicken to the point where the vagina closes. Intestinal cells secrete mucus constantly, which is unhygienic and causes an unpleasant odour. Using the women’s own cells from the vulva gets around these issues."
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So we come to the conclusion part of our positive thinking exercise and giving every advantage within realistic possibility of modern medical science that assumes you have infinite money, meeting one of the best surgeons and possibly the top of their field human based biological researchers in the world. And you get the utmost peak ceiling of our current scientific advancement and consideration and care with ABSOLUTELY no rejections or complications or error during a series of procedures. What are you looking forward to?
Note:
I am going to go revoltingly into detail in parts, I am also not citing (As there are ZERO successful real world citations for actual transplants of genitals across the sexes, only for matching sex as of this moment) mentioning nor entertaining cross sex transplantation of genitals or anatomy wholesale from deceased donors because it's so outside the realm of consideration or possibility even the biggest quack wouldn't try it. The only citation of it being attempted and not pure conjecture is a solitary cosmetic surgeon from fucking India in 2022 and it's merely "Talk" of it that went radio silent one month after it was mentioned.
You still have no way to have your own flesh matching labia or properly formed and feeling vulva, nor uterus or ovaries or canals or associated nerves and sensory tissue still as a MTF. These things are already impossible to grow or regrow in full and entirety as of now from a biological woman's stem cells even taken from birth or fetal stage. Much less a male donor wanting to transition.
Flip flop the wording around for FTM and same deal. You can't grow entire penises, testicles, prostates and all proper anatomical features to have them be viable and working in bulk either.
As a FTM MAYBE, You can have a scrotum, maybe. But lacking the male stem cell derived features of the twin sets of muscle fibres and layers in and below the flesh. And only able to be "filled" with fake aesthetically implanted testicles like they make for testicular cancer survivors.
As a MTF You will have a diminished sensation divot or narrow muscle lined canal in your pelvis that leads to a dead end nowhere more like a sleeve or pocket than an orifice proper, closer to a belly button in anatomy. And internal anatomy WILL have to be fucked with further to make space for it to have any depth. There isn't anything to "connect" it to without closing it off and not leave an open wound in your body and there's no way to make anything even remotely uterine in nature.
That and or if you want authenticity more than "Deep belly button sheathed with muscle" it will be have to still lined with a thin layer of connected lab grown intestinal cells leading to the previous issue of constantly being mucous-y, malodorous and you will have to manually deep clean yourself and be more prone to infection yet still. You're a male cell donor- You have fuck all success rate of growing vaginal wall lining from your samples.
At BEST as a MTF you will have a simplified vulva simulacrum leading to it all with "Best match" substitutions of stem cell assisted grafts or grown tissues matching your outer most skin. That still don't have the same sensations, visuals, muscle fibers or associated specialized nerves. Ditto if you want a clit with a non functional aesthetic hood. It will be a small nub of what remains of your penile tissue grafted over.
You also have to decide how much sensation you want to have internally as you have to play sophie's choice with the limited amount of existing nerve connections between your neovagina and neoclit made from the last scraps of your penile tissue. We can "Extend" nerves potentially. We can't wire up new ones to say the least.
For FTMs? You could have something resembling a penis purely on a cursory glance aesthetic front, It will functionally just be a reskinned quite literally mega clit in it's internal structure and nervous and veinous construction with stretched to fit scaffolded nerves, sure you might be able to pee out of it semi reliably as an improvement over current phallopasty but that's the extent of your use you'll get.
As a FTM you will still not have the proper associated tissues and functions nor be accurate down to the way it hangs, rests, feels and more. You were born biologically female- Your own stem cells all but can't be used to seed the specialized tissues.
You COULD have clitoral erectile tissue added but it absolutely will not be close still. It will still not entirely shape match due to limitations, It will have no true corpus spongiosum and corpus cavernosum which are male specialized tissues you can't pull from your own cell stock with reliability.
As a FTM you still could not physically have foreskin as we can't even stem cell regenerate foreskin in natural born males. "No human foreskin has ever been regenerated by medical science," still holds true. So either you will have an odd, over sensitive wrong looking and feeling clit hood foreskin, or look like you are vat grown smooth and never had one. Either way? It will be obvious.
And regardless of how painstaking and careful they are to move around nerves and blood vessels from your original genitals. Even if they were being oh so careful and extending your clitoral nerves with matching stem cells and scaffold grown sets there's no guarantee it'll take or feel fully- And erections are a coin flip entirely even with all the hypothetical talent and ability at play here.
If it were possible to feasibly rebuild and repair male genitals to restore or grant the ability to achieve erection with reliability with good results even with experimental procedures? We wouldn't even be entertaining the ideas of stupid manual pumps either external or internal for injured, deformed or aging natural born men now fucking would we?
TL;DR: As of this very date and moment assuming the absolute peak of current surgical skill and medical science and flawless self care, the truth remains whether FTM or MTF.
You STILL would have your natural born sex markers, sex variations in every single cell and organ, skeletal structure, brain structure, muscle density, and more.
You STILL couldn't pass once the pants are off in a lit room against anyone who didn't fall asleep in sex ed.
You STILL would not have functional internal reproductive anatomy.
You STILL would be unable to produce cross sex hormones in your own body
You STILL have to continue to undergo HRT treatments and take the associated drugs.
You STILL would never be a real woman if you were born a man, nor a real man if you were born a woman. 
its not even like it looks or functions like a real dick, they're just so fucking stupid.
