A new surgical procedure known as ‘phalgina’ is gaining attention and controversy for offering non-binary patients a combination of both male and female genitalia. This groundbreaking yet divisive surgery combines the terms “phallus” (penis) and “vagina” and allows patients to retain both genitalia. While offered by several clinics in the United States, discussions about the surgery have also taken place in the UK, although it’s unclear if anyone in Britain has undergone the procedure.
Traditionally Binary Genital Surgery: An Overview
Historically, gender-affirming surgery has been binary, providing patients the option to either remove or alter their original genitals to create new ones corresponding to their gender identity. For instance, trans women could undergo vaginoplasty, while trans men could receive phalloplasty.
Introducing the ‘Phalgina’ Concept
The phalgina surgery challenges this binary framework by offering non-binary patients the option to have both a penis and a vagina. Medically known as “Penile Preservation Vaginoplasty” (PPV), the surgery creates a vagina while preserving the penis. Critics have labeled the surgery as a “grotesque surgical experiment,” comparing it to something from “Frankenstein’s lab.”
Advocates, however, argue that the procedure provides people with unique non-binary gender identities the body they desire, potentially improving their mental health. The surgery typically costs upwards of £10,000.
PPV Procedure Explained
In a traditional vaginoplasty for trans women, tissue from the penis or scrotum is used to create the neo-vagina. For patients who want to retain their penis, the PPV surgery involves crafting a vagina using tissue from the scrotum or perineum (the space between the anus and genitals). In some cases, peritoneal tissue from the abdomen is used to line the neo-vagina, offering self-lubricating properties and a pinker appearance.
The penis remains functional and sensitive, although the scrotum is usually removed to create space for the vaginal opening. The ejaculate composition changes without the testicles, resulting in clear rather than white fluid.
Vaginal Preserving Phalloplasty (VPP)
The opposite procedure, where a trans man retains his vagina while gaining a penis, is called Vaginal Preserving Phalloplasty (VPP). This surgery involves using tissue from other body parts, usually the arm or thigh, to create a penis while keeping the original genitals intact.
VPP Options and Functional Adjustments
Urethral Modification: Allows trans men to urinate from the new penis.
Artificial Scrotum: Creation for aesthetic purposes.
Penis Size Customization: Limited by available tissue but customizable to an extent.
Functionality vs. Aesthetics
The new penis can be made erogenous by connecting it to the clitoral nerves, though ejaculation is not possible. Some trans men choose functionality, while others prioritize aesthetics. Implants that mimic an erection or allow inflation are available for those desiring penetrative sex.
Conclusion
The emergence of the phalgina surgery has reignited debates surrounding gender-affirming surgeries. Advocates see it as a revolutionary option for non-binary individuals to achieve the body they desire, while critics remain skeptical, labeling it as a “grotesque” experiment. Regardless of opinions, this surgical option reflects evolving medical practices aimed at meeting the diverse needs of the LGBTQ+ community.