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Gender confirming surgery - thoughts

Started by Cindy, March 10, 2015, 05:40:36 AM

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Eva

QuoteWe hear from girls on the ground going through surgery and their delight, pain and fortitude. Awesome girls.

When was the last time we had a 3 month post, a six month post etc?

I have to make sure that I am not knocking what many of us want, or have had but I do think this is a useful debate.

This is true, we don't hear that and they drop off of the net completely.... I like to think its because they are finally free from GD and just living... I tell myself I could see that but Im not so sure I'll admit... IF they weren't happy though the surgeons wouldn't have jobs.... I think my optimistic vision is possible for me anyway and likely most others ;)
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Rejennyrated

Breaking long radio silence here... Those of you who read old posts will know I used to be a mod here a while back.

I'm 30 years, yes that was 30 years :o, post-op and very happy thank you. I'm also a third year medical student currently doing a surgical rotation.

I'm going to point something out that others seem to have forgotten. SRS is about a 4 to 5 hour procedure. That means around 6 hours under the influence of Haloflurane and Nox, a good healthy whack of barbiturate or midazolam, and for most of you a good dose of morphine for several days after.

Postsurgical depression is well known in the medical profession and it often comes on after a few months and lasts for 6 months or more. It's thought to be caused by the havoc the anaethesia does to your brain.

My guess is those in the first glow of completion get carried by the eurphoria, but then reality bites and the post anaesthetic depression kicks in. Now if you haven't been warned that you may feel like crap, its easy to make the mistaken assumption that this is an indication that you made a bad choice, and then you start with all the self doubt, probably even encouraged by the many in society who are desperate for this treatment to be seen to fail...

Reality is 30 years down the track life is great - I've had a 25 year marriage which ended when I was widowed last year, I've had foster kids, I've had a great career, and now I'm training to be a doctor! It really doesn't come any better.

So fear not - there may be a few for whom it isnt the right solution, but I think I would hope that they might have some notion of that beforehand. For those, like me, for whom it worked well, life is better than I could have ever imagined, and thats the truth.

Ok thats my twopence worth - I probably shan't post that often, but I wanted to share that.
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Devlyn

Good to see you again, Jenny.   :)

Hugs, Devlyn (Tracey last time you were here?)
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mfox

I really appreciate this thread with the positive (and negative) experiences.  I've had keyhole surgery before (bye bye gallbladder), and I don't fear the actual surgical procedure, but am terrified about the seemingly unpredictable results from SRS.  It must take a lot of courage and trust to take that step that I don't see myself having for a long long time.
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Rejennyrated

Well truth is nothing is perfect. Most people do get a decent(ish) result...  as long as you don't go looking for perfection. I've had a good sex life. I am orgasmic, I would say the anatomy is reasonable... a doctor who was looking for it could probably work out what had been done, but to casual inspection its ok.

I chose to have the bare minimum of work – so just GCS nothing else, and frankly no one gives me a second glance. Now you can say I was lucky, or you can say I just went into it with my eyes open, and prepared to accept a few compromises. Either way the point is I'm a happy camper, and that wouldn't have happened if I hadn't screwed up my courage back in my early twenties and taken the plunge. (Also bear in mind surgery now is a lot more sophisticated than what I had.)

TLDR: Its glass half empty vs Glass half full kind of situation.
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Jenna Marie

I honestly think that one reason I avoided severe post-op depression was that I did see my transition as finished years earlier, and the "what now?" had been dealt with long before. I expected GRS to fix one thing - my discomfort with my body - and it did that beautifully. I didn't expect it to cure any dissatisfaction with my life, make me a better person, etc.

(And I was operated on for a whopping 1.5 hours, plus Brassard uses a spinal and twilight sedation. I heard enough horror stories about general anesthesia to have that be one of the selling points.)
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Eva

Jenna Marie thats really amazing Brassard can do that in 1.5 hours :o Ive heard 2.5 hours for Brassard and other surgeons take 4-6 hours... I wonder how he can do it so fast and deliver what appear to be results as good or better than other docs who take longer???  He's the one Ive chosen and this detail kinda bothers me :-\
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jessical

Quote from: Rejennyrated on March 13, 2015, 11:29:42 AM
Breaking long radio silence here... Those of you who read old posts will know I used to be a mod here a while back.

I'm 30 years, yes that was 30 years :o, post-op and very happy thank you. I'm also a third year medical student currently doing a surgical rotation.

I'm going to point something out that others seem to have forgotten. SRS is about a 4 to 5 hour procedure. That means around 6 hours under the influence of Haloflurane and Nox, a good healthy whack of barbiturate or midazolam, and for most of you a good dose of morphine for several days after.

Postsurgical depression is well known in the medical profession and it often comes on after a few months and lasts for 6 months or more. It's thought to be caused by the havoc the anaethesia does to your brain.

My guess is those in the first glow of completion get carried by the eurphoria, but then reality bites and the post anaesthetic depression kicks in. Now if you haven't been warned that you may feel like crap, its easy to make the mistaken assumption that this is an indication that you made a bad choice, and then you start with all the self doubt, probably even encouraged by the many in society who are desperate for this treatment to be seen to fail...

Reality is 30 years down the track life is great - I've had a 25 year marriage which ended when I was widowed last year, I've had foster kids, I've had a great career, and now I'm training to be a doctor! It really doesn't come any better.

So fear not - there may be a few for whom it isnt the right solution, but I think I would hope that they might have some notion of that beforehand. For those, like me, for whom it worked well, life is better than I could have ever imagined, and thats the truth.

Ok thats my twopence worth - I probably shan't post that often, but I wanted to share that.

This is great information!  Years ago I went into surgery for jaw surgery.  It was planned (to lengthen and widen my jaw).  It was almost 5 hours!  For several months after, I was in a major slump, which was unusual and I had no idea why.  Now I do.  I just wish I would have known about it back then.
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Jenna Marie

Eva : It's pretty easy to answer, actually (I asked). He works with a full partner, apparently unlike most other surgeons. They don't typically reveal who did which bit of a specific patient, but the general consensus is that Brassard does all the fine detail work and Belanger does much of the rest.  And hey, less time under = less risk, so you have that as an advantage.

I'm still boggled that they managed it in 1.5 hours for me, but my wife swears that's how long it was between being told I was going in and finding out I was in recovery. Maybe they were extra efficient that day?

Anyway, if it sets your mind at ease, they did a fantastic job. ;)
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Eva

Thanks actually I see it as a plus that Dr Belanger works with Dr Brassard... I mean I like the idea of a woman being involved with it, it sure cant hurt  ;)  I dont care who does what as long as its successful in the end... I guess two could do things faster and better than one as well but Id think most of these docs have a team of the same surgical nurses assisting them... Thats the only thing that bothers me and when the time comes I know I'll be asking about it...  Like I said Ive made my choice to go to Montreal for a lot of reasons but its this one issue that bothers me...

Then again Dr Speigel was able to do my FULL FFS in only 5 hours and Ive heard of what Ive had done taking twice as long with other very reputable docs.... Im happy there so far so maybe its just a sign of competence and skill they can get it done so fast :-\ Thanks ;)
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Jenna Marie

Eva : Well, it's one thing to have a team of nurses and another to have a partner surgeon. If they each do half the work, then that 1.5-3 hours is the equivalent of 3-6 person hours (two people = twice the work done per hour), which is a lot closer to typical. :) I also agree that competence seems to lead to efficiency and therefore speed.
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Northern Jane

April 15 will mark 41 years (post-op) for me. I was in such a bad state in my early 20s that I simply wasn't going to survive much longer without SRS. For me, SRS was the END of transition and what came after was just "girls' life" with all the same ups and downs that any other young woman faced. I ran face first into sexism but carved out my career anyway. I learned that  safety, for a girl, is a more tenuous thing and is something you have to think about and I learned that true romance is very illusive. Life was no bed of roses but at least I didn't wear a trans label and nobody thought twice about me (at least not in a bad way). To paraphrase another old saying, 'the worst day after SRS was better than the best day before SRS'.

The state of the arts in 1974 was pretty primitive compared to later surgeries but it was good enough! I was pretty wild the first few years and nobody ever suspected. Fortunately I had a nice natural shape and was fairly good-looking so I was quite popular in my  20s - a blessed relief from being "a freak" for so many years before.

I didn't honestly suffer from post-operative depression. I had fought so long and so hard to achieve SRS that I was simply euphoric for months, if not YEARS afterwards. Living on the edge of death was like being a prisoner at Auschwitz, never knowing if you were going to live one more day, so SRS was like being liberated!
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Lady_Oracle

I'm gonna do everything I can to be in this best possible shape mentally and physically for surgery. I know myself very well and I just might slip into post op depression since I hate being bed ridden and feeling like I'm helpless but If I'm at my best then I know ill be able to stave off any depression that will come my way. I have a strong support system here too so I'm pretty sure I'll be alright.

Hey Northern Jane thank you for posting your experiences! I really appreciate your insight <3

Being preop right now is limiting a lot of things I want to do with my life. I'm tired of feeling and being restricted cause of this. This disconnect that I still have with my body is a terrible feeling. What's worst is that I get the phantom limb sensations a lot down there. It was the same thing prehrt when I didn't have breasts. Once I finally got my breasts, I hadn't ever felt so right in my body but yet still not totally feeling quite right, not until I have grs that is
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Cindy

I think it is important, this is not an anti surgery thread. Indeed the opposite. It is thinking about you and of a process that many may be induced into, that is the issue.

There is no reason at all to do something because other women want too.

Just thoughts

C
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cindianna_jones

I've mentioned much of my past in other threads. But not all. I had my surgery 28 years ago. When I woke up through the haze of anesthesia, my first thought was "Oh, my! What have I done?" and then I put my hand between my legs and even though there were many bandages there, I felt smoothness. A wave of happiness spread through me like a spring breeze and I fell asleep. I have NEVER regretted having surgery. I went alone. My family did not know. I did not want them to. I knew they would do everything in their power to stop it.

I went to Trinidad, CO because back then, that was pretty much THE place to go. And as I traveled there on the plane, I cried because I felt so alone in my life. Yes I had friends here in California and two of them still stay in contact. But my family was dead set against me. I had been disowned, excommunicated from my church, run out of my job.... the list goes on and on. The loneliness on the trip out there put me in a deep state of depression. It wasn't until I saw Dr. Biber that day for the preop interview that my spirit changed. He was such a decent and kind man and he sent my spirit soaring. I became excited.

Since that time, I have had a wonderful career. The first three jobs were extremely difficult because they eventually found out about my past and held it against me. Back then, people were just getting used to gay people but they could not put their heads around the transgendered. Still, I've had challenging and rewarding work. I made a good salary and had a good life.

I got married in 1992 to a man who told me he loved me even more for telling him the truth on our second date. We had some good times. He left me last September on our 22nd anniversary for another woman. He did mention in his hate rage that he needed a "real woman." I'm not sure that was the real reason though. He got into biking and it was not my thing. Additionally, I'm not bringing home a big salary anymore. As I look back on our marriage, I can see that his was a marriage of convenience. I made a lot of money, brought some sense of respectability to his life, and he obtained many things he would have never had. In other words, he used me. It's all extremely easy to see that he was a sociopath (not violent) who used the well until it dried up and then moved on to another. However, with all that said, we did have some very good years together. I did truly love him and still do. I can forgive him. But this story is so common even among other people that it doesn't stand out. It's just part of the rich tapestry of life.

So, now I'm 59 years old. I didn't think I'd live past 30 when I had the issues with GID. I did attempt suicide twice before my transition. I'm thrilled I failed. I truly have had a wonderful life so far. In fact, I've had two lives rolled into one! I've had marvelous experiences working in the computer field. I designed stuff that everyone still uses. I learned to hang glide. I backpacked half the Sierra Range. I learned to design and build telescopes. In fact, I actually have groupies at astronomy events (now that's a hoot). I performed with our local symphony orchestra for ten years as a cellist (I also play bass in rock bands from time to time). In other words, life is rich.

Life presents so many challenges and rewards. I'm happy to have my life and I'm grateful that I lived in a time when I could correct my "birth defect." I'm still in the middle of a divorce so I don't know where my life will lead me. But I am working on some new novels. I've already published three so far. I suspect I'll continue to perform music somewhere. And for what it is worth, I am now finally getting back with my family. They have learned to deal with this. My immediate family have now accepted me unconditionally. They use my legal name and the correct pronouns. My children are finally starting to communicate. Life is getting better.

You often don't hear much from transgendered people after surgery because we want to disappear into normal society. Most of us don't want to be known as "trans." We want to be recognized as typical men and women. But I think  that it is important that for all of you on this most difficult road, that GRS (or whatever it is called these days.... it was SRS when I went through it) is just another hill to climb on our trek. There will be others. There will be meadows, streams, waterfalls, and difficult climbs on your life's path. But you can have a wonderful and fulfilling life.

My best to all of you going through this.

Chin up!
Cindi
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