A message from Anonymous
Hello idk if will be answered, but I just discovered that you need a "healthy bmi" in order to get sex reassignment surgery and it's really upsetting for me since I'm extremely overweight and have never been able to lose weight... I don't know what to do. Would I be denied hormones if I'm overweight?

Depends on where you’re from probably, but I’ve seen plenty of obese people here start HRT. I haven’t personally heard of anyone being denied HRT due to their weight. Surgery I have.

A message from attickbird
I had to switch to injections a few months ago, and though I'm definitely better with the sight if needles than I used to be, every now and then something happens that freaks me out. Perfect example, and the real question -- how normal is it to occasionally have a lot of blood (more than a slight pin prick) come back at you after injection? Everything seems fine now but I'd like to prepare myself for it if it's a thing.

It’s normal! It’s possible to go through a vein or something that causes more bleeding than you’re used to. It won’t be a “wasted” injection or anything. Though I’d say the vast majority of my injections don’t bleed at all. I have had blood squirt out once though and, as alarming as it was, I was completely fine.

A message from Anonymous
Hello, I've been interested in getting a phalloplasty in the future, but I havent been able to find a source that says when the finished product is fully useable (like to pee and have sex). Does anyone have an idea when a phalloplasty job is fully healed/able to do things like urinate and use with intercourse?

I would honestly recommend contacting the offices of various surgeons to ask. I can make my own guesses but I don’t want to mislead you because I honestly don’t know. 

You can make a transbucket account and contact people there. http://www.phallo.net also has some resources that may help.

Anyone have input?

A message from Anonymous
Thank you so much for this blog. I'm pushing 30 and still haven't come out because i'm a very overthinking and anxious person so obviously i haven't started transition yet and some days are really tough. Positive messages and information like the ones on your blog really help me and right now they're all i have. So thank you again for this and for the work you put into it.

Much love and good vibes your way! Fortunately there are communities online if you look for them. We know how difficult it can be and there are plenty of us out there who are more than happy to give you company or reassurance. 

A message from Anonymous
what's the difference between metiodioplasty and phalloplasty? I saw your bottom surgery post and you referenced them as 2 different things

They’re two different procedures. Hudson’s Guide’s page about it  (link here) is very informative. In short, a metiodioplasty is your natural anatomy altered to create a microphallus while a skin graft is used to construct a phallus in phalloplasty. 

A message from Anonymous
My mom was with me for my surgery and I really didn't need her for more than the first two days, but I was drugged out of my mind for the next few where I watched TLC almost 24/7 and could watch the same episode without remembering it. So, if you're planning on doing anything more than basic functioning, you might want a bit more time with someone. I didn't like anyone fiddling with my drains after the first two days because they don't know how sensitive it is and it hurt so I did it alone.

Thank you for your input!

For those of you who have had chest surgery, how long did you feel like you needed someone before you could go be left home alone? I know it varies from person to person but I’m curious about the general consensus.

A message from Anonymous
I am a 15 year old trans (ftm) in a small town, I I have an amazingly supportive girlfriend. I want to start transition now what would the first step be in a small town? And I've done a lot of research but I'm give a straight answer nor relativity consistant responses, but how much does th over all cost come too. And does insurance cover any of it. And although this is a weird question but can you have an organism once you have transitioned and have a penis?

Hey! I also came from a small town, so I have some answers that may not be very encouraging. I would recommend finding a (good) therapist if you don’t have one already. Having that resource is invaluable because of the stress and all the emotions that come with transitioning. I personally found they did not help with transitioning itself though. 

You should look into local LGBT groups if you have any, they may be able to point you in the right direction. Facebook groups are also fantastic for finding recommendations. I ultimately had to drive 2.5 hours to a doctor who would prescribe testosterone. I now go to an endocrinologist an hour drive away who has a handful of decent therapists he recommends (he requires a therapist’s letter).

 I can’t say how much the cost is because it will vary. Seeing the endocrinologist and all are considered standard doctor visits so I only had a $35 co-pay each visit and like $50 every time I go get blood drawn? My insurance has always flip-flopped with how much of my testosterone prescription they’ll cover. I use GoodRx though so it usually is about $40. It is a coupon that I’ve never had any problems with. It’s independent from insurance. Then the syringes are about a quarter each. I (should) go to the endo twice a year ($70), get blood drawn once a year ($120), and use two vials of testosterone ($200). It cost more to begin with but that’s about my annual cost, not including gas and miscellaneous expenses (syringes, alcohol wipes, etc). I went to Planned Parenthood for awhile and they operate on a sliding scale.  I think it cost about $200 to change my name and legal sex as well (including the background checks, court fees, getting new copies of my driver’s permit and other legal documents). 

And yes, post-op individuals feel full sexual sensation and can achieve orgasm. 

A message from Anonymous
My boyfriend is FtM, he doesn't want to have the bottom surgery just yet because he's heard rumors that he won't be able to feel sex... is that true? It's a really uncomfortable subject with him.

It is not true. In a metoidioplasty the individual is left with his birth anatomy that is modified, so feeling should be roughly the same. In a phalloplasty there are skin grafts but microsurgery is involved to ensure sexual sensation in the new phallus. There are the normal risks with surgery of course, but that’s the exception rather than the norm.

A message from Anonymous
This may be an odd question, but I've been told you can't legally change your gender on ID, Birth certificate etc unless you have bottom surgery. Which worries me, I'm asexual and have no desire to spend so much money on something that wouldn't really be 'used', yet have been planning to transition for 6 years now. Do you have any advice for this? I apologise if it didn't make a lot of sense.

I’m sorry, I have no idea how old this message was. I missed it somehow. I’ll answer regardless. It is not odd and is a very fair question to ask.

It depends on where you live, it varies even state by state in the US (where I am from). A “sex change operation” very well could just mean chest surgery.  I became legally male after being on testosterone for 3 or so years without undergoing any surgeries. I got a letter from my endocrinologist stating:

“[Doctor] have been a treating physician for [my name and DOB] for approximately one year. During that time [my name] has completed an appropriate evaluation and clinical treatment for gender transition to the new gender of male”

The state I was born in specifies that in order for a birth certificate to be changed, an individual’s sex needs to be changed by surgical procedure. This letter along with proof of my legal name change was apparently enough. It’s a bit vague but no one called to verify what was meant by “appropriate… clinical treatment.” Hopefully you’ll be able to have a smooth process too