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Both are grotesque, but from what I have been able to gather, phalloplasty, such as it is, carries a much greater risk of serious complications...

In the surgeon's defense it's probably incredibly difficult to create a facsimile of a sex organ out of mishmash parts. Inserting a piece of metal...

Here’s a couple of pics from an FTM after phalloplasty— I think she may have been the one mentioned previously with the tendons in her arm...