busybee

Back in 2016, when Trump was first elected, so many people around me were despondent and telling me that they should just kill themselves before the rest of the world did it for them. Why should they bother going on, in a world that just wanted them dead anyway?

This is why I wrote Strategies to Live, especially the final verse:

In the long run everything will be fine
It will just be a matter of time, in
Twelve billion years this will all be gone

In the meantime, please¹ try to survive
The world is better with you alive
Outliving him is a reason to go on

It took me unti 2021 to finally release it on an album, and I perhaps didn’t do as good a job of it as I could have since I felt like it was no longer relevant. Now that it’s relevant again I end every set that I can with it.

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!

2025-12-27: I added some notes about why I don’t use certain terms for myself, as well as an explanation of where the recovery/healing pictures went.