Bottom Surgery

This month March, I underwent sigmoid colon vaginoplasty at CANS Hospital. This post details my experience—from admission and preparation to the surgery itself and the post-operative recovery.

I was admitted in the early evening. The initial procedures included signing consent forms, providing insurance details, and undergoing tests (blood work, ECG, ultrasound, and chest X-ray). An IV cannula was placed in my hand to facilitate the process.

I was given a pre-operative drink called Pegleg—a powdered supplement mixed into a 2-litre bottle of water with a flavour sachet (I chose orange). After drinking about 60% of the mixture, I began experiencing loose motions that continued for hours, eventually subsiding to clear, watery stools until morning. The discomfort kept me awake all night, and although I wasn’t allowed water in the morning, this restriction helped me finally get some rest before the surgery.

I was moved to the operation theatre where Dr. Arjun Nagraj, the urologist at CANS Hospital, explained the procedure and the associated risks in detail. After reaffirming my consent, the anesthesiologist had a brief chat with me before I was put under anaesthesia.

The procedure performed was a sigmoid colon vaginoplasty. This technique involves using a segment of the sigmoid colon to construct a neovagina, providing a natural lining and lubrication. This method is chosen for its ability to create aesthetically pleasing and functional results, which was a crucial factor for me.

Upon waking up, I found myself in the ICU, overwhelmed by pain and unable to move. I experienced bouts of disorientation, frequently drifting in and out of consciousness due to the intense pain.

For the first 5 to 6 days, I was not allowed any water, except for extremely limited sips of distilled water (only two drops at a time). The pain persisted, and I continued to struggle with thirst and discomfort during this critical period. I spent 24 hours in the ICU before being moved to my room—a challenging transition given my inability to move and disorientation.

I had both a drain bag attached to my stomach and a urine catheter. Despite feeling the urge to urinate, I often couldn’t due to my condition, although there was significant urine output. I remained hospitalized for a total of 15 days.

As I write this, I’m now at home—about 4 to 5 days post-discharge, making it roughly 19 to 20 days since the surgery. I’m able to eat and drink normally, but I still face challenges with mobility, such as difficulty sitting, rising from a chair or bed, and even turning in bed. My gait currently resembles that of a penguin. Pain remains a constant, albeit reduced, companion, and the necessary dilation process is quite painful due to increased sensitivity. However, it is critical to prevent the wound from contracting.

I’m satisfied with the surgery overall, though I’m still awaiting the full aesthetic results. The sigmoid colon vaginoplasty has provided a significant step forward in my journey, and while recovery is ongoing, each day brings progress.

Breast Augmentation Surgery

It’s been a long time since my last post, so here’s an update on the breast augmentation surgery I had last year.

I underwent the procedure right after the RG Kar Doctor strike had ended. My surgery took place at CANS Hospital in Bangalore, where two skilled plastic surgeons, Dr. Roshan and Dr. Karthik, performed the operation. They waited for me to decide on the size I was comfortable with; I ultimately chose 500cc, which turned out to be the perfect fit for my body type—even though arriving at that decision was a challenge.

This was a complete cash procedure, costing me 1.4 Lakhs. I stayed in the hospital for about 7 to 10 days. After the surgery, I experienced immense pain, but the satisfaction of affirming my gender was overwhelmingly ecstatic—an emotion that’s hard to put into words.

I started to regain my strength after about five days. I initially struggled with dizziness and tended to stay in bed, but eventually, I adjusted by sitting up more, and the dizziness subsided. Once discharged, I returned home and immediately resumed college.

I began using a comprehension bra, which was recommended to provide a natural look and keep my breasts in place. Although it did the job, it made me sweat excessively and was a bit uncomfortable. Despite these minor issues, I was able to return to my normal routine within a month.

In the first few months, I experienced reduced sensation in my breasts—something I had anticipated due to the skin stretching from the silicone implants. Thankfully, I have gradually regained about 70% of the sensation, and my nipples have maintained full sensitivity, which is a relief. I had hoped for some growth in my nipples, but while they haven’t, the area surrounding them has developed significantly.

Currently, my size is 46D, but due to my body type, I find that I need to wear a 48C bra. I’m not too fond of the bra, so I’ve been opting for shapewear instead, which provides a similar effect and offers an aesthetically pleasing shape.