Admin hat on here.

You need to be very careful about how you phrase topics like this. It's ok to express your opinion. It's ok to say that surgery is not for you and to be open about why.

What's not ok is telling people that surgery, or any other aspect of folk living life authentically on their own terms isn't isn't for them either.

You can talk about your own experiences and perspectives, but don't push them on to others

You seem to be talking a lot about stuff you haven't experienced and are not an expert in.

Misinformation like this can be incredibly damaging to those who read it. You are basing your entire post on assumptions that directly contradict reality, and all the research we have to prove it.

First off, for breast augmentation, nerve endings live largely in the dermal layer, nipples, and mammory glands, which remains untouched by augmentation. Breast implants are placed behind the breast tissue and mammory tissue, leaving everything on the surface with just as much sensation as was there before (granted, it can take time to recover from the surgery and regain sensation, and there is of course the rare risk of complications, but that is not the outcome in the vast majority of breast augmentation surgeries). Additionally, you can choose to get the implant under the muscle, even deeper than subglandular implants.

See below:

If you decide to change the location of the nipple, then yes, that comes with the risk of loss of sensation. A greater risk than is present in basic breast augmentation, but still not an expectation long-term. The only case where it is expected to lose some sensation is a free nipple graft, in which the nipple-areola complex is separated from its original nerve supply.

Then there's SRS, and I have a lot to say about that. I'll keep my thoughts condensed though, as I don't have the free time to write all of them in this comment, but I'll lay out the essential parts. For SRS that is done from someone with a penis, with the goal of creating a neovagina (or even just a neovulva), penile tissue is used to ensure erotic sensation. Good surgeons are incredible at working around nerves to ensure you have as much sensation as you realistically can. It is normal to lose sensation and gain it back over time, as the underlying structure of the nerves needs to heal from the surgery. Some people will never have the same level of sensation as before, some will have more sensation—and that's for a reason you clearly haven't considered. Genital dysphoria can significantly stunt the pleasure someone receives from sex. Having genitals that align with one's wants allows the mental roadblock put up by gender dysphoria to be taken down. This is why trans women who get vaginoplasties are generally incredibly satisfied with their results. Living in a body that does not align with you has a dramatic effect on one's ability to gain pleasure from sex. Not only that, but it completely changes they type of sex that we can have, and how sex is performed on us. That, itself, is incredibly affirming. Many trans women will stand behind their opinion that bottom surgery was (one of) the best decision(s) of their life. Besides, even those who lose sensation often agree it was more than worth it to finally feel aligned with their body. It's so much more than just about sex. And on that topic, sex is so much more that just orgasming. If you believe that's the goal of sex, then I'm sorry. The best sex I've ever had in my life didn't involve an orgasm. There's so much more emotion and intimacy that goes into sex beyond that. Bottom surgery involves every part of how we live throughout the day. For me, I always feel it. I haven't gotten bottom surgery, and it's a constant source of dread throughout my entire day. It's like this phantom feeling of something being there that shouldn't be. It feels awful. I'd do anything to get rid of that feeling and finally be able to live my life in peace and in alignment with my body. If I never had another orgasm in my life, I'd still happily do it. The same is true about any gender affirming surgery, as well. It isn't about keeping sensation—it's about feeling aligned with our bodies, and transitioning in the ways that we—and only we—decide.

It is not up to you to decide if other people should get surgery. You do not get to make that decision. The misinformation you have provided along with your gross misunderstanding of why we get surgery are incredibly disrespectful, and I find it quite offensive. The damage that a post like this can do to someone's confidence about what they chose to do in their transition is horrible. Keep those thoughts to yourself.

You are more than welcome here to talk about why surgery doesn't align with your own goals, but you have no right to decide that others shouldn't get it.

Getting bottom surgery was the single best decision I have made in my entire life. It saved my life. I wouldn't be here without having gotten it.

not sure what you're on about? one of the main parts of a vaginoplasty/vulvoplasty is rearranging the nerves (and other tissue) of the glans penis into a clitoris. even in the case of a nulloplasty, the nerves generally get moved to a little lump under the skin which ends up functioning similarly to a clitoris.

as for boobs, the only references i've seen lately to that were wrt boob reduction as an alternative to SERMs for non-binary feminization without breasts. notably, this consists mainly of just discarding a bunch of fat tissue. and from the multiple women i've spoken to irl about their experience with breast implants, if they did experience any reduction in sensitivity, certainly none of them found it noteworthy enough to mention.

I'll be honest, this post pissed me off, so I apologize if I'm direct and abrupt.

I had some really rare complications with my bottom surgery including losing most of my clitoral tissue to serious necrosis and lots of separation in the labia. I still have no regrets.

I don't care that another person may never be able to give me an orgasm. Heck even if I hadn't been able to give myself one for the rest of my life I would not regret it. It still has resolved a major mental health issue. I had intense "phantom genital" issues my whole life. It cause a ton of anxiety, erectile dysfunction, and other sexual issues and was just torture, really.

Not to mention tucking was extremely uncomfortable for me due to some testicular nerve issues, so now I don't need to worry about that anymore.

So, don't assume that everyone should not have surgery because their pleasure might be slightly decreased or they may lose some sensation.

that's just not true about SRS, the nervous tissue is literally reshaped to keep feeling.

eugh no, the pleasure I'd get from lopping my extra hardware off far outweighs the possibility of not being able to orgasm through that avenue. butt stuff is fun anyway as a backup if there are complications

youre not an expert, please think harder about posting things like this going forward. those who have these surgeries know the risks and downsides, doctors explain it to them, its their jobs.

its similar vibes as those who tell women not to wear makeup because "they dont need it", you aren't the person who decides if we need it, so dont act like it.

On the other hand, surgery was a massive quality of life boost for me. I can enjoy sex now, for one. And i orgasm just fine, thank you.

Please don't go down this path...

I literally cannot imagine myself living another half-decade without getting bottom surgery. It is such an important, critical goal for my own future that it's all I can think about at times.

Righting the wrong that is my body...isn't that my choice to make? With my own flesh, my own money, my own time and energy? Who's forcing you to do the same?

You're not an expert, that's for sure. Sensation does come back and people can and do have orgasms post-SRS. And guess what? Getting there is easier, since they don't have the nasty bottom dysphoria dragging them down, turning a moment of self-pleasure into pure self-torture.

My body, my life...my choice 🩷

I think it’s safe to say that the doctors who perform such procedures inform their patients about all the possible consequences of the surgery. I also think the patients do quite a bit of research on their own.

If you really want to convince others of this, then I think you would need to (possibly) get a medical degree, gather lots of data and then write a medical research paper. However, I don’t think that’s what you want.

Why do you feel a need to dissuade others from having such surgeries? Why not live and let live? To each his/her/hir/xem/[your favourite pronoun] own?

Even if what you said was true, and it's not, you are not taking into account the mental benefits to someone experiencing body dysmorphia.

Edit: more direct wording.

This is disinformation, but even if it were true I would still want bottom surgery.

I've talked to almost every active surgeon in my our country and they all gave me a rate of 75-100% for orgasms to be possible afterwards.

And even if not, I still want to be able to look myself in the mirror, even without underwear. Or hug people without worrying. Or be naked in front of my partner.

Edit: gandalf, we live in the same country. If you want I can give you a lot more info about specific surgeons.

You're just repeating an insane cisgender lie that gets bandied about a lot. It's fairly common among ignorant cis people to think that trans women can't orgasm post-SRS. People are dumb as hell and take the "chop it off" label seriously.

In SRS, they don't cut off any sensitive tissue. In MTF SRS, the only parts that get removed are really the testicles, related plumbing, and the erectile tissue. Everything else gets recycled into some part of the clit, vag, or vulva.

I had SRS and frankly, it's a hell of a lot easier to orgasm now than before SRS. The actual mechanics of the surgery didn't really change things much. But eliminating the dysphoria sure did.

Nobody goes under the knife lightly imo, or very few people do. I have no doubt those considering surgery are much better informed than you or I.

the nervous tissue doesn't just vanish, lmfao.

What is this, rage bait? Get outta here.

Nawh :/

Everyone should be free to do what they want. Personally, I’ve just accepted it’s not for me and hope reincarnation is a thing.

It doesn’t cause me serious dysphoria after getting an orchi. I just wish I had more options for underwear and swimsuits.

You’re statement on nerve endings sounds like bullshit.

The lack of sensation is usually a risk only when tissue is (re)moved, rather than when synthetic tissue is added (e.g. breast implants). Yet lots of people with penises (mostly males of course) willingly undergo circumcision (now excluding folks whose penises get circumcised at young age) after being warned about the significant portion of nerve endings removed. Some just prefer other things to stimulation in a specific spot...