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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45 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.

  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

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

    • 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.

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

    • 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.

    • 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.

            • Holly, Really? He knew what he was doing? Then explain to me why God created a lot of people with both genitals? Or vague genitals? (Google intersex.) Either He didn’t know what he was doing or you don’t know what you’re talking about.

  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.

    • 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.

    • 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.

  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.

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