Long transitions fluffy rambles

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Tonight, my set at Song Fight! Live went really well. There were some rough patches due to the usual nature of the beast but we managed to hold it together and afterwards everyone told me how great it sounded. I’m overall happy with that.

An “interesting” thing has been happening regarding how people deal with my gender stuff lately though.

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Dysphoria Discourse fluffy rambles

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There has been yet another explosion of discourse over on Trans Twitter as a result of a couple of prominent people talking about their beliefs regarding dysphoria and what it means to be “really” trans.

The term “transmed” has come about, as an attempt at a more “gentle” form of what many folks call “truscum,” namely that you must feel dysphoria to be Really Trans, and that the end goal absolutely must be a “proper” transition, which is such an incredibly reductive, prescriptive, and invalidating set of concepts that it does much more harm than good to people who are already having difficulty questioning themselves and need support and compassion to figure out where they stand and what they need.

The problem with discussing dysphoria is that it’s such an ineffable, subjective concept that it’s impossible for two people to even agree on what it is – hell, it’s difficult for one person to agree on what it is – and it can also refer to so many things, many of which overshadow each other and behave in confusing ways, and thus how can any objective criterion be formed based on what essentially comes down to what someone’s feeling?

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AMAB-to-neutrois GRS General Articles

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While nearly anyone who has heard of anything regarding transgender issues has heard of the more “traditional” GRS for AMAB people (used to construct a neovagina and labia from existing penile/scrotal tissues), this procedure does not cover the bases for every AMAB person. In particular, a growing number of non-binary-identified people — in particular, ones with a neutrois identity — are much more interested in simply eschewing their external genitalia entirely.

Although controversial, there are now a few surgeons who will, under the right circumstances, provide this sort of surgery. In January of 2017 I had this procedure done with Dr. Peter Davis in Palo Alto.

Disclaimer

This is a thing that I did because it was right for me, and I knew very well that it was what I needed. I am providing this information as a helpful resource for those who need it. There isn’t any one right way to be trans or nonbinary, and what’s right for me isn’t necessarily right for anyone else.

Updates

2020-04-16: I have added some frequently-asked questions to the FAQ section. Please check that before posting a comment! Thanks.

2020-12-12: Updated the surgeon list.

2021-05-26: Added some updates regarding post-operative care.

2022-09-01: Added some notes on pronouns, cleaned up some awkward phrasing, and updated some stuff regarding my long-term healing.

2022-09-09: Added some information about AFAB-to-neutrois (aka FtN) practitioners.

2023-01-09: As noted in the comments, there’s some pretty big news: WPATH 8 recently released, and this comes with a whole bunch of new guidelines for these surgeries! Hopefully this article will soon be a relic of the past, and general information is much more freely available to all who want it. Thanks to reader WheelyCurious for bringing this to my attention!

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