Lee says:
No, it’s possible to get bottom surgery without testosterone! You separated phallo from bottom surgery, but phallo is a type of bottom surgery like meta is,
The WPATH-SOC says to get lower surgery, you have to have a “Twelve continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones)”.
If you want a metoidioplasty, the procedure pretty much relies on the clitoral growth you get from testosterone. I’ve only heard of a single person who had this procedure pre-T and they had a larger clitoris to start with.
If you want a phallo, again, I’ve only heard about one person who got a phallo without T or top surgery first but I asked him to write about his experience and that post is here.
So yes, it’s possible, but since there are Extremely few people who have done this you defs will have to pass through a lot of gatekeeping.
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milkmanviii liked this terminally-underwhelmed said: The most recent WPATH standards don’t require T, I don’t think, but it depends on whether that particular surgeon follows the most up-to-date standards.
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queer-phantom-blog said: It won’t be easy, but if you aren’t on T, and will never be on T, and are willing to fight through a lot of gatekeeping it is possible. It’d be easier as far as gatekeeping if you pay for things out of pocket, but bottom surgery is really expensive, so it may still be in your best interest to go through insurance. Good luck~
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