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The original was posted on /r/salmacian by /u/QuizicalCanine on 2025-07-16 17:37:21+00:00.


Only recently found this community, and resonate with the identity a lot!

MTF gal here!

I remember distinctly during puberty being somehow convinced that I was going to develop a vagina in addition to my dick.

Before I even started hormones one of the things that convinced me to try transition was that a non-binary friend told me they were considering PPV, which blew my mind that it existed at all. And hearing that gave another slight push towards starting transition.

At the 16 month mark with HRT now, and I’ve started to look into surgeries, and even have a consult scheduled with Dr. John Pang at Align Surgical for vaginoplasty. I believe doctor Satterwitte at Align does penile preserving surgeries, and part of me wonders if that still is the best option for me?

I do have a therapist that I’m working with to get letters for surgery approval, and have been discussing this with my therapist already.

The longer I’ve been in transition the more I’ve felt that just a vaginopalsty would be best for me. And that if I felt like I wanted to express a more Salmacian aspect of myself that I could wear a strap on for sex or heck even a packer for daily life.

From results I’ve seen PPV doesn’t seem to have the results that I’d want aesthetics wise.

Wonder if anyone here has felt similarly, and ultimately decided against PPV for aesthetic reasons and went with PIV or other vaginoplasty method instead.