Thank you thank you

A string of several detailed write-ups here with pictures showing consistent results among features (labia, clitoral hood, fourchette) across patients, and price. I had just had FFS in 2020 and paid all that out of pocket, my first big expense after undergrad. PAI were more than reasonably priced.

I was initially against Penile Inversion, but ultimately seeing consistent aesthetically pleasing results from PI patients of PAI outweighed my preference one way or the other.

Sad that I will never have the money or courage to go to Thailand for this.

Internal swelling is still dissipating over time, and the look of it will probably continue to change once I move on to the larger dilators. In a perfect world I'd like more uhh, winged (?) labia minora, and for the minora to connect to the clitoris as in natal vulvas (but I've never seen that done in any surgical results). No plans currently, and I don't know if I want the risk/scars of more surgery.

About 5 3/4 inches. Initially I believed it was more, but as the external swelling went down the actual length of the dilator it covered decreased slightly.

I'm not sure what specifically you mean, but yes, I get plenty wet when aroused. I was expecting maybe a little bit of wetness during me-time based on previous people's accounts but it's actually a decent amount.

Morphine drip during the first couple of days in-hospital, with the patient-controlled push-button increase. I opted not to use it, and coming off wasn't too bad. Honestly, although stiff, sore, and bloody, there wasn't too much pain until the nerves started rebuilding themselves. At that point I was back in the hotel by myself and started taking extra strength tylenol about every 4 hours. The sensation would dissipate, but return like clockwork after the 4 hours were up. I ended up kind of overdosing on tylenol after going over the daily recommended max and spent one night extra pukey.

From then on I just used two cold packs, switching them in/out of the freezer as they melted. After about 2 weeks I could get by without anything.

1) Price when I went was $9300 USD, not factoring plane ticket or hotel stay (and I got a trachea shave at the same time, which went well).

2) This is the diagram they gave me . But I would err on the side of doing more.

3) Yep, definitely.

Just the contact information available on their consult page here . Don't know why that wouldn't work, sorry.

Yeah during my first checkup after I had been moved back to the nearby hotel, the doctor and nurses explained the process and gauged depth, and I got the first two dilators there. I also got douching supplies which I used for a period. After that initial demonstration I was good to go it alone, but with a phone contact line to my clinic aide.

Yes, it's still there. I haven't decided whether it bothers me or not, but it's not that noticeable; it's pretty light.

Wow high praise, thanks!

1. This is something I had noticed among most recent PAI writeups with photos (but not all) that I had seen, and that finally convinced me to reach out to them. In consultation I think I requested that they give me larger labia minora, if possible, that extend to the fourchette. I don't fully recall though, it was a busy week for me.

2. My starting equipment really wasn't that large (I'd say similar to how it was when prepubescent), and I had been circumcised as well unfortunately. I didn't bother tucking with anything more than tight underwear.

3. Yes, just the scrotum. Nothing taken from the arm or leg. It's just part of their standard inversion technique, which is unique to this region of the world AFAIK.

4. It's definitely plenty moist when not aroused, but when aroused the vaginal canal releases fluid whose consistency is similar to the fluid I produced pre-surgery. So I imagine it comes from the bulbourethral glands and whatever the prostate is turned into after feminization, via the urethra.

5. Sensation is great! No numbness, clitoral stimulation and vaginal stimulation feel very natural.

6. Peeing became fine after swelling dissipated. It's hard to tell from the angle of the pictures above, but I have a little nub of leftover tissue (possibly erectile tissue?) next to the urethra that, while it has grown smaller over time, still sticks out in an unappealing way. I might consider a small revision on that in the future.

7. As seen in this diagram , usually the labia minora meet at the top just underneath the clitoris, merging into it. Then the clitoral hood covers that, creating a ridge. If there's a specific name for that structure I don't recall it. But I haven't seen an surgical results that connect the labia minora to the clitoris in that way.

Yes, they asked me to stop HRT 2 weeks beforehand. I probably stopped E a week out and didn't stop spironolactone before surgery.

Thanks for the compliments! The worst part of all this is how much raw effort it takes on your end, and you're not even doing the surgery. Painful and expensive months of electrolysis beforehand, months of slow recovery, and years of dilation after the fact. And that's assuming everything goes right and you don't want any revision.

Thanks!

Thanks, 5 3/4 inches

It took a while before I was up and running again. Probably 1.5 - 2 months.

I consulted in December for a date in July, but in retrospect I should have made contact with my nearest electrolysist before that and asked her opinion on the timeline after getting her to look at the area. As I mentioned I had initially gone to a much further away electro and I don't think they had nearly as much experience with trans patients as my local electro.

I haven't experienced this so far, no

Yep, unfortunately

Yep, tested thoroughly!

uuh, I have both labia minora and labia majora, if that's what you mean? I haven't seen many examples of neovulvas that I would really classify as an outie, if outie means having prominent labia minora?

I got some bad advice from my local gender clinic, and ended up commuting two states over regularly under the (false) belief that there wasn't a closer bottom electro provider. I only discovered that I had a very close local option about 2 months out from my surgery date. In total I got about 6 months of regular appointments in, but I absolutely should have done more.

And like you, I was concerned that their chart was too nonspecific. I instructed my electro providers to also remove hair from the scrotum and base of the shaft. As for growth after, there was a handful of hairs near the entrance, and a handful visible, but further inside. As far as I can tell/feel (and I've spent a lot of time staring inside with a magnifying mirror/sticking my fingers in this thing), there are no hair roots deeper inside than what I can see. I'm guessing the reason they don't include the scrotum and shaft in the diagram is because they have direct access to the underside of those tissues and can scrap the follicles, which they can't do closer to the vaginal opening/fourchette (that's a guess though). Luckily my electro provider has no scruples about getting in there, which I'm eternally grateful for. Opt to do more than what's suggested, for as much time as possible, is what I'm suggesting.

I was bedridden in the hospital for 6 days, with regular checkups for pain and bruising. I was chaperoned from the hospital to the hotel, and the hotel to my follow-ups. I actually only had two checkups afterward, once per week, but I was also healing well without too much bruising, and could take the catheter out on time. Their office has been very good about responding to any and all questions I've had, and have even helped me collect documents to submit to insurance (like my insurance intends to pay a single cent, eh).