Having sex after gender reassignment surgery is ‘satisfactory’ for most says new study

srsLEXIE CANNES STATE OF TRANS — Eighty percent of male-to-female (M2F) people in the study engaged in sexual intercourse following surgery with most achieving orgasms. However, 40% reported eventual complications, some requiring additional surgery. It should be noted that the rate of complications declined during the 13 year study period — likely due to surgeons becoming more experienced doing the procedure.

While the female-to-male (F2M) group in the study was smaller, all reported sexual satisfaction even though the constructed phallus were of a size that limited penetration. However, a procedure of refashioning clitoral tissue allowed erections. The complication rate wasn’t clear — F2M people typically have 2 to 3 surgeries to complete the entire process while M2F usually just have one.

Dr. Maria Helena Palma Sircili began the study at University of San Paulo (Brazil) in 1997 when it became legal to do SRS in Brazil. Her findings were presented at the American Urological Association’s 2013 Annual Scientific Meeting,


I found interesting a comment of what one someone saw as a futile attempt at constructing phallus if they’re all of a short length. This was countered by Dr. Sircili stating that for F2M people, leaving behind the female body was paramount over penis size — they’re not really worried about this.

“I also found this comment by Dr. Sean Elliott, director of reconstructive urology at the University of Minnesota equally interesting: “In the United States, most people have given up doing these procedures [constructing phallus]. No one has reported their results.”

Elliott also said the existing body of research studies like the one Sircili has done was rather small.

More: Sex-Change Operations Mostly Successful.



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55 replies

  1. as a 9 month post-op female, I am very happy with my new part and it is wonderful when my boyfriend and I are having sex.

  2. Very satisfied with sex after SRS. It’s beyond awesome and I have had the best sex in my entire life. Felt right for the first time too.

  3. I find achieving orgasm very difficult and almost impossible with a partner, but the physical feeling of being penetrated and being held are very satisfying. Vaginal depth is an issue with men who are larger than average.

    • Does orgasm feel the same as before transition? And if it does feel different how exactly? Thanks :)

    • im actualy courious does the size of your penis determine weather or not you have a shorter vagina im like for instance if a guys penis is 5 and half inches and gets the mtf would the depth of his new vagina be 5 and half inches? (thats fully aroused) becasue i like penetration but i wana experiance it in the front area and my bf has a huge penis because im just waitng for funding to get my mtf srs

  4. Does anyone know whether the survey specifically targeted bi/straight trans women, or whether it was just coincidence that such a high proportion were into penetrative sex? I’m curious what the figures are like for gay trans women.

  5. Thanks for the comments everyone.

  6. Study does not take into account the effects of anti-testosterone meds. They can chemically create permanent inability to orgasm in some people.

  7. Me and my girlfriend is very unhappy with the results her depth went from 7in to 3in and we have both been unable to have sex

  8. need some info about this

  9. The time will come for me in 17 days.

  10. It has been 2 1/2 years since my sex reassignment surgery. I have been intimate with men and women. I have experienced many orgasms, including multiple orgasms with men, women and solo. It rarely, if ever, happens with penetration alone. Ask any woman.

    There are several things you should consider prior to your SRS.
    1. Do your research on the surgeon you plan to use. You get one shot at this to get it right. Make sure he is communicative, clear and provides you with instructions. In writing.
    2. Follow the instructions to the letter. Wait the full designated time they tell you to wait, or longer, prior to having intercourse. My instructions were wait 3 months. I waited 4 months.
    3. Do your dilations according to schedule! If in doubt, doing more is better than less. Most patients who experience profoundly decreased depth are usually a result of NOT doing their dilations properly or on schedule. Be aggressive with it but not foolhardy.
    4. Dilating isn’t about pleasure. I’m doing my weekly dilation right now. Not what I call pleasure, for the most part ;-) I call my large dilator Fat Bastard for a reason and it’s not joy. It feels more like a frigging redwood!
    5. Dilating isn’t the same thing as intercourse, no matter what anyone tells you. Dilating is completely controlled penetration, stretching and shaping. Intercourse is NOT under your control and can cause irreparable damage if done too soon. You’ve waited your whole life for this surgery. Wait 3 months more!
    6. Give it time! Nerve tissue takes a long time to reconnect and our personal milage may vary greatly. Don’t use someone else as a benchmark for your expectations. In fact, don’t have any silly expectations.
    7. Always remember that your most powerful and sensitive sexual organ lies not between your legs but between your ears.
    8. After they finally remove the bandages and dressings and you take that blessed shower, stand over a mirror and giggle like an idiot for 15 minutes. It felt awesome.
    9. Have fun!

    • oh im so excited to start horomones and take it slow and find a great surgon this is excatly what ive lived my whole life waiting for

    • Alicia, great post and with you. I had my GRS 3/2/2006. I have worked in the sex industry (legal here) and have had more men there than most. Works wonderfully although I am not a bucket so not into big boys but have taken 10.
      Can multi orgasm however it does take time so as long as the male partner isnt in a rush and wants mutual pleasure, its wonderful.
      Agreed with all and especially the last 3.

    • What a great read, thank you for taking the time to post this.

  11. This whole topic is just plain wrong. I can’t believe doctors actually partake in these types of surgeries.

    • Can you explain why this is a problem for you?

      • Its a lie. It goes against messages we’ve been telling children for years…”be happy with who you are”. Now the massage seems to be ” be happy with who you can be made to be after surgery”. I get that it may be a real condition, but I think some things should be left the way that they are, and this is kind of a big one.

        • Then Dan, what do you do to resolve the ultra-high suicide attempt rate amongst transgender people?

        • Dan, you’re certainly entitled to your opinion. However, many of us consider our physical features of our bodies to be a “birth defect”. And, I would never tell a child with a cleft lip to tough it up and avoid plastic surgery because you need to be happy with who you are or that “God doesn’t make mistakes”. I don’t feel that God made a mistake with me but,instead, presented me with this life challenge that I’ve had to be brave to face head on.

          • dan this is real and if u can change it there is now reason why you shouldnt period

          • Well Said Nicole.

          • Don’t you DARE try to make God out to be some kind of fool. He knew what he was doing when He knit you together in your mother’s womb. He made you the physical sex you were born with for a reason, but not because He just wanted to toy with you. To think that mutilating your body, (which is a gift from God, incidentally) as a way to somehow “prove yourself” to Him is beyond arrogant. Don’t bring our Father into this – it has nothing whatsoever to do with Him.

    • I do not see how these surgeries could possibly impact your life in any manner whatsoever.
      Don’t want a sex change?
      Don’t get one!

      Gender Dysphoria is a proven medical condition. Transitioning and reassignment surgery are viable and effective treatments for it.

  12. Generally the cost seems worse than the procedure part, Im afraid Ill never make enough money in this life to be the man I know and always have been..,

  13. I really wish I had seen this even a week before it was published – those numbers would have given me serious pause about SRS that I had on May 14 of 2013, to the point that I would have canceled due to the risk.

    I was one who was able to orgasm with ease until the day before I had SRS, and have not in nearly two years since. I’m lesbian so that hasn’t been an issue and, much to my surprise, my libido rebounded to somewhat higher than pre-HRT levels.

    I went to a well regarded surgeon and all. I’m just one of the unlucky ones.

  14. This is just wrong. No matter what you chop off, add to, rearrange, mutilate, you will still be the gender you were born. Regardless of the amount of surgery you put your body through. Most of you aren’t even passable as the opposite gender. You are viewed as a freak, which is the perfect description. You need therapy, A LOT OF THERAPY, not a surgeon.

    • Kelsey, why is this a concern to you? Are you getting the surgery? Why do you feel you need to butt in on the matter when no one has asked you?

      • Kelsey I am a transgender ftm and i’m going to go through it, i have had lots of therpy i tried to act like a girl for my parents but i was fed up with it when i knew that there was no way i could be a girl nor pretend to be, yes no matter what i add or take of my body i will still be the same. I will be a boy like i always have. I just wasn’t born with correct parts, i missing some and have a little extra.

        • Kelsey have you even seen a trans person after hormones and SRS? They are very very passable. I’ve seen men who you would never have guessed had SRS done. I’ve seen women just the same. You just wanna be one of these negative people jumping on the bandwagon to hate on trans folks. We’re just like you, but instead of being privileged to be born in our correct bodies like you have, we have to go get that fixed in order to even feel normal.

    • You’re a complete idiot. Totally undeducated. So, STFU and leave these people alone!

      It’s too bad this site doesn’t have a flagging system for these ignorant posts so they can be taken down. Trans people don’t need to be reading such discredited and transphobic rubbish.

    • You should really educate yourself before you speak on things you really no nothing about and your lots of therapy you would know if you had bothered to look to get Vaginoplasty that two letters of recommendation are required before surgery from said therapists.

  15. You can find people who hate their limbs and want to amputate. “My arm has never felt like a part of my identity,” one says; “I’ve always hated my legs,” another says. These people aren’t complaining about birth defects or deformities.They’re complaining about normal, healthy limbs. Should they be allowed to undergo surgery in order to attain what they insist is their true identity? When we listen to them 6 months after their surgery, the proclaim to be happy in their new amputated body. But 10 years later, not all of them are happy. Some decided that they needed other limbs removed in order to be happy. Some decided that they didn’t like being amputees so much after all, and now wear a prosthesis. A few have committed suicided. And no study has followed them longer than 30 years, because these surgeries haven’t been available for that long. So did these amputations really make them happy? Or did they provide instant gratification to a confused desire that should have been treated with therapy? And of course, these amputees are defensive about their identities: “What business is it of yours to question my happiness? You’re not having the surgery, I don’t need your help pushing my wheelchair, so why are you butting into my life? Keep your apotemnophobic opinions to yourself, thank you very much!”

    • There is a reason why BIID is still considered a psychological disorder in the DSM-V, while GID was replaced with Gender Dysphoria, a psychological condition that is eminently treatable with long-term therapy and surgery.

      People with BIID mutilate their limbs to the point where amputation is the only recourse. There are no legitimate long-term BIID therapy treatment programs that lead to a surgical solution. There are however legitimate medical studies that conclude there are no regrets to having limbs removed by the vast majority if not all people suffering from BIID.

      Your entire argument is a logical fallacy. Comparing two disparate items does not lend authority or credibility to your point of view. These slippery slope arguments only serve to convolute a rational discussion. Do try to stay on topic.

  16. Hi, my name is Elle (like the magazine) I’m 40 and just began to transition little over a month ago. I hope to be on hormones soon and plan on surgeries both breast and full SRS at the earliest time possible. My consernes are will I be able to have any orgasem, it’s so hard for me to cum as a man I’m conserned if I’ll be able to as a woman. Second consernn is… I’m an ENTP personality type, my entire way of precipitation g and dealing with this world is based entirely on logic. The way I feel emotions are very limited. Concepts like love and other attachments are tricky, I’m conserned what will it be like to add estrogen I to a logic matrix. Any other ENTP trans MTF out there on HRT please weigh in and help me out.

    • This is not a simple answer, like yes you will or no I don’t think you will be able to have an orgasm. That ability is tied up with many other emotions, tis not all physical. The info I can give however is that it will certainly depend on how you view love-making &/or sex for fun (only way I can put this without long….explanations). Not being on hormones at the time of this post is another factor. Your ideology as well as personality type may change, sometimes it’s dramatic, sometimes not so much. The way you engage in sex will change, rather you’re gay or not, your partner & their level of understanding you. All of these factors and more will affect your ability to let go and just experience the moment.
      I could go into how many women (not to exclude men, but for the sake of this discussion), don’t always need to orgasm to be fulfilled. I won’t because there’s just not the space to handle that discussion.
      I’m an FTM (completely transitioned so to speak, for years), so yea it’s the other way around for me but I have a good grasp on how it feels on each end of the see-saw. Hormones, especially testosterone, is powerful. Please don’t anyone see this and call me on it because of a gender-partial reason, just trying to make a point….so, to continue..most of the guys I know once on T want sex all the time, more so than prior to taking it. On the other hand many MTF’s I have spoken to tell me how affirming it is to have sex/make love… than it was before HRT, and are willing to be more themselves and have fulfilling relations. This is really a subjective topic.
      If you had hang ups about sex in any way before hormones or SRS you’ll have them after as well. Don’t expect anything. Just try to be yourself and let life (or in this case sex), happen.
      One of the surgeries being done now with regards to MTF’s leaves “things” in place just maybe not in same location…again too broad a subject here. But basically you will physically be able to orgasm after, if you were physically able to before, rather or not you can mentally. Be sure the doc has an excellent reputation and you speak to his/her other patients who had same procedure.
      Hope this helps in some way!

  17. I really appreciate the original article and follow up posts. I am a parent of a transitioning FTM kid (17) who as far as I know, has never been sexually active. Sex has been and continues to be an important part of my life and I am concerned about his ability to have that part of a relationship with a future partner.

  18. [Ad hominem comments deleted by moderator.]

  19. so where do I begin umm… How should I tell my mother she thinks being gay is wrong. How should I tell her that I won’t to be a boy.

    • Hi Chasity. First, gender identity has nothing to do with “being gay”. That would be the first thing you would want to make clear with her. I would suggest getting in contact with someone at http://www.transactive.com for further advice. They are more experienced in helping trans youth than I. Good luck!

    • Chasity – being a parent of a transitioning FTM and hearing the “news” is difficult at best. A parent can feel that they are losing their son/daughter. Understanding though, that this was not happening to me and the amount of pain my child was going through made acceptance easier. Parents spend years thinking, dreaming, and working for their kids future. We have an idea of how things will turn out and this is a real game changer for how we thought things were going to go. We are fairly conservative with most things but have not had an issue with people being gay so my perspective is a little different than your mom’s; however, very much in line with my mom’s who is conservative Catholic. We approached this with a practical view in that, to us, being transgender is a medical condition in that your psychology and physiology do not match completely. We felt that this should be treated just like any other medical condition. Surgery and transitioning do not change who you have always been or will be.

  20. I found this post to be very informative. I find it sad to see the splashes of arrogance and ignorance from those whom think they know what is best for the suffering of another. Words can ever convey the struggle we deal with internally and I for one do not expect everyone to “get it”. I only wish peace at heart and love and happiness for those who have the courage and strength to endure the travel of their own road in life. Love and health to my evolving brothers and sisters.

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