(Scroll down to the bolded text if you just want the medical questions.)

Hi all,

So, I had a bilateral orchiectomy and scrotectomy last July. There's no easy way to say this so I'll just get it out of the way — I have a lot of regret about getting the scrotectomy as well. This time last year, I identified as a transfemme enby and thought that this would be my end-point for surgery.

What can I say — it's a year later & I'm a girl. I have immense shame & guilt about getting a scrotectomy because I know that skin would have been valuable for GCS. However, I'm struggling to stop giving myself such a hard time about it because like... it's not like I wasn't sure. It's not like I hadn't thought about the decision for years & years. I just couldn't have anticipated how wonderful & freeing it would feel & how quickly it would really start precipitating my descent into girlhood.

I could say lots more about this (and you can ask anything you want, if it might be relevant to you), but... it's not the point right now. The point is that I can't let my feelings about this prevent me from actually rolling up my sleeves and figuring out what to do about it. I actually essentially realized I want/need GCS in, like, January or February... but trying to face these feelings so soon after surgery is... a lot, and it's kept me from really digging into the research I need to do. It's still a lot, but I... can't pretend I'm not sure beyond a shadow of a doubt that I want/need GCS, and I know that most surgeons have a huge wait time, so it's time to get the show on the road.

Anyway...

I know that medical tech has advanced significantly since the days when scrotal skin was considered strictly necessary for GCS — right? So... I'm evaluating the options nowadays (making use of the excellent wiki etc.) and trying to keep straight which ones are & aren't precluded by a scrotectomy. Does anyone have any thoughts about how the results of different techniques may be affected without a scrotum?

I know that some surgeons will categorically refuse, as well — anyone have more details about that? I was originally looking at Dr. Chettawut, but have been sort of scared by posts like this one — I've done a lot of anal in my life & have basically never stopped. I've also looked at Suporn et al. , who seem to be relatively reliably great(?), but I've also seen someone say they categorically won't work without scrotal skin. I know the only way to know for sure is to ask their team, but I'm... still feeling out how to deal with the emotional labor of following through with this research. And I know that some surgeons/techniques can be ruled out completely (right?)

I thought I would say a little bit about my priorities since people's reasons are all very different...

1. My #1 priority is sexual function , as that's the huge source of dysphoria for me... depth is really important to me. How it feels for my partners is... huge for me, in addition to how it feels for me of course. I sometimes cum from anal, but it's very rare, and I have lots of dysphoria about that... I feel like if I happened to end up with a "configuration" where my prostate can be hit vaginally, I'd cum so easily, all the time. (I could say much more about how I know sex isn't goal-oriented & it's not healthy to pedestalize orgasms, and this doesn't stop me from enjoying being intimate with my partners, but the bottom line is that I have lots of dysphoria about it & I cry about sexual dysphoria all the time.) I don't know how common or reliable this is... but if it's possible to achieve prostate stimulation + depth, I would be completely happy & satisfied regardless of most other details (even taking cumming out of the picture). Ease & spontaneity & pleasure of sex is hands-down the biggest thing for me. (I'm not bothered by having to use lube, although as things are now, I become a sopping mess very easily — does any technique allow for that to translate at all?)
2. Aesthetics are honestly not all that important for me — I mean, I don't want to look bizarre , but I am not especially invested in getting a cis-passing result or being "unclockable" — I'm not planning on being intimate with anyone who doesn't know this about me. On the outside, I am mostly just concerned with being soft & gentle to feel. So if lack of scrotal skin only translates to a loss of "authenticity", that would be best-case scenario for me.
3. Logistics are not a priority for me — meaning that cost, domestic vs. foreign, etc. are not huge factors in my decision. I am privileged to be able to work around these details.
4. Upkeep/healing/dilation is not a priority (within reason) — I am willing to sign up for whatever healing/dilation timeline has the best results (probabilistically speaking).

Body info : I'm 28, relatively good shape (neither under- nor overweight). Been on HRT for like... 5 years or so. As far as getting neutered goes, I've healed extraordinarily well; my whole perineum is very smooth & soft ^^ I feels small & cute all the time. I'm 1,000% satisfied with that operation in itself — aside from the opportunity cost of affecting my GCS results. But my dysphoria about my hen hasn't stopped increasing. I actually get more erections than before I got neutered, for whatever reason, & they bother me more than ever. I want them to stop so bad.

Here are a couple of photos of my bits, for context. These are from today, so just shy of 1 year post-op. (It felt weird to attach them directly to this post in case anyone didn't want to see.)

https://imgur.com/a/6wtkVkR (NSFW, obviously)

Thanks to anyone who read through this (kind of emotional) post! I'm going to continue researching on my own of course, but I thought since I have a kind of unusual situation, I would ask the community sooner than later. Any insight or wisdom is appreciated — I know some of these questions are probably basic, but I am having trouble assembling the full picture of what my surgery means for GCS. I seem to be fundamentally incapable of getting to the point in any reasonable amount of time, so thanks for coming to my TED talk 😅