Opinion transgender surgery, FTM surgery, chest reconstruction, top surgery

Published on February 2nd, 2012 | by Wild Gender

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3

Fifty-Seven Days Before Surgery

By Ryan Otto Cassata 

There are eight unworn t-shirts waiting to be pulled over my head and fitted perfectly around my body after my gender reassignment surgery. There are twenty long and beautiful necklaces waiting to rattle against my bare chest when surgery is complete and healed. There are hundreds of beaches waiting for my arrival, waiting for the new me to walk their sand, swim their oceans, and woo their beautiful women. And there is one  weathered brain waiting to be unshackled from the thick and tragic spell of gender dysphoria.

I’ve been counting down the days for what seems like ages. Wondering. When will I be able to hug someone without feeling even a slight hint of gender dysphoria, worrying if they could feel my hated breasts through the hug? When will I never have to wear my chest-squeezing, breathe-stopping binder again? When will I be able to walk on the beach with no shirt on and raise my arms to the sun? When will I be able to feel comfortable in my own body and think that I am an attractive human being? And of course, when will a shirt fit so perfectly? I’ve got fifty-seven more days until all of this is a reality, until my chest is finally flat and I can finally feel the freedom of being Ryan.

transgender surgery, FTM surgery, chest reconstruction, top surgery

However, for the first time in my entire life I’m nervous about the surgery. Maybe it’s because I’ve never had a big surgery before or any surgery to be honest. Maybe it’s because I’m afraid of how my extended family will look at me afterwards, will I be able to go in the swimming pool in front of their children? Maybe it’s because I’m worried that my chest won’t come out even, my nipples won’t line up and I won’t look like the model boys in the magazines as I had always wished and hoped. Maybe it’s because I’ve been in this body for the last eighteen years of my life and now almost suddenly a drastic change will occur, and this drastic change will occur over night.

A large portion of my fear is that I won’t be happy after my surgery. I always ask myself “Top surgery and then what? Will I be happy with just one surgery and no hormone replacement therapy? Will I finally be satisfied? Or will I walk through life never being able to feel satisfaction?”

I hope that I am comfortable with myself after top surgery. I hope that I won’t have to go on testosterone to get away from my horrid gender dysphoria and panic attacks. I hope that after top surgery I feel whole and real and free. I just want to feel whole. I want to feel alive again.

I feel most free when I’m playing an open air festival with my shoes off and my hair swaying in the wind. I bet it’s going to feel beautifully free when I’m playing an open air festival with my shoes and my shirt off, with my hair swaying against my back and with my hippie-beaded necklaces clanking against my chest. How could I not at least taste freedom then?

A good friend recently asked me “Are you doing this for society? Getting the surgery and all? Are you doing it just to fit in and to please others?” Honestly, I never really thought of this question before. Then I thought to myself for a couple of moments and I came to a conclusion that I knew that getting the surgery was the right thing to do for me. I thought, if I were living alone in a house that was secluded from the outside world, no phones, no internet, no newspapers, no TV’s, and no communication with the outside world at all, would I still have to get the surgery? It was easy for me to answer this question. I would still be uncomfortable in my own skin so therefore I would still need to get the surgery. I would still want my breasts gone and my mind would still crave that flat chest. I am certain in my decision but still nervous about how I will feel afterwards. I’m not nervous about my gender identity changing or wanting to reverse my transition. I’m nervous about my emotions and worst of all I’m worried about how society will see me when I’m through.

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About the Author

Wild Gender

is an online magazine and creative hub born out of gratitude for the gift of full expression. We are dedicated to creative practices that celebrate gender fluidity, identity and expression. Wild Gender prioritizes visual art, creative writing, and journalistic work by trans/gender-variant individuals who have never before been published in a public venue. Run entirely by volunteers,we are always in search of writers, thinkers, and creators hoping to participate in our growing community.



  • Ohanapecosh

    Just wanted to say that so many things you wrote about in this piece ring true for me as well. I had top surgery a couple months ago and have had very similar thought processes about surgery and T and why I’m doing it and all that. Thanks for writing this, it’s nice to know that none of us are alone in this :)

  • danny

    I grew up not knowing about gender dysphoria or FTMs or anything of the sort. I thought, along with everyone else, that I was just a tomboy. I just “liked” to wear boys clothes and jump bikes with all the other boys. I only ever had guy friends growing up. And when middle school came and the pressure to be like other girls my age kicked in, I succumbed. I never felt right in my clothes and was always self conscious but when I talked to anyone about it they chalked it up to normal teenage girl insecurities and me not knowing any better accepted it. But as I got older that excuse didn’t cover why I got this uneasy sick feeling in my stomach when someone called me Danielle instead of Danny or why I couldn’t connect right with the girls in my class. When highschool came round I started it pushing all my feelings aside and becoming who everyone wanted me to be. For the first time in years not one person called me Danny and I was a popular girly girl. I had friends and guys chasing after me and everyone knew me. I even got my first boyfriend. That’s when everything fell apart. I was dating a guy half my friends wanted and I could even kiss him. It felt wrong and I just couldn’t do it. We broke up and he bad mouthed me around the school. I ended up with only one girl as my friend. But she ended up dating the guy who bad mouthed me. Now with zero friends and no one to keep happy but myself, I did just that. The following week I came to school with my all my long hair chopped off and I mean gone, not short, shaved. Wearing just jeans and a tshirt, my chest binded, I had never felt so free. I made new friends ones who loved me for who I was. I had never told anyone the real reason me and my only girl /friend had had such a rough falling out. People assumed I was jealous her for getting him and I played along. Truth: I was jealous of him getting her. When I tried kissing boys it never felt right, then I kissed a girl and it felt like the world had stopped and the universe made sense. But I still never felt right being called a lesbian. Then only last year I met Andrew an ftm freshman. We had so much in common and he opened my eyes to the truth. I had always felt so trapped in my own body but I still didn’t fully except it. Til just now when I read your article. So thank you because now I feel like I can live my life without so much confusion. I am a man even if my parts say otherwise. And chest reconstruction surgery is the first key to escaping my prison.

  • secretboy

    Wow, I wish I had the money to undergo such an operation. Here I am stuck in South Africa as a Man inside a woman’s body. I think and feel like a man but I cannot date the girls I like coz I dont wanna date as a woman to a woman. Wish I could make myself a man. I’d be pretty good looking ;D 

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