The Truth About Gender Confirmation Surgery

Gender confirmation surgery, also known as gender reassignment surgery or bottom surgery, is a major procedure that allows transgender individuals to align their physical bodies with their gender identity.

YouTube creator Mathilda Hogberg shares her personal experience and insights about this life-changing surgery. In this article, we will explore the truth about gender confirmation surgery.


There Can Be Complications

Like any major surgery, gender confirmation surgery does carry the risk of complications. Hogberg explains that while she did not have major complications directly related to the procedure, she has experienced some ongoing pain and discomfort even years later. 

This is common with surgery recovery, as nerves and tissues heal over time. The pain is manageable for Hogberg, and a small price to pay for alignment with her gender identity.

However, it's important to be aware that some aches or discomfort may linger after bottom surgery.


Hospital Recovery Can Be Difficult

While Hogberg says the pain after surgery was not too severe, the hospital recovery itself was very difficult. Being confined to a hospital bed for a week, with tubes and constant supervision, left her feeling vulnerable and exposed. 

This emotional aspect of recovery is often overlooked when discussing bottom surgery. The hospital stay is necessary for healing but can be dehumanizing. Knowing this may help transgender individuals feel more prepared.


Dilation is Required After Surgery

To prevent the surgical site from closing up, patients must dilate multiple times a day following bottom surgery. This means inserting medical devices to keep the area open. Hogberg found dilation to be the most challenging part of recovery. 

It is time-consuming and can be painful during early healing. Dilation starts at 3-4 times daily for months. This makes having a normal life difficult during early recovery. While dilation is a must, the schedule does improve over time.


Orgasms May Take Time to Achieve

Finally, Hogberg notes that orgasms can be difficult or impossible to achieve in the first year or more after bottom surgery. This is normal, as nerve connections heal very slowly.

With time, feelings and functions recover. Hogberg says it took her about 1.5 years before she was able to orgasm through masturbation. While concerning, most patients do regain full sexual sensation. Patience through the healing process is key.

In summary, Mathilda Hogberg shares honest details about the realities of gender confirmation surgery - both the challenges and the benefits. While not easy, bottom surgery allows alignment between gender identity and physical body for transgender individuals. Being informed about what to expect can help patients prepare fully for this life-changing procedure.



In conclusion, gender confirmation surgery is a major procedure that can be life-changing for transgender individuals. While there are risks of complications and challenges during recovery, the benefits of aligning one's physical body with their gender identity can be significant. 

It is important for transgender individuals to be informed about what to expect before undergoing the procedure, including potential complications, hospital recovery, dilation requirements, and the time it may take to regain full sexual sensation. 

By being prepared and understanding the realities of gender confirmation surgery, transgender individuals can make an informed decision about whether the procedure is right for them.