#transphobic’ because people would give biased results or was it something like ‘would you date a trans person’ or ‘do you support

[transgenderteensurvivalguide]

So I looked through a detransition blog just out of curiosity, since it was one you reblogged, but now I’m super... freaked out? I have a top surgery consultation in April but now I have this weird fear that I’m faking it or that I’ll regret it afterwards. I’ve identified as somewhere along non-binary and trans (he/they!) for over a year, and I’ve known I’m not a girl for even longer, but now I’m just so afraid that maybe I don’t know myself at all. Do you have any advice on what this is?

Lee says:

Discussing your feelings with a therapist can sometimes help you untangle the anxiety from everything else. It’s reasonable to have some apprehension about a major surgery that can have a big impact on your life because it is a big change- and like any other surgery, it also has medical risk and can result in complications. 

And reading about other people’s feelings about their surgeries can be helpful! I do recommend reading things from people who were happy with the outcome and reading things from people who weren't to get a better perspective on the range of experiences that can exist. Only reading the negative or the positive doesn’t provide a balanced view!

But even if you read other people’s stories, and talk to them about why they feel the way they do about their choices and bodies, nobody else can tell you what you should do for yourself. Even a therapist can’t know for sure if you will regret surgery (or anything else that you choose to do) because nobody can see into the future, see into your heart, and see into mind simultaneously to and determine for certain what it is that you need. 

As soon as I came out as non-binary when I was 15, I started saving money for top surgery. I was someone who ran towards top surgery at full tilt and I didn’t give myself any space for doubt about whether it was the right choice for me because I felt it was the only choice I had-- forwards or nothing. I was pretty severely depressed at the time and had a brief hospitalization the month before I turned 18, and I was sort of pinning all my hopes on top surgery reducing my dysphoria and booting out my depression. So I scheduled my consultation as soon as I turned 18 and was legally an adult and could do so without parental permission. I immediately scheduled my surgery for the soonest available date, and had inverted-T incision top surgery about 3 months after I turned 18.

Now I’m 21 years old, and I’m 3 years and 5 months post-op from my top surgery. 

In retrospect, top surgery was 110% the right choice for me. If I could do it all over again, I’d do it in a heartbeat. Top surgery really did reduce my dysphoria by a significant amount, and that made it easier for me to cope with my depression and other mental health issues. I was proudly parading around the house shirtless as soon as I was able to stop using post-op compression, before my incisions had even healed into scars.

I don’t have any dysphoria about my chest anymore, especially now that I’ve gotten tattoos to cover my scars. I finally feel like I look like how I always knew I was meant to look.

I don’t post pictures of my chest anymore because I have distinguishing tattoos but I’ve posted a few before/after pictures when I was 3 years post-op and I think things have only gotten better now.

I was lucky to not have any complications; I don’t have any nerve pain, and hypertrophic or keloid scarring, and I didn’t need any revisions. But there are some things that are non-ideal compared to if I had just been born with a typical cis-guy flat chest. My nips are a little wonky in color and shape, and I plan on getting medical tattoos at some point to even the edges out. I also have slightly muted sensation in my chest now, so everything is like slightly number than it was before.

When I was pre-op, I did enjoy having nipple sensation that was pleasurable; even though I had inverted t-incision top surgery which preserved the nipple stalk, I still only have tactile, temperature, and pain sensations in my chest. If you put an ice cube on my nipple and my eyes were closed, I’d know it was cold. If you poked me while I was looking away, I’d still feel it. And if you squeezed me, it would hurt. But somehow it doesn’t feel good anymore like it used to. 

I don’t know how much of that loss in erotic sensation is a mental thing and how much is a physical change caused by scar tissue build up around the nerve. But regardless, it is a real loss. 

For me, that loss is well worth it. While I might have been physically capable of experiencing erotic nipple/chest sensation before, I rarely actually did have that experience because it made me too dysphoric and I didn’t like to take my shirt off during sex. Now I feel more fully present and comfortable in my own body and it makes me more engaged so I can focus on my partner and on the other feelings I’m having and how I look isn’t something that is detracting from the experience. 

In general, top surgery has made my life better in a million ways. I love running shirtless with my college cross country team, I like going swimming at the beach with no shirt, and I like the way I look now when I see myself in a mirror after stepping out of the shower. 

When I get dressed in the morning, my day starts off on a neutral note because it’s just me putting on clothes. Sometimes I pause to think about how I can just put on a shirt and feel good about it and move on. Before, I used to be upset every morning because the first thing I’d be reminded of when I woke up was that my chest was there and I didn’t want it to be. I’m Autistic, and binding was Not comfortable for me sensory-wise, so not having to bind was also nice.

I would choose to get top surgery again, but that doesn’t mean that it’s the right choice for each and every person. I am sure it was the right choice for me, and I have no regrets at all, I never want to have breasts again. But someone else might think that not having erotic nipple sensation is a dealbreaker, or they might not be comfortable with scars if they tend to heal with more visible raised scars that are harder to cover with a tattoo like I did mine.

So I can tell you that top surgery has made my life better and I’m glad I got it and I don’t think that there would have been any way for me to be as happy as I am now if I had not gotten it. Top surgery is life saving and life-changing for some people, and I am one of those people. I might be more inclined to tell people that if you think you need surgery you should get it because my surgery went so well and because I’m still identifying as genderqueer, transmasculine, and non-binary, just like I was when I was 15, so my identity is pretty static there.

Some other post-op people may tell you that they regret their surgery, that they wish they hadn’t done it, and they would make a different decision if they could go back in time. They might want to help warn other people to not make the same mistake that they did.  Detransitioned folks often (but not always) have a different perspective than folks who persisted in being transgender and that’s okay- it isn’t a better perspective or a worse one, just a different one. But both trans and reidentified people can feel this way, even though it’s usually more common for de-trans folks to regret surgical procedures that it is for trans folks.

I semi-rushed into surgery for both emotional and logistical reasons but I knew it was right for me. But that isn’t the best choice for everyone and if you aren’t 100% sure that it is what you want and need then there’s nothing wrong with having the consultation with the surgeon to learn more and then thinking things over before you schedule a surgery date (or don’t), you don’t need to immediately schedule a surgery date after the consult. Think of it as an interview and as an information gathering session.

Neither of us can tell you what you should do because neither of us are “right” or “wrong” about top surgery. It’s just a different experience and a different perspective. We all have biases based on our own way of seeing things, and that can inform our advice.

If you know what the risks are, and you’ve given it careful thought and can provide an informed consent, then whether you should get surgery is your decision. I won’t tell you “go get it!” or “don’t go get it!” and I don’t think that any blogger should be telling anons what medical procedures to get or not get. 

Worrying that you’re faking it, that you don’t know who you are, and worrying about regret is something that can be pretty scary and frustrating, but you don’t need to figure it out on your own, and it’s okay to take a little longer to come to a decision and talk it over with a therapist if you think it’s necessary to help you cope with that anxiety.

But yeah, I believe that ultimately you have to trust your gut feelings on what you know to be right for you.

Top surgery 101 links

Finding a therapist

Side note: While we do our best to avoid reblogs from obvious TERFs/truscum/transphobes/racists/sexists/ableists/etc to avoid exposing people to triggering content by boosting the blog’s visibility, and we do appreciate getting heads up asks about reblogs from a problematic OP, if we reblog a post from someone we do not necessarily endorse all of the content in every post they’ve made, and we don’t necessarily agree with all of the blogger’s opinions either. We reblog a specific post if we think seeing that post might be helpful for some of our followers.

[furbyfubar]

How's Sweden? 🇪🇺🇸🇪❤️

In what context? Do you mean for the country as a whole or what? Big question...

Never mind, I get few enough asks here that I can give you a more comprehensive answer. I'll use it as an excuse to take stock of my personal trends against those of my country? Sorry not sorry for the incoming wall of text. Note, this is why you shouldn't say "How do you do?" to anyone from Sweden; we're tragically likely to give you an honest answer!

Weather for Sweden: You're UK based, so lets go by stereotypes and start with talking about the weather I suppose? It's winter, so the weather here is *usually* quickly summed up as "dark". Right now Sweden has between ~7 hours 15 minutes of time between sun up and sun down in the far south of Sweden, and "fuck you" minutes of sun on the far north, where it's currently polar night until about two weeks into January. On top the normal lack of sun, Sweden got an early Autumn this year and had less actually sunny days than usual in October and November due to clouds. So yeah, vitamin D deficiency for about 25% of the population according to my doctor. And many of the ones avoiding a deficiency are doing it by eating supplements. On a longer time scale, ”climate” not “weather”... Yeah, we’ve been having heat records broken and all that shit here the past few years as as well while having some winters be worse due to the Gulf stream being messed up..

Rating: 3.5/10  – It sucks, but it's not much worse than the expected level of suckiness?Weather for me personally: I'm based in Stockholm and we're currently at 6½h of sun up time per day, but like I said, it’s been cloudy. Not so cold so far though. The problem for me personally is that when the sun goes down at 14:52 I often miss out on the sun completely due to my fucked up sleeping patterns. Or the sun is up but covered while I’m going to work and that's it for sunlight that day. I'd likely suffer from winter depression if only I could separate it from my normal depression. We’ve had some snow that stays on the ground, but we’re somewhat surprisingly not in the hell that is streets filled with snow-water slosh yet.

Rating: 3.5/10 – I don’t think the weather sucks more or less for me than it does for the country on average. (Places north of the polar circle excluded; I would really no be able to stand months of polar night.)

Health for Sweden: Sweden made #6 on the Bloomberg 2019 Healthiest Country Index, up two positions from 2017. Up from a score of 88.92 to 90.24 out of 100, so apparently it's not just other countries having worse health, things have gotten a bit better here.Rating: 9.24/10 – Well, Bloomberg hopefully put a lot more effort into their score than I’ll ever do, so I’ll just re-scale and steal it. 

Health for me personally: I had to basically skip a year due depression and exhaustion. Not being able to work due to a non-functioning brain obviously sucks, but to bring this back to how Sweden is: Being able to be on sick leave for almost a year and thus being able to focus on getting medication that works for me and not being worried about getting evicted for not making rent is a blessing. I'm back to working part time since October while still on sick leave for 50%, trying to ease me back in to the productive work force. So far going well. If I’d been forced to somehow work or starve, or live off my parents or something instead, I’m pretty sure I’d either be much deeper in depression right now, or be dead. I’ve still not really found meds that work great for me, but I'm feeling much better than I was a year ago.

Rating: 3/10 – I'm as optimistic as a clinically depressed person gets to be.

Status politically for Sweden (as I see it personally): It's getting more fucked by the day. The Moderate party just broke their campaign promise to not cooperate with the Sweden Democrats, a party born from neo-Nazi and white power movements. For UK context, think of the British National Party. Now imagine them going from a fringe group in the '90s to getting 20% of the votes in recent polls. They've been doing this all while having a whole bunch of scandals that would've hurt or killed the credibility of any non-fascist party. They're racist, homo- and transphobic, and operate their own alternative media that have ties to Russian disinformation efforts. So yeah, as a gay guy who's seen the inside of a few history books: Outlook not great.

Rating: 2/10 – If only because it can still get worse. Think first act of Cabaret.

Love life for Sweden: Hmm, check in on satwcomic.com I suppose?

Love life for me personally: Yes please? I've been single for longer than I'm willing to admit. I've barely dated anyone for ages due to my aforementioned depression making me not feel like someone worth dating. Also, there's some types of vitamin D deficiencies that eating supplements won't cure...

Rating: I really don't want to put a number on this so I won’t. Honestly, graphing out my love life numerically doesn't sound all that productive. But somewhere at the edge of the Bell curve is the guy for me?

Economically for Sweden: Sweden's been in a upward business cycle since 2016, but it's ebbing out and is expected to be balanced sometime next real. Ie, things have been good, but things aren't quite yet bad. Rating: 5.5/10 – I suppose? Not really my area of expertise.

Economically for me personally: Not complaining at all on this front. I got an IT job four years ago after having worked part time in retail for a bunch of years and having been a student before that. I've managed to not raise my monthly expenses even nearly as much as my pay went up. So while I’m not wealthy, I'm still surprised by being able to have a savings account that grows steadily and still having more spending money over each month.

My rating: 8/10 – This quote by Charles Dickens comes to mind: “Annual income twenty pounds, annual expenditure nineteen six, result happiness. Annual income twenty pounds, annual expenditure twenty pound ought and six, result misery.” 

Social life in Sweden: According to this article I just Googled up from half remembering reading in 2015, “The expat quality of life survey" published by HSBC, Sweden was the worst country for the category "Making friends". Looking at the data on HSBC's website we're apparently no longer dead last as a place to be making friends, we're now 31st out of the 33 countries listed, with Japan at 32nd place and Saudi Arabia last at 33rd. The United Kingdom is at 29th.

It is close to impossible to make friends here by talking to random strangers in most situations, as only weird people talk to strangers. Of course that mentality is self-fulfilling since if you assume any stranger talking to you is weird, drunk, or high, you will not want to make friends with strangers that talk to you, and you won't want to talk to strangers more than you have to or risk being branded weird. Even striking up random conversations at a pub will be more difficult here. 

But don’t despair, there’s a trick! Find the few social situations where Swedes want to talk to people they don't know: This is done by joining some organization or club of some sort. It doesn't really matter if it's a board gaming group, a student group, doing volunteer work for the local Pride or some other NPO or if it's a club for people who really like a certain breed of dogs. Once we've decided that we're among our own kind of people (and I don't mean "other Swedes") we'll happily talk to strangers, and not only about subjects related to that specific organization. Step two is converting them to be your friends and not just some randos you can talk to at some club meeting. I’m sad to say that traditionally this is done with alcohol, either by dragging people along to a pub/bar, or by inviting them or being invited by them to some sort of party. Without alcohol the fallback is fika. If the organization you’ve joined is something that you will naturally be spending time doing outside of the organization or club meetings that’s also ideal. Once you’ve invited or been invited to a few things outside of the organization it’s not strange to invite them to other social things than what the organization cares about.

For fairness to anyone reading this that didn’t read the article: I should probably also mention that the same HSBC study had Sweden as the top country in Europe for “overall quality of life” for expats here. And third best in the world, just behind Singapore and New Zealand in the same category. "Swedes make great friends but terrible strangers”.

My rating for making friends in Sweden is : 3/10 - Join a club, any club.

Social life for me personally: I have a few great close friends and a bunch more not quite as close friends who are also great. Come to think of it, many of them I've met through one of the three different organizations I've been most active in, and most of the rest I met through those friends. I'm really thankful for having friends who are still around even after I've spent way too much time feeling too bad to be very social or friendly at all.

My rating of my friends: 10/10 - No, I'm not biased.OK, so let’s average those numbers up and pretend the averages mean something!

Sweden: 5.81Me:  6.63Wait what? I’m winning?