Bottom surgery: Difference between revisions
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==Bottom surgery and gender identity== | ==Bottom surgery and gender identity== | ||
For [[Binary genders|binary]] [[Transgender|trans]] people who want to have surgery, bottom surgery usually means a fairly specific variety of procedures, depending on the individual's needs to treat their [[gender dysphoria]] or make their body like that of a [[cisgender]] [[dyadic]] person of their own gender. For [[transgender women]], bottom surgery usually means taking away the gonads (orchiectomy) and perhaps also making a vagina (vaginoplasty). For [[transgender men]], bottom surgery usually means making a penis ( | For [[Binary genders|binary]] [[Transgender|trans]] people who want to have surgery, bottom surgery usually means a fairly specific variety of procedures, depending on the individual's needs to treat their [[gender dysphoria]] or make their body like that of a [[cisgender]] [[dyadic]] person of their own gender. For [[transgender women]], bottom surgery usually means taking away the gonads ([[orchiectomy]]) and perhaps also making a vagina ([[vaginoplasty]]). For [[transgender men]], bottom surgery usually means making a penis ([[metoidioplasty]] or [[phalloplasty]]), and perhaps also taking away the uterus (hysterectomy) and maybe the vagina as well ([[vaginectomy]]). Trans women and trans men need not have their goal with bottom surgery to make their genitals as much like those of a cisgender woman or cisgender man as possible, unless if that is what they personally want or need. | ||
Nonbinary people may want to have bottom surgery as well. In particular, they may want to find out about a much wider variety of ways to change their genitals and reproductive organs, without necessarily having their goal to make theirs look as much like those of a cisgender dyadic person. For this reason, this page lists many other kinds of body modifications to the reproductive organs and genitals. Some of these are not usually called "bottom surgery." | Nonbinary people may want to have bottom surgery as well. In particular, they may want to find out about a much wider variety of ways to change their genitals and reproductive organs, without necessarily having their goal to make theirs look as much like those of a cisgender dyadic person. For this reason, this page lists many other kinds of body modifications to the reproductive organs and genitals. Some of these are not usually called "bottom surgery." | ||
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* '''Penectomy'''. Surgery to take away the penis. | * '''Penectomy'''. Surgery to take away the penis. | ||
* '''Penectomy with orchiectomy'''. See elsewhere on this page. | * '''Penectomy with orchiectomy'''. See elsewhere on this page. | ||
* '''[[ | * '''[[Metoidioplasty]]'''. For people with certain kinds of phallus (called either a large clitoris or small penis), this surgery frees the phallus and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. If this surgery doesn't involve urethral lengthening, the urethra stays where it was before, which might not be on the phallus. If the patient has a vagina (orifice), this also stays where it was. | ||
* ''' | * '''Metoidioplasty with scrotoplasty'''. See elsewhere on this page. | ||
* '''[[Pumping]]'''. Not surgery, but a body modification. This practice uses vacuum suction to stretch the phallus and make it larger. Normally this is temporary, but if done on a regular basis, it has long-term or possibly permanent effects toward making the phallus larger. For people who were assigned a female gender at birth, pumping can make it possible or easier to use their phallus for penetrative sex. | * '''[[Pumping]]'''. Not surgery, but a body modification. This practice uses vacuum suction to stretch the phallus and make it larger. Normally this is temporary, but if done on a regular basis, it has long-term or possibly permanent effects toward making the phallus larger. For people who were assigned a female gender at birth, pumping can make it possible or easier to use their phallus for penetrative sex. | ||
* '''[[Phalloplasty]]'''. Surgery to create a penis by using tissues from other parts of the body, usually skin from the arms or legs. With the addition of a prosthesis inside the penis so that it can become erect, a penis created by phalloplasty can be larger than one created by | * '''[[Phalloplasty]]'''. Surgery to create a penis by using tissues from other parts of the body, usually skin from the arms or legs. With the addition of a prosthesis inside the penis so that it can become erect, a penis created by phalloplasty can be larger than one created by metoidioplasty. This may or may not involve urethral lengthening. | ||
* '''Urethral lengthening'''. For people whose urethra (pee hole) was not located on the end of their phallus, surgery to move the urethra to the end of the phallus. This can optionally be done as part of a | * '''Urethral lengthening'''. For people whose urethra (pee hole) was not located on the end of their phallus, surgery to move the urethra to the end of the phallus. This can optionally be done as part of a metoidioplasty or phalloplasty. Today, the extra piece of urethra tube is made from tissue from another part of the patient's body. In the future, it will be made from lab-grown tissue instead. | ||
* '''Penis transplant'''. There have been some successful experiments with this in animals and humans. It could become available to trans people in the future. | * '''Penis transplant'''. There have been some successful experiments with this in animals and humans. It could become available to trans people in the future. | ||
* '''Genital beading, pearling''', and '''penis ribs'''. These are body modifications that implant materials under the skin of the penis, so that it has raised textures or a different shape. | * '''Genital beading, pearling''', and '''penis ribs'''. These are body modifications that implant materials under the skin of the penis, so that it has raised textures or a different shape. | ||
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* '''Penectomy with orchiectomy''', called '''[[emasculation]]'''. Surgery to take away the penis and testicles, without trying to make the genital area like that of a person who was assigned a female gender at birth. The result is a relatively featureless groin. Before the invention of vaginoplasty, this was the main surgery done on trans women and analogous [[gender-variant identities worldwide]]. Some such individuals still prefer this surgery, such as [[hijra]]. Doing this makes it difficult to get a vaginoplasty later, which usually uses tissue from the penis. | * '''Penectomy with orchiectomy''', called '''[[emasculation]]'''. Surgery to take away the penis and testicles, without trying to make the genital area like that of a person who was assigned a female gender at birth. The result is a relatively featureless groin. Before the invention of vaginoplasty, this was the main surgery done on trans women and analogous [[gender-variant identities worldwide]]. Some such individuals still prefer this surgery, such as [[hijra]]. Doing this makes it difficult to get a vaginoplasty later, which usually uses tissue from the penis. | ||
* '''Labiaplasty without vaginoplasty'''. Surgery to create external genitals (labia and so on) like those of a person who was assigned female at birth, but without creating a vagina (the orifice). | * '''Labiaplasty without vaginoplasty'''. Surgery to create external genitals (labia and so on) like those of a person who was assigned female at birth, but without creating a vagina (the orifice). | ||
* ''' | * '''Metoidioplasty with scrotoplasty'''. Surgical creation of a penis and balls, without changing the vagina, if the patient had one. Some such patients choose to get a vaginectomy in another operation, if the patient wants. Other patients are content to have a penis, balls, and vagina at the same time. With or without scrotoplasty, the effect can amount to making the patient's genitals like those of a person who was born with certain kinds of intersex conditions. | ||
* '''Vaginoplasty without penectomy'''. Counterpart to the preceding surgery. Surgical creation of a vagina, without changing the penis. This may or may not include orchiectomy. A patient might choose to remove the testes and penis in another operation, which may include clitoroplasty. Otherwise, the patient may be content to have a penis, testes, and vagina at the same time. This procedure has been called '''androgynoplasty''', '''penile-preservation vaginoplasty''', or '''phallus-preserving vaginoplasty''', and has only recently started to be offered by some providers. | * '''Vaginoplasty without penectomy'''. Counterpart to the preceding surgery. Surgical creation of a vagina, without changing the penis. This may or may not include orchiectomy. A patient might choose to remove the testes and penis in another operation, which may include clitoroplasty. Otherwise, the patient may be content to have a penis, testes, and vagina at the same time. This procedure has been called '''androgynoplasty''', '''penile-preservation vaginoplasty''', or '''phallus-preserving vaginoplasty''', and has only recently started to be offered by some providers. | ||
* '''[[Genital nullification]]'''. This can mean a variety of different surgeries, depending on what the person's body was like to begin with, to take away most or all of their reproductive organs and genitals. Some nonbinary people seek this in order to be genderless and sexless. However, one need not have genital nullification in order to be genderless, as gender identity is different than physical sex. | * '''[[Genital nullification]]'''. This can mean a variety of different surgeries, depending on what the person's body was like to begin with, to take away most or all of their reproductive organs and genitals. Some nonbinary people seek this in order to be genderless and sexless. However, one need not have genital nullification in order to be genderless, as gender identity is different than physical sex. | ||