Hang on a sec. I am not 100% on the finer points of gender affirming sugery here but I thought castration referred to just lopping off the bollocks. Isn't bottom surgery generally a tad more involved than that?
There are trans women who only get the testes removed (orchiectomy in Amerikan English, orchidectomy in British English because the point is that you keep the d). Orchidectomy is much more gentle than "lobbing the balls off" suggests, it is usually a procedure that is done in outpatient care and leaves just a tiny scar on the scrotum. This is the preferred method for trans women who do not want to take anti-androgens ("testosterone blockers") for extended periods of time, want to avoid bulges under tight clothing, don't want their balls to get in the way while scissoring, want immunity to being hit in the groin by a football and / or just hate their balls in general, but want to keep the rest of their genitalia intact.
Other gender affirming surgeries for trans women are a lot more involved. If we're talking the usual vaginoplasty instead of the very rare nullification, they specifically do not involve getting rid of the entire penis, as the tip is used as the neo-clitoris, clitoral hood etc. while the scrotum is turned into the neo-labiae. It's an important goal to integrate as much of the sensitive tissues into the neo-vagina as possible to keep the ability to orgasm intact. With the more recent surgery methods like the combined method according to Schaff, parts of the urethral tube that are not needed for urination are grafted to the roof of the newly created vaginal cavity - there's a lot of that, as a male urethra is 20cm longer than a female one on average. As this tissue is similar to mucosal membranes, grafting it to the vaginal roof turns the neo-vagina into an organ that is capable of self-lubrication, which means that the new pussy not only feels moist, but also develops the typical taste and smell of a vagina (i honestly couldn't tell a difference in taste between trans pussy and cis pussy, which is also due to the fact that HRT already feminizes body odor). With this kind of surgery, there are very few parts that are discarded, mainly the testes and the spongy tissue inside the penis that makes it erectile.
Bottom surgery also refers to a variety of procedures for trans men, some of which include hydraulic implants to create a cybernetic neo-penis that can turn erect at any time, and transplanting a strand of the patients' own muscle tissue to create a penis shaft of appreciable girth and length. And there's also top surgery for trans women, which is just the usual breast augmentation methods.
So yes, bottom surgery is a highly complex issue that goes way beyond anything a quack like JBP, whose medical expertise boils down to telling people to clean their room would ever be capable of. It's also worth noting that no other elective surgery has higher patient satisfaction scores than vaginoplasty, even though complications are very normal and a second round of corrective surgery is standard. Living with the wrong genitalia just really, really sucks and people are happy when somebody can fix that for them.
![[CW extreme transphobia] JBP has completely lost his shit.](https://hexbear.net/pictrs/image/DsXU7cFwk7.webp){kind=link}
Hang on a sec. I am not 100% on the finer points of gender affirming sugery here but I thought castration referred to just lopping off the bollocks. Isn't bottom surgery generally a tad more involved than that?
Bottom Surgery can mean a few things. Orchiectomy is just getting rid of the balls, but vaginoplasty or nullification ARE a LOT more complex
People who use this language are intentionally downplaying its surgical complexity as to associate it with a crude butchering.
There are trans women who only get the testes removed (orchiectomy in Amerikan English, orchidectomy in British English because the point is that you keep the d). Orchidectomy is much more gentle than "lobbing the balls off" suggests, it is usually a procedure that is done in outpatient care and leaves just a tiny scar on the scrotum. This is the preferred method for trans women who do not want to take anti-androgens ("testosterone blockers") for extended periods of time, want to avoid bulges under tight clothing, don't want their balls to get in the way while scissoring, want immunity to being hit in the groin by a football and / or just hate their balls in general, but want to keep the rest of their genitalia intact.
Other gender affirming surgeries for trans women are a lot more involved. If we're talking the usual vaginoplasty instead of the very rare nullification, they specifically do not involve getting rid of the entire penis, as the tip is used as the neo-clitoris, clitoral hood etc. while the scrotum is turned into the neo-labiae. It's an important goal to integrate as much of the sensitive tissues into the neo-vagina as possible to keep the ability to orgasm intact. With the more recent surgery methods like the combined method according to Schaff, parts of the urethral tube that are not needed for urination are grafted to the roof of the newly created vaginal cavity - there's a lot of that, as a male urethra is 20cm longer than a female one on average. As this tissue is similar to mucosal membranes, grafting it to the vaginal roof turns the neo-vagina into an organ that is capable of self-lubrication, which means that the new pussy not only feels moist, but also develops the typical taste and smell of a vagina (i honestly couldn't tell a difference in taste between trans pussy and cis pussy, which is also due to the fact that HRT already feminizes body odor). With this kind of surgery, there are very few parts that are discarded, mainly the testes and the spongy tissue inside the penis that makes it erectile.
Bottom surgery also refers to a variety of procedures for trans men, some of which include hydraulic implants to create a cybernetic neo-penis that can turn erect at any time, and transplanting a strand of the patients' own muscle tissue to create a penis shaft of appreciable girth and length. And there's also top surgery for trans women, which is just the usual breast augmentation methods.
So yes, bottom surgery is a highly complex issue that goes way beyond anything a quack like JBP, whose medical expertise boils down to telling people to clean their room would ever be capable of. It's also worth noting that no other elective surgery has higher patient satisfaction scores than vaginoplasty, even though complications are very normal and a second round of corrective surgery is standard. Living with the wrong genitalia just really, really sucks and people are happy when somebody can fix that for them.
BASED