Background
Woof!
I’m a dog that lives in British Columbia, Canada, and so the info presented here is heavily localised. I’m writing this account to the best of my knowledge as I have it, but there may be factual errors or issues with my memory. Moreover, lot of information was passed by word-of-mouth, so I have no idea how many games of telephone were played before I telephone it to the people reading this.
The earliest record I have of seeking a surgical consult in BC is April of 2023, which I abandoned for various reasons. The most important reason being that none of the options were appealing enough to me to warrant giving up my dick.
In March of 2025, however, I was listlessly scrolling the Transgender_Surgeries wiki and saw the entry for SimpleArtist3795, a user (he/they) who had a testes- (but not penis-)preserving penile inversion vaginoplasty with Dr. Hany Hanna out of Texas, as well as their followup post at 6 months. I also found the following
webarchive link, also found on the wiki.
It’d be exaggerating to call this a religious moment for me, but not by much.
In BC, getting bottom surgery is a bit of a bear. It’s not insurmountable, but it’s a lot of work: when I was weighing my options, BC’s wait time for surgical assessments was approximately 10 months, and for meeting with a surgical team for vaginoplasty approx.. 12-18 months. I’m told these figures vary—my name was put on TranscareBC’s list sometime in December 2024 or January 2025, and paperwork error (I wasn’t later removed) meant that I got contacted by TranscareBC about booking my surgical readiness assessment in October of 2025. When I called them and declined, they told me I had a few months wiggle room to call them back and keep my position on the waitlist, but I can’t confirm if that’s still the case now.
Here is an excerpt from an email I got back from TranscareBC when I enquired whether or not the surgery (testes-preserving vaginoplasty, or vaginoplasty without orchiectomy) was
possible to receive:
“Thank you for reaching out to our team.
Genital surgeries are currently available through two MSP covered programs – the Gender Surgery Program BC (for all genital procedures), and GRS Montreal (for vaginoplasty/vulvoplasty only). These pathways require a surgical readiness assessment (completed by a trained, approved and qualified medical assessor) and a referral by a GP/NP.
Once the surgery package is complete and processed by one of these surgical facilities, folks are added to a waitlist. Individuals are encouraged to discuss their goals related to genital surgery with the surgeons at consultation. During consultation the surgeons will discuss possible surgical options, including techniques available.
Please note: Out-of-country medical care (for folks with active BC MSP coverage), is often not an available option regarding both gender-affirming procedures and general healthcare. An application for out-of-country care may only be considered if medically required care (in this case surgery) is not available in country and if the care is recommended by a specialist (in this case the surgeons at GSPBC). Patient preference regarding surgery type/technique is typically not a rationale that would be considered for out-of-country funding.”
Emphasis mine.
This was frustrating to me in a lot of ways. Breaking it down: if I waited 10 months and the surgery
could happen in Canada, I could wait another 12-18 months and possibly save a great deal of money (trans healthcare is often publicly funded in Canada, because we have a functioning healthcare system). The upside was not spending my life’s savings. However, if I waited and the surgery was
not possible, I would burn between one to two years of my life for nothing and still end up paying out-of-pocket.
As it so happens, at the time I was sorting through all of this, the OHIP (Ontario Health Insurance Plan) v KS appeal in Ontario
was decided in favour of K.S., who,
per Egale,
“applied for prior approval for funding through Ontario’s public health insurance plan, called OHIP, for an out-of-country vaginoplasty without penectomy. OHIP denied her funding request because they considered the surgery “experimental” – even though vaginoplasties are specifically covered by OHIP and regularly performed in Ontario.”
I wasn’t aware of any such case being raised in British Columbia, however, despite what I understood to be similar regulatory terminology (vaginoplasty without penectomy, vaginoplasty without orchiectomy). So, in theory, if I did get my assessment, and then received my consultation, it
could yet happen that my funding would be rejected under similar experimental grounds, thereby necessitating a lengthy and expensive legal battle (which I could also not afford) requiring multiple years of appeals.
This all aside: in order to determine whether any available surgeon in Canada
could possibly perform this procedure, the next step was to get my surgical consultation, which would also double as my WPATH letter for private out-of-country options later.
As I understand it, social workers (BSWs) with adequate competencies were once able to complete surgical assessments for both top and bottom surgery in BC. I had a consultation with one in hopes of not waiting 10 months by just paying more money (common theme here). When I met with one, they explained that recent changes now only allow social workers to do so for top surgery. However, they were very helpful and directed me to a different private option,
Affirmacare.
I don’t know if NP Jamie Touround is the only qualified NP in all of BC for doing this, but the BSW I spoke didn’t know of anyone else. The website is delightfully straightforward, and my GP was overjoyed, I think, to outsource my gender weirdness to her wholesale. This process costs either $300 or $600, seemingly dependant on whether your GP is willing to vouch for your mental stability or prefers not to comment. If your doctor is a square, you will probably pay the spooky gender tax. All in all it took 10 days to make and then have my appointment.
Touround is professional and informed. She listened to my reasoning and evaluated it fairly, and she was able to provide a wealth of actual medical information on the various possible techniques, considerations, complications, and outcomes that really helped me feel like the whole project was more grounded in reality. I received a copy of my evaluation, which was also copied to my GP. I believe Touround can also direct your evaluation directly to TranscareBC (in addition to your GP), which is useful to anyone who’s GP occasionally forgets to provide them healthcare because their gender is a medical enigma.
Moreover, Toround informed me that (as of April 2025), TranscareBC has no formal process for people going out-of-country and that there was no expectation to inform them of my surgery. Allegedly, any post-op care I needed would be referred to the surgical team at VGH.
Thereafter, I reached out to an honestly embarrassing number of institutions, though very few replied. I received prompt responses from the surgical team of Dr. Singto through PPSI (Phuket Plastic Surgery Institute) and Dr. Worapon through Yanhee International Hospital. I received a reply from Jun Surgical about five months after I sent an enquiry, which I understand is due to their extensive waitlist, but it was also really funny.
To the detriment of everyone involved, I would strongly recommend using clear and straightforward language when enquiring about surgery out-of-country: even if your gender goals are identical, some surgical teams may reject candidates who identify as nonbinary instead of e.g. a binary transgender woman. In the same way that some endocrinologists need to hear the words “female ranges”,
I would recommend simple, binary language, or even better, physical descriptors: MTF, FTM, etc.
Ultimately I selected Dr. Worapon through Yanhee hospital. Though I couldn’t find much info about him
on the Transgender_Surgeries wiki, I was impressed by a lecture of his
on Youtube.
Dr. Worapon also does peritoneal pull-through vaginoplasty (PPTV) without requiring hair removal (I am lazy), and I also wanted to see if it was possible to combine this technique with testicle preservation. I chose PPTV because I wasn’t sure a scrotal graft would compromise depth.
I also chose PPTV because I am possibly the world’s most mucus-y dog: it’s gross, my body makes a lot of it, and sometimes it makes my spit as good as lube. I figured it might transfer over, which would also be really funny.
According to an email I received, Yanhee needed to review it with their in-house psychiatrist before even beginning the consultation, and I would (as for most bottom surgery procedures here) meet with two separate psychiatrists on the day of my intake to make really really really sure I wasn’t pretending.
Moreover, there was the issue of testicle placement.
In the Meltzer webarchive link, the testicles appear to be placed under the fascia (staggered) between the skin and abdominal wall muscles. In SimpleArtist’s case, Dr. Hana placed them behind/near the labia (no pictures provided).
I asked if Dr. Worapon would suture them near the inguinal canals, with my reasoning being that I eventually could palpate them from inside my vaginal canal to check for cancer, but he initially opted to place them behind the labia. Later down the line, however, the plan was altered and, from what I was told, he removed small pockets of fat from my mons pubis and sutured my testicles beneath the fascia there, closer to the Meltzer webarchive link image.
Additional requirements were a WPATH letter and a ‘Certificate for Hormone Therapy’, which was a thing neither my endocrinologist nor I had never heard of. We decided to include my name, that I was receiving gender-affirming care, when I first engaged with care, and the hormones I was using (pills first, patches later) but not any specifics about doses (already entered on a separate intake form). This was apparently acceptable.
I had the WPATH letter from Affirmacare and also paid for a private psychiatrist WPATH letter (for a total of two WPATH letters) which was probably unnecessary and a bigger headache than it needed to be, but I was covering all my bases, and in the long run it was a rounding error on the end of paying for private surgery. You will also probably have to send photos of your genitals by email. Scathing.
Following all that, I was approved for intake, which I scheduled for January of 2026 so I could scrape together the money to pay for everything. Once I realised that I could in theory make it happen, I gave up on the public option and put my focus on the private option with Yanhee. Honestly,
my main deciding factor was time: I wanted to have my pussy in a timely fashion and get to use it sooner.
A vasectomy was also required. Don’t ask me why. I had been on a waitlist for one via my GP since earlier the prior year, but I never heard back about it (Fraser Health, as I understand, had a very long wait time for vasectomies at the time) and ended up paying out-of-pocket for that too to get it done on time.
The hospital
I want to preface this entire section by saying that you should look at me as the Spiders Georg of bottom surgery. Your mileage may vary. I received a nonstandard procedure and am in general really weird.
I don’t know if I can in good faith recommend Yanhee Hospital or not, so instead I’ll give you a list of things that stood out to me.
1. Lateness and miscommunication.
The first part I think you can attribute to Bangkok traffic and hospital life, though it about half the time resulted in me waiting about half an hour to an hour longer for my appointments than scheduled (minor issues) to being told to leave partway through intake to “have a really big last meal” (this was a trap, medium issue) to nurses operating contrary to my surgeon’s instructions because they hadn’t
personally heard it from his mouth (major issue). Some highlights:
- After I arrived in Bangkok, about three days before my surgery, a coordinator asked for my hotel info to arrange a driver to pick me up from my hotel. (I’d picked my hotel based on proximity to the hospital, but it wasn’t a big deal. Still funny though). The same driver would drop me off at my hotel later when I was discharged, which was nice.
- I recall filling out an online form including that I had multiple facial/upper-body piercings about eight months in advance of my surgery (I took out my PA a few months before surgery). During the entirety of my intake, at least one of my prominent facial piercings was visible, including to Dr. Worapon, my English correspondent, and several nurses. I could have even had them removed during the midday intake break if anyone had informed me. Only after my intake was complete did someone hand me a pamphlet explaining that they would need to be removed. I asked the nurse about it (I didn’t have the tools to take them out in the bag I brought to the hospital, and also, fuck that noise) and she cheerfully informed me that they could just cut them off in the surgical room.
- I asked if the hospital could bring a piercer to remove them, or replace them with silicone/plastic/glass spacers. She expressed doubt that anyone would be willing to do so, but said she would ask, and I never saw that nurse again. I then called a piercing shop in Bangkok and asked if they would do it, and they expressed doubt that the hospital would let them do so. Classic.
- However, given permission, they would send someone if I paid a travel fee. This ended up not mattering because, as aforementioned, no one came back to talk to me about my piercings that night, and then eventually the piercer closed. Onto bowel prep.
2. Procedure and adherence.
I am not a medical professional. I am a dog. I can, however, read. My bowel prep label said mix with 2L of water. I was given approx. 3.5L of bowel prep liquid instead to drink in 2 hours. Maybe this was adjusting for my height, but this, of all things, was the most nauseating process of it all. It is the same flavour as a fruit juice that they will give you during your meal and snacktimes occasionally, in case you want to relive the memory of chugging 3.5L of juice that makes you shit yourself.
If your nurses are sadists, they will insist you go for a big meal at 2PM and then shit yourself at 8PM. Don’t do this. I was clear relatively early on and my stomach ached for days thereafter.
There were many times at Yanhee where it felt like things were happening just because they were standard procedure, damn all reasoning, and other times where everyone had their own instructions and their own way of doing things. This does an incredibly effective job of infusing you with distrust in the people who are supposed to be taking care of you. This is sometimes innocuous (many nurses wearing delightful paper hats, which is about as delightful as pathologists wearing ties).
In ye olde days, bowel prep involved a nurse looking at your toilet. The nurses here told me to take pictures on my own personal device and asked me in the morning how many bowel movements I had had. Later, when I was post-op and bedbound, some nurses offer a steel commode to pass gas on (more on that later), while at least one suggested that I pass gas directly on the bed, and that I could call a nurse and they would clean me up if I ended up shitting the bed and/or my wound dressing. Some nurses would empty my catheter bag every time they came in the room, while others ignored it even if it was near max capacity.
Other funny details:
- I did not have bedsheets until day two of intake (surgery day).
- I did not have soap until day three or four.
- I did not see sunlight for approximately nine days.
- A nurse shaved everything from roughly my belly button to my mid-thigh to prepare for surgery, and another nurse later expressed disgust because the first nurse had left hair all over the bed, including after surgery.
- My sponge baths ranged from thorough to perfunctory depending on the nurse.
Six separate nurses asked me about my piercings on the morning of surgery day. I gave them all an identical (if increasingly flippant) reply about not being able to do it myself without tools. This escalated to an international coordinator appearing in person. I asked her if I could sign a waiver (
their fear was that electrocautery would cause the piercings to heat up and burn, which I thought was fucking metal as hell) because they had had eight months, and so then the surgeon showed up and told me he would strongly prefer if I removed them. At this point I gave up, though they said they would try to take them out in the OR without damaging them if possible.
To everyone’s surprise, they were able to do so, but (of course) all of my piercings closed before I was out of the OR and conscious.
This is all to say: I recommend asking every possible question you can think of relevant to your surgery to your team, and do not assume they will ask, nor should you assume they will act logically on information you’ve given them.
The worst offender here was advice contradicting the surgeon.
I don’t like being bedbound, and I’m a pretty active dog. On day two I begged to be able to walk, and my surgeon begrudgingly agreed to let me stand up. Despite this, my nurses wouldn’t agree to it until day three, when I was allowed to walk for a few minutes around my room. I did this with no issue, but for the remainder of my stay, many nurses repeatedly insisted that I could not and should not walk until a given day, and would stop replying if I told them that I had the surgeon’s permission and had done so already.
3. Living in the hospital.
Food at Yanhee is about as dire as average hospital food. You will get a menu with no clear indication of what items you’re not allowed to eat because you’ve just had surgery. After surgery, they will give you loperamide/some analogue, which slows and/or halts bowel motility. On the second day after surgery I began ordering clear soup for breakfast, lunch, and dinner every day for my recovery and received a passable soup that was nutritious and helped me feel hydrated, and also because being gassy and constipated annihilates my appetite. Accompanied by this was fresh fruit and a side of protein (often egg, sometimes pork, I think?) and plain rice porridge. If you think of the whole process as purgatory and/or penance, sort of like being taken to the vet, you can get through it. I often skipped the rice porridge due to everything else filling me up first. Everything will be wrapped in heat-sealed cling film, including the soup and juice.
Water is another story: you receive two 750ml bottles of water with “FREE” paper wrappings on their caps, and your minifridge contains a variety of other waters which cost a small amount of baht, apparently. If I asked for water after using up my 1.5L daily ration, nurses would alternately fetch more bottles from outside the room or pull them directly out of the minifridge. I have no idea if I was charged for these or not. It’s not a liveable amount of water. Obviously you are going to and should drink more water. I cannot overemphasise how important proper hydration is to healing. Drink the fucking water and ask for more. Juice is not an effective substitute for water unless you enjoy pissing every shade of amber imaginable.
My room was effectively a hotel room. There was a TV, but I had no wifi for the first two or three days until someone came in to fix it. I had storage space, a table, a couch, some chairs, and there was an in-room safe for important documents. There is a shower/bathroom attached. Early on the time I had an IV in my hand and my IV pole was attached to my bed, so I was not allowed to leave it. After that, I needed to request a nurse’s aid to leave the bed, as it required lowering the baby gates and removing my catheter bag from the bed. There was AC, but the controls were by the door and the nurses changed it to their preferences with impunity.
My bed was too short for me. I am very tall (over 6 feet). This was a recurring theme. Post-surgery, I woke with my feet jammed against several sheets and pillows at the foot of the bed and my knees bent out like a frog. After a day of dealing with this, one nurse lowered the foot gate and turned several couch cushions into an extended foot for the bed, which then repeatedly got in the way of nurses, the cleaning people, and the blood pressure reading machine. They will probably wrap your lower leg in a massage machine to try help and prevent blood clots, which are a major enemy of your surgery.
According to my notes, on day 6 of 9, I received a new bed that was long enough for me after a nurse filmed me in the too-short bed and sent it up to someone higher. It’s possible that the first bed was an alternating pressure cell mattress. I was very delirious early on, and I remember that bed, but I don’t know when the mattress was switched out. I don’t believe the long bed was an alternating pressure mattress. Whenever I was in stirrups (in-hospital and during outpatient procedures), I usually ended up folded like a pretzel because my torso was too long for the bench.
The actual surgery and aftermath
I was taken in for surgery around 10:30AM, with an approximate start time of 1:00PM. I was told the procedure would take between 8-9 hours, plus an additional hour spent in the post-anesthesia care unit (PACU). The surgery was a robot-assisted peritoneal pull-through vaginoplasty. I have four laparoscopic harvest sites on my stomach (two larger, two smaller) to harvest the peritoneal tissue necessary to make my vaginal canal, and my surgeon told me I ended up with approx. 6.5 inches of depth. I attribute a lot of that to my height: YMMV.
They told me that because of how long I was on the table, I developed a level 1 pressure sore on my tailbone.
I’m the second patient to report this same outcome from Dr. Worapon that I can find. I was diligent about avoiding putting any pressure on my tailbone during recovery, but my nurses were pretty cavalier about it. I was told to avoid rotating myself without calling nurses, though some nurses seemed really annoyed if I called them for rotation. When they removed my catheter under sedation, I called over someone in scrubs to ask permission to rotate myself, as I’d been left on my back again in the PACU for a second time.
My pressure sore was a major annoyance and also much more painful than any part of the surgery itself, which was surprisingly mild.
The gas pain was the worst part of the post-surgery recovery for me. It fucked up my right shoulder like I was being tased. I have never had gas pain like that (as I understand, they inflate your colon to make sure they don’t nick it by accident) before. I didn’t understand what was happening to me until I texted a friend who’d been through a similar experience, which was a godsend. I’ve broken bones and the gas pain was worse. Figure out how to pass gas safely as soon as possible and it goes away.
If you’re experiencing inexplicable, mind-numbing pain post-surgery, don’t panic. You might just need to fart.
The right corner of my lower lip on my mouth was also fucked up. I think I must’ve chewed it at some point in the PACU while sedated. Dog problems. My abdomen and my pussy swelled up to a hilarious degree but never felt like they were pulling on stitches.
I slept a lot. I slept between ten to sixteen hours every day, often in really uneven shifts. I had packing and a catheter for seven days, with the possibility of another seven days of catheter if my urethra/etc. showed signs of damage (it didn’t). Two of my nurses went on vacation during my stay (I am Spiders Georg), including the wound care nurse: after she left, my packing would fall apart about twice a day, and usually the next nurse would just add an additional layer of gauze and tape to my thighs. My catheter was removed under sedation on day 7, and that night, a nurse taught me to dilate and instructed me to use the small dilator.
My regimen was douching with saline and betadine (4:1) before dilation, then applying betadine ointment to the entire surgical area, then applying betadine and sterile lube to the dilator, which was wrapped in a condom that I tied off over the base. I was given maternity pads to wear. For dilation (twice daily for 1 hour each), my nurse gave me a ‘wedgie’ method, where I would hike the elastics of the maternity pad up and use the firm constant pressure of the pad on the base of the dilator in place of hand pressure. This kept my hands free (more on that later). I dilated on my own the following morning and was released that day. I was also given a shorter but wider (same width as the large dilator, but approx. 5.5inches in length only) dilator to wear while sleeping. I’d brought panty liners from home and wore them between the maternity pads and my underwear to help absorb any loose fluid.
One point where I deviated from instruction was for douching: my nurse instructed me to do so while sitting on the toilet, but I did so instead in my shower at the hotel because doing so on the toilet seemed frankly deranged.
When I left the hospital, they gave me a big care package:
- two sets of dilators S/M/L
- maternity pads
- cotton swabs
- saline
- sterile lube
- betadine solution
- a fuckload of betadine ointment
- incontinence mats
- condoms packages
- two large fluid syringes for douching that say “DO NOT REUSE” in big black letters on the side which I was told to reuse
- a douching bulb
- a strawberry cake.
Very few of these will be proportionate: you need
many more cotton swabs than they provide, more maternity pads, more incontinence mats, more condoms, and less ointment. I was heaping on globs of ointment and ended up taking home ten jars in my suitcase still.
During my intake, my surgeon said to use the medium and large dilators, but what the Hell, the nurse said to use the small (she also said “wow, six inches!”, which was shorter than my canal length). I started with the small dilator for a few days and then experimented sizing up with the medium, which also wasn’t a problem. The large took more work initially but generally more time + firm pressure solved my problem.
During my first followup (approx. a week after discharge from the hospital), the surgeon looked at my vagina for about two minutes total and said “very good” and “very very very good” because there was very little/no granulation, would separation, necrosis, bleeding, or signs of infection. On my second followup, a nurse removed unnecessary stitches, and the surgeon did an internal exam. I got to see the inside of my pussy, including some light bleeding at the back (similar in appearance to bruising on your gums).
Despite walking to the hospital, there was a literal puddle of serous fluid in my pussy, which he drained with suction similar to the sort you see in a dentist’s office.
My surgeon referred to my pussy as my vagina, my neovagina, and my wound interchangeably. Almost every nurse referred to my vagina as my wound. Many of them alternated between calling me "mister" or "misses" deadname. I really don’t care, but I thought it was funny. All in all I overpaid the hospital by about 1000 Thai baht due to conversions/banking fees and they refunded me that amount, which I also thought was really funny. Each of my followup appointments cost 300 baht. I was also given a 3 month followup appointment slip with instructions that it was more or less optional to attend, given no serious complications arising.
My mobility was unexpectedly high at all points during my immediate recovery. I walked to and from my hospital appointments without issue (except that Bangkok is not pedestrian friendly), walked around my hotel, and could manage stairs. My laparoscopic stitches were more restrictive than my vulva stitches. I attribute this to being physically active before surgery (I love cycling). My resting heart rate jumped 20-30BPM and stayed there for the first three weeks following surgery until I got home from ~50-60BPM to ~80-90BPM. My heartbeat sometimes kept me up at night.
That being said,
I was also a habitual cannabis smoker and drank pretty regularly, and halted both only about a month before surgery. I'm around thirty. I was also very overweight at one point and have a lot of loose skin as a result of losing weight, which is another reason why I think my stitches weren’t very angry with me. I ate appropriately and followed post-surgical guidelines strictly or in excess of what they asked. I drank a lot of water. Take your meds as instructed. More hypothetically,
I didn’t undergo postsurgical menopause as many patients do, as my body continued to produce testosterone normally.
I’m also a masochist with a very high pain tolerance. When I had laser eye surgery they failed to fully numb my left eye and didn’t notice until I asked them for a break before we kept going. However, I should stress that a majority of the time I was not pushing through pain but rather experienced no pain whatsoever beyond occasional stinging. Numbness was more common: the outside skin of my outer thighs were (and still are) numb due to swelling. When I got my PA, it similarly did not hurt and instead resulted in a day or two of numbness.
Healing fast gave me a new source of frustration when my pelvic floor started being stronger than the elastic band on the maternity pads. I’d brought a hand towel from home (using a hotel towel for anything touching betadine felt rude) and by my last days in the hotel, I was using it to leverage my large dilator (gently, but
firmly) to actually reach depth. Holding pressure with your hands is not an option
twice daily for
an hour each time. The wrist strain from doing that exactly once was worse than working in a kitchen. Now that I’m home, I’m rigging up a dilation harness with the help of a friend for hands-free dilating. Dilating does not hurt in the same way that anal shouldn’t hurt: pain means go slower, but discomfort is okay and goes away with relaxation.
On occasion I had clots, but I don't noticeably bleed during or after dilation. I'm not much of a bleeder in general, and tend to clot fast, but I notice a darker colour to my discharge and more of it immediately after dilating, which usually lightens within an hour or two, which I think is blood from microtears mixing with the serous fluid. Blood was pretty common around my clit and urethra, though, in tiny amounts.
I think there's an ooze hidden in my family tree somewhere. I'm always wet, and it is slippery, but I apply sterile lube during dilation to try and avoid worsening any microtears. After wearing the night dilator, and sometimes after dilating, I'm sore for about an hour, sometimes longer if I'm dehydrated.
I get piss nightmares, which is to say that the sensation of having a full bladder while asleep gives me recurring nightmares until I wake up to pee. Wearing a dilator at night gives me a vague sensation of needing to pee
. Ergo, I now get night dilator piss nightmares. I’ve never met someone else with piss nightmares, so this might be another Spiders Georg moment. If you suffer from this: I tried to limit my water intake later in the evening and drink more in the morning, similar to being on a diuretic (e.g. spironolactone).
There was a very large gap between leaving my hotel and getting home to dilate (the flight alone was 13 hours), so instead I made the decision to wear my night dilator after clearing security. They looked at my dilator bag briefly but it wasn’t a big deal. I took out my dilator when I got home. It probably would’ve been easier to just do a longer dilation session.
I managed not to tear or damage anything and it made post-flight dilation incredibly easy, but I wouldn’t recommend doing this unless you have a healthy sense of humour and tolerance for biology.
I needed to pee approximately eight times during the flight. You produce a lot of goop and fluid, and there will always be more goop and fluid. Keeping things clean and sanitary was surprisingly easy, but there are easier ways to fly than juggling medical dildos in airplane bathrooms. I was sore for about a day afterwards because of the extended wear.
I pretty regularly dilate for over one hour, mostly because it’s unclear to me if the hour is supposed to include reaching depth, or if it should begin once depth is reached. Now that I’m home, I’m also adding midday dilations on days where I have the free time so that reaching depth is easier and I can spend less time overanalysing. I used my phone in the early days to take video of my depth (using the dilator marks as a guide) until I had a consistent idea of what hitting depth looked like. I’ve also added in the
Dr. Powers balloon pump method for reasons outlined on the wiki.
As of approximately three weeks,
my nerves are reconnecting well. My clit is too sensitive to touch from the outside but dilating can stimulate it from the inside just by applying firm pressure, which is fun. In the right position this also hits my prostate. In an effort to not tempt fate and tear my vagina I’ve been refraining from pushing too far in that direction and will wait the suggested two months (at least) before imitating anything close to penetration. My stitches also need to dissolve, which I’m also being patient for. Swelling is going down gradually. My abdomen is tighter and I'm being more careful about not pulling my laparoscopic scars, which feel sore/tight at times, especially if I'm dehydrated.
My balls are very tender, similar to how they felt after the vasectomy, although them being beneath my mons pubis has resulted in some weird changes. No more free fall nausea (they’re sutured in place, makes sense), but the entire mons is very sensitive to touch right now. Once the swelling subsides I’ll have a better idea of what it looks like, but as of this moment it looks like a large pussy mound that I don’t mind.
T
he picture is me as of ~3 weeks. It's still very swollen, especially up close.
I wouldn't stress about the appearance of your vagina for the first year, at least, and I recommend appreciating it from a distance. Anyone's pussy can look strange and unappealing if you photograph it like an eagle trawling the sea for flying fish. I'm personally really happy with how it looks already, which is the entire back half of why I'm uncertain to recommend Yanhee hospital:
despite every complaint, it's incredibly hard to argue with the results.
- I really liked everything I saw on Dr. Worapon's gallery.
- I'm really happy with the visual results.
- I'm really happy with the functional results.
- I experienced no major complications and few minor ones.
- Recovery is only as stressful as I've made it.
- My body is still producing hormones in-house.
Ultimately
, I received an 'experimental' surgery and have a really good prognosis going forwards. I knew what I was getting into. Some of the suffering was probably unnecessary, sure.
I got COVID sometime around the start of the pandemic (I worked in a university and saw about a hundred students every week, go figure)
and I would choose to have this surgery all over again rather than have COVID like that again. I didn't land in hospital then, but
COVID made me wish I was dead. This only made me homesick.
If there's something not covered here, ask, and I can do my best to answer! However,
if this post escapes containment in a weird way I might take a while to get back to you (see: tempting fate).
