#SRS | the-mira-life-project-mtf (2024)

A Realistic Transgender Story — SRS (Part 3 of 3)

SRS - Gender-affirming Surgery

A Realistic Transgender Transformation

Mira rested her heavy head upon her palms as she stared out the window to the only sight from her room: the garage that doubles as a loft with an apartment. It is a nice room with a queen size bed, a massive TV, plenty of shelves, a fridge and a massive couch. Many times she would escape to the loft in the Spring and Fall as it was comfortable, but in the summer and winter, very uncomfortable to live in.

She sighs as she has been thinking about the surgery and has done her research and it scares her to death. She has been thinking of not doing it, from all the horror stories about the agony and pain transgenders have gone through.

There is a light knock on her door as she turns to look at Amanda peering through the crack in the open door.“Good morning sweetheart...” Amanda says as she opens the door and lets herself in.“...is everything okay?”

Mira welcomes Amanda to take a seat as she opens up.“I was accepted to have my SRS...”

“What is SRS?”

Mira blushes, “Gender-affirmation surgery.” she says as Amanda sits there kind of blank-faced.“Sorry if I offended you, I was going to keep it to myself.”

“You could never offend me Mira.” Amanda says as she can see that Mira wasn’t prepared to talk about this to anyone...quite yet.“So what are your thoughts?”

“Seriously?” Mira says, shocked. She collects her thoughts as she takes a deep breath.“As you and Robert know, I am legally female, but my...ah...” as she looks at her lap“...my body isn’t totally female.”

“So SRS is to...” Amanda says and Mira nods“...oh.”

“Yeah...” Mira says as she hands the letter to Amanda. She reads it and then looks at Mira.

“I think you should do it.” Amanda says to Mira’s shock.

“Really?” Mira says as she does not know what to think. Amanda nods as she rises off the bed.“It would be three to six months of recovery...”

“Robert and I will accept whatever decision you make sweetheart.” Amanda says as she finally smiles .“Robert and I are going to Lowe’s, would you like to tag along?” Mira smiles as she misses that place. She use to go to Lowe’s all the time with her biological family, but since her transition, she hides most of the time at home, landscaping, weeding, raking leaves and trying to outlive her CF.

Robert, Amanda and Mira drive to Lowe’s to look for some rock salt for the driveway and lights for the plants. They love lights, and so does Mira. Everything that the Sisler’s love, seem to match Mira’s love and she fits in well. Walking into the store, Mira tries not to call attention to herself.

Browsing through the discount Christmas lights, Mira stops as she looks across from the boxes of Constant On GE lights. She spots her mom looking at lights as she does not know what to think. She looks at Mira, but she has changed so much that she does not recognize her.

“Elizabeth? Elizabeth Brewer?” Mira says as she calls attention to herself.

Elizabeth looks up at the young lady with blonde hair with brown highlights with the brightest blue-grey eyes.“Yes?” she says.

“Any word about Mica?” Mira says, finding it odd that her own mother is pretending that she does not recognize her. Elizabeth shakes her head as the name still brings pain for her.

“No, how do you know him?” Elizabeth says as Mira wonders if she should say anything.

“Ah, he was just someone I knew...” Mira says as she picks up the lights she wants.“...I heard he was transgender...” Elizabeth frowns as she is still bitter.“He said he can’t go home because his family would never accept him...it was hard for him as he suffered from gender dysphoria and was so close to becoming chronically depressed...” she sighs and looks away.“Sorry to bother you, I can tell that you are not comfortable about this.”

Elizabeth looks at the neatly dressed woman and then wonders.“Mica?” she asks as Mira smiles.

“I’ll take my leave;” Mira says as she looks for Robert and Amanda“I just wanted to say hi.”

Elizabeth can’t believe what had become of her son. He looked, acted, dressed and was female. She had hoped that his genesis would have corrected his behavior...but she also thought that he had died. She tries to control her anger.

“What have you done to yourself?” Elizabeth says as she looks at her sons perky breasts showing through her blouse. She has to admit, she is dressed well and looks healthy.

“I have cured my dysphoria...I am so much happier and healthier in this form.” Mira sees that Robert and Amanda are standing off in the distance as they see Mira and her mother talking. Amanda is ready to support her daughter, but knows that Mira needs to do this herself.

“Well,” Elizabeth says as she does not know what to say“you should come home...we can talk this over...” Mira looks at her mom.

“Same number?” Mira asks as Elizabeth nods.

“How about this weekend? Where have you been living?” Elizabeth says as Mira looks back at Robert and Amanda whom she met once.

“I went to live with the Sisler’s...I was adopted a year ago...I own my life to them.” Mira says as she takes out a piece of paper and writes her name and number on it.“Here is my number, feel free to contact me if you like.” Mira says as she waltzes off to her new family as they all walk to the checkout stand. Elizabeth looks at the name and number: MIRA CARLENE SISLER (360) 871-6801

Elizabeth takes her cart as she rushes off to catch up with her son and the two friends she met years ago.“Wait up!” Elizabeth says as they ll checkout and then roll out to the parking lot.“So, this is official?” Elizabeth says as she is hurt that Mira did not keep her birth name.“Why did you change your name?”

“It wasn’t who I was...and after I was banished from the family, it did not seem appropriate to use it anymore.” Mira says as Robert and Amanda standby as they can’t be certain what will transpire from this conversation.

“But why Mira?” Elizabeth asks, not angry, just trying to understand.

“Mira means so much to me...it means wonder, wonderful, peace and from the sea.” Mira explains as it actually took her a few weeks to accept the name. Elizabeth just stood there as she did not know what to say. This encounter was not planned and she wasn’t one to think quickly.

Elizabeth looks past Mira and to Robert and Amanda.“I guess a thank you is in order for allowing him to stay with you...”

“Actually,” Amanda says as she interjects“Mira is now a part of our family; our daughter. At first, all this caught us by surprise, but we fully support her decision and help her stay healthy...” Amanda states as Robert gently embraces Mira as they stand by there SUV. Elizabeth looks at the number and then at Mira.

“So, your a woman...not going to lie...you look good...” Elizabeth says as she is resentful. Her own biological daughter is nothing like Mira, she is fat, Mira is thin. She does not maintain her hair, whereas Mira does. She does not care what she wears, Mira’s clothes look wonderful. Mira seems to have adapted so well to the role that it makes arguing against her being LGBT difficult.

Mira, Robert and Amanda left Elizabeth in a weird funk as they went home. Mira did not say a word as she watched the world fly by. So many people, so many lives, so many struggles...it makes Mira’s life feel small. When she gets home, Mira and Robert stop for a moment to speak.

“Are you okay?” Robert says as Mira nods.

“I am fine...just a lot to think about.” Mira says as she asks Robert his opinion.“Did Amanda tell you about the letter I received?” Robert nods as he has no opinion.“I don’t know what to do...I don’t want to make a decision that will make anyone uncomfortable.”

“Well Mira,” Robert says with a sigh“you will have to do what makes you happy...even if it is filled with months of pain.” Robert walks off to the house as Mira takes that as an‘abstain’ vote. Mira, emotional about her encounter with her mom decides to think about what to do next.

In her room, she thinks‘I need to find a doctor who treats transgender people...’ Mira’s old doctor, Dr. Lever has not seen her in almost two years as she does not have the heart to reveal what she has done to herself. She liked Dr. Lever, but felt that he just does not have the skills to treat a transgender woman. She opens her computer and waits for the internet to come online as she goggle’s: LGBT Friendly Doctors Near Me

Not much comes up, so she opens another browser and types: Family Doctor Who Treats Transgender Individuals

This time she gets a ping, a hospital called Virginia Mason has a program designed for transgender individuals and the closes clinic from here is almost 50 miles away on Bainbridge Island. She looks up the doctors and checks to see if they are covered by her insurance and finds that the clinic is covered. She finds a phone number, but knows that she needs to see these people in person. She checks clinic hours and finds that they open at 7am tomorrow...she will take a drive to Bainbridge tomorrow.

With the new morning, Mira jumps into her car and makes the hour long drive to Bainbridge to inquire in person. The drive is easy and calm as she follows her GPS to the Virginia Mason Bainbridge clinic and parks and walks into the clinic. She goes to the intake desk and smiles.

“Hi, I would like to inquire being seen by one of your doctors. Doctor Worth.” Mira says as the receptionist looks at Mira and then at her computer.

“Dr. Worth?” she says as Mira nods.“Dr. Worth is pretty booked up...”

“Do you have any other physicians who treat Transgender individuals?” Mira says as the receptionist understands why this woman is so dedicated to this particular doctor. She looks at Dr. Worth’s schedule.

“I could get you in about three weeks...” the receptionist says as Mira nods with a smile.“Oh wait, there is an appointment this afternoon if you want that one?”

“Yes, that would work!” Mira says as she takes out her insurance cards.“Do you accept Medicare-Medicaid?” she says as she hands her cards to the receptionist as she looks at the cards and runs the numbers.

“Looks like Dr. Worth is In-Network.” she tells Mira as she copies the cards and then hands them back to Mira. She then hands Mira paperwork to fill out.“Your appointment will be a 12:30, need a reminder card?”

“No thanks, I will be here!” Mira says as she smiles kindly and walks out of the clinic and decides to drive off island and back to Poulsbo to visit the nursery and browse all their plants. When it is nearing 11am, she makes her way back to the clinic and arrives by 11:23am. With plenty of time to waste, she fills out her medical forms and then plays a few games on her tablet.

When it is time to go to her appointment, she is certainly scared. She never really conveyed outside her family about being transgender and fears that Dr. Worth will treat her like an outcast. Inside, she checks in and waits to be seen. Almost 12:41pm, she is called back as they go to a private room so the nurse can run vitals and take the medical forms.

Nearly 1pm, Dr. Worth finally walks in. Her long, curly black hair is pushed back as she wears a white doctors outfit. She smiles and shakes Mira’s hands.“Hi, Dr. Worth, you must be Mira.” she says as Mira smiles and nods.“So what can I do for you today?” as she takes a seat.

“I have come to your office, looking for doctor who is comfortable with transgender individuals like myself.” Mira begins as she swallows her pride.“I am nearing my third year in my hormone regiment and want to be followed and have all the appropriate checkups.”

Dr. Worth gently smiles as she scribbles down a few notes.“And the oxygen?” she asks as she looks at the metal green cylinder that Mira brought in.

“Atypical cystic fibrosis, end-stage.” she says as Dr. Worth bites her lip, seeing that this case will be a tough one.

“I’m sorry, it must been hard!”

Mira nods,“The last 10 years have been very tough, I am barely hanging on.” she says as she smiles and relaxes.“I’ve learned to live with it however, and like to advocate for CF whenever possible.”

Dr. Worth smiles and then returns to the subject at hand.“You said your transgender, which one if I may ask.”

“I seem to closely relate to Gender-Fluid.” she says as Dr. Worth is quite familiar with gender-fluid folks.“I mainly identify as female, but also as male, as I was born.”

“And you’ve been taking hormones?”

Mira nods,“For about three years now. Started in May. I am now considering getting SRS done.” she says as this is why she wanted to visit, to have a second opinion.

“Sex reassignment surgery?” she asks as Mira nods.“What about facial sculpting and chest augmentation?”

“I’ve considered them all. They are very pricey and I need to have them covered by my insurance. I really don’t want implants as I am trying to do everything natural.” Mira states as the doctor nods, understanding.

“Looks like you’ve developed well in the chest, any issues?” she wonders as Mira shakes her head.“When was your resent blood-work?”

“About three months ago at Cedar River in Tacoma...they are the ones who are handling my hormones and care at the moment.”

“Would you be comfortable having me handle your hormone scripts?”

“That would be wonderful!” Mira says as she does not like the idea of one doctor writing meds and the other running labs. Dr. Worth and Mira talk for another 10 minutes and then talk about the SRS and Dr. Worth says that she does not see any situations to prevent her from having the procedure, except that her CF might get her denied since she is end-stage.

At home, Mira calls the number to the surgeon in Portland and speaks with the receptionist, giving her name and birth-date and confirming that she is still interested in the procedure. She was actually doing this!

About two weeks later, she drove all the way down to Portland, to the Oregon Health and Science University medical campus to speak with the Dr. Dugi and his nurses. Mira’s heart was fluttering like a butterfly hybrid with a hummingbird. She smiled as she presented a few articles from Dr. Worth, Cedar River and a mental evaluation.

“It is great to finally meet you Miss Sisler; my name is Doctor Dugi and this is my associate Dr. Witten. It looks like you have everything in order for the surgery, it just comes down to health history and a date.”

“As you can see, I am on oxygen due to cystic fibrosis...will that be a problem?” she asks as Dr. Dugi looks at the tank.

“Might be, where are your FEV1?” Dr. Dugi asks as he looks at the records, seeing nothing from pulmonary.

“45 percent.” she says as Dr, Dugi knows that is low. Surgery will put Mira at a higher risk of infections...if they go ahead with this surgery, they will need to have her on strict antibiotics. They say that they will play it by ear, and will have pulmonology take a look at her case.

“How does May sound?” Dr. Dugi says as Mira nods. May is only four months away.“We’ll have you get lab-work down, take some blood samples and have a simple eval down to assess your health. Mira completes all the labs while there in Oregon and then goes home to share the news with Robert and Amanda.

“When are they doing the surgery?” Amanda asks as she takes out her phone.

“May 5th, it will be at the OHSU hospital, they want me to arrive a day before the operation to run prep and have lab-work done prior to the surgery.” Mira says as she feels a mixture of excitement and sickness.

“And what about family and friends?” Robert asks.

“They an visit after surgery...I will also need to be driven home. They say that I will be in no mood to do any driving.” Mira looks at the sheet of things to bring with her:a bathrobe, slippers, hair bands, favorite lotion, lip balm, hard candy or throat lozenges. You will also need to buy additional lubrication for dilating such as Surgilube or K-Y along with sanitary pads. They suggest so form of entertainment like a laptop, books, movies and/or music.

“Dilation?” Robert wonders as he does not understand. Mira blushes as she read the expectations.

“It’s for...medical reasons.” as she looks down at her lap. Amanda and Robert make time in their schedule to drive Mira all the way to Portland and then make reservations at a local hotel for about one week. Those four months fly by so quick that Mira finds herself packing a suitcase and loading it in her car. There is a remorse for what she is about to endure, but she also knows that when she comes home, she’ll be one step closer to‘appearing’ female.

The drive down to Portland is long as she falls asleep by the time they pass Castle Rock and dreams. Jessica is there as she talks with Mira.“Once it is done, your male privalage will be gone. You will have to learn about all the risks of being a woman...down there.” she says as she points to Mira’s crotch.

“How did you cope?” Mira asks Jessica.

“I was born this way...I just learn to mange.” Jessica smiles as she reflects.“I will say this, you are in a world of surprise once you develop your G-spot, full body org*sms make having a puss* so worth it!”

“If you say so!” Mira says, having second thoughts. She will miss so much! Ability to pee outside, less UTIs, not having to worry about being raped! Being raped scares her the most! Not only are they giving her a woman's urethra, but also a functional vagin*. How it is even possible to convert the penis and scrotum into a functional vagin* almost seems science fiction!

Crossing over the Columbia River, Mira awakes as they enter the Rose City of Portland.“Had a nice sleep?” Amanda asks as Mira smiles lightly, she had a powerful dream that targeted all her insecurities.

With the hospital in view, they turn into the parking lot and go inside to check Mira in. At admissions, she is given an arm bracelet and then escorted by a nurse to her room where she will spend the next four to five days experiencing the worse pain in her life.

“Your first time to OHSU?” the nurse asks as Mira nods her head.

“I live in Mason county, it is about 300 miles north from here...” Mira says as she looks at the artwork and hospital layout“...guess I am on vacation!” she jokes. They arrive to a room that is in the surgical suite as Mira gets comfortable. Dr. Dugi and his staff come in for a pre-operative visit and examination.

“How are you feeling Mira, excited?” he asks as Mira nods.

“And scared!” she adds as she looks at her mom and dad.“Dr. Dugi, this is my mom and dad, Robert and Amanda Sisler. Dr. Dugi shakes their hands and then looks back at Mira.

“There is no solids today, and around 2pm, we’ll begin your cleansing. Sorry about the terrible taste of the medicine!”

Mira smirks,“No problem, I’ve learned to like the flavor of Fleet!” she jokes as Dr. Dugi smiles, glad to see Mira is in good spirits.

“Anesthesia will be in this evening to go over your screening and I will order more blood work. The surgery will be at 7am tomorrow and I’ll give you a day to recover and come in the next day to check your packing. On day five, we’ll remove packing and ready you to go home. We’ll need you back on Monday of next week to check the stitches and go over dilation.” he says as Mira nods, meaning they are going to become good friends!

When Dr. Dugi and his staff have gone; Mira looks at Robert and Amanda and smiles nervously.“God, I sure hope I know what I am doing!” she says as Robert comes over and gives Mira is big hug. He has her sit on the side of the bed as he massages her worries as Amanda says gently.“We are just a phone call away if you need anything sweetheart.”

Mira smiles as the one thing she will want is some time to be alone to say goodbye to the organs she had since she was born. About 3pm, Robert and Amanda have to leave to check-in to their hotel before they lose the room. Mira walks over and closes the door as she wants to be alone. She walks over to the window as the Springtime sun is setting in the horizon.

‘7am will be here soon’ as she downs another glass of Fleet that the nurse brought in. Soon enough the fluids run through her system and her butt feels like it is dry heaving out only water. She is cold and hungry as she opens her computer and types away her last moments with her manhood.

She opens her account on Tumblr, a place where she has been recording her transformation. Tumblr itself had gone through its own transformation as it was sold from Yahoo to a third-party buyer and they purged much of her progression photos. If they showed too much skin, she was Flagged. Ever since the purge, Tumblr never really made comeback and was a dying platform. But as an advocate for CF and HRT...it still had its purpose. That and DeviantArt!

She wrote, carefully...

‘At OSHU tonight. In 15 hours, I will be going in for bottom SR surgery. I am a mixture of emotions...happy, scared, upset, depressed, anxious...I feel like a bipolar puss* cat! My parents have brought me here, I am so blessed to have them in my life! All my life, I’ve been blessed with male privilege, now I will finally understand the fears of being a female! Even though I will lack a uterus and ovaries...and my genes will reflect that of a male...I am as close to being female as I have even been! My God Watch Over Me! See everyone on the flip-side!’

Mira closed her computer and laid in bed, hoping to fall asleep. Her stomach growled throughout the night, its hunger pains making sleep only by the half-hour. Around 5am, the nurse comes in with a razor and shower gear. She awakes Mira as she allows Mira to take her meds and then shows her the razor.

“Dr. Dugi has instructed that you bathe, no soap! And shave your genitals. Mira does as she is instructed without comment as she bathes in hot water and carefully shaves everything. Back in bed, Dr. Dugi comes in with his team.

“How are you feeling this morning Mira?” Dr. Dugi says as Mira yawns.

“Tired.”

He smiles, “Well, Dr. Bowman will certainly help you get some rest! Do you have any questions or concerns?” Mira shakes her head. She is afraid to ask anything as it might cause her to chicken-out!

Dr. Dugi gives Mira a pat on the shoulder as he leaves to ready as Dr. Bowman, the anesthesiologist introduces himself.“Hi, I am Doctor Bowman, I will be your anesthesiologist today, how have you done with anesthesia before?”

“No problem...most of the time.” Mira says, recalling the successful drug-induced sleeps. Then recalls a few complications of not falling asleep!

“What do you mean?”

“I’ve had a few instances where I did not go easily or only was partly out under a general anesthesia.” Mira explains as Dr. Bowman smiles.

“Don’t worry, I’ll mix up a special co*cktail for you.” he says as he then asks,“Do you have any questions?” Mira shakes her head and he walks over to a box and opens it. Inside are a bunch of needles.“This is to help you relax. You might feel a little sleepy, but you should remember going into the OR. There, I will administer the general.” he pushes the mixture into Mira’s IV as the drug hits her hard as she feels like she might vomit. Luckily there is nothing in her stomach and so she just dry heaves.“Pretty rough huh?” he says as he takes some zofran to help with the nausea.

Wheeled into the OR, Mira is barely awake as she sees people moving about, gowned and masked. She sees Dr. Bowman push some drugs into her IV and just as quickly as she rolled in, she was asleep.

When Mira awoke, it was waking in compartments. First her hearing detected sounds, then her eyes detected light. There was something inside her mouth as she wants to grab at it and pull it out, but a nurse tells her to leave it in. She feels numb...tingly and good.

‘This isn’t as bad as I’d imagine it!’ Mira thinks and then thinks.‘Did they do it?’ as she wants to touch, but something weird fills her head. Her brain is detecting odd sensations where sensations should not be. She felt like she needed to pee and then a strange‘fullness’ sensation. Like her bowels are full of waste. Her stomach felt queasy as she slowly squirmed in bed.

The pain seems to encompass everything down below and when she wants to‘pulsate’ the organ, she feels nothing. The nurses pack ice between her legs as the coldness feels heavenly! Her brain slowly comes out of the drug induced sleep as she looks around and at the nurses.

The RT comes in and checks her vitals and decides to remove her off ventilation.“When I tell you, I need you to take a deep breath...we are going to pull out your breathing tube...” the RT says as she says“...breathe!” as Mira breathes in and feels the tube slide out of neck and out of her mouth with a large glop of mucus.

Mira coughs, a painful sensation for both her throat and groin. She cringes as the RT sees this and asks.“How is your pain?”

“Not good.” Mira says as she has no pain tolerance and HRT over the years seemed to have only made it worse! The RN pushes a button to release some morphine into her system as it makes Mira sick and causes a strange cramping sensation in her neck! It was weird!

“Better?” the RN asks as Mira thinks about it and nods. Mira lays there, not wanting to move as everything is tolerable and she dreads making the pain worse.

Dr. Dugi comes in and smiles.“All went well Mira, it will take some time to heal, but I think you’ll be pleased with the way it turned out. Today, I suggest only pain management and sleep...tomorrow well work on getting you up and moving a little and get you on a diet.” Mira did not complain as she dozed right off after Dr. Dugi left, affected by the drugs as they wheeled her out of PACU and to her room.

Amanda and Robert were there as they wheeled Mira in with all her equipment and packing. Luckily, everything operated on was hidden out of sight. Informed that the doctor ordered rest, they take their leave, leaving flowers, a bottle of cherry cola and a few‘candies’.

Around 10pm, Mira begins to feel the pain rise as she releases more morphine into her body and with the privacy, she wants to look. She gently pulls back the covers and finds a collection of bloodied wrappings wrapped between her legs as if she was wearing a diaper. There is a tube coming out of the wrappings, with only trickles of clear fluid and blood. There is a tube painfully implanted in her butt cheek, also attached to a tube. She covers herself up as she is tired and falls asleep again.

Around 8am, with the new shift coming on, Mira is waken as dietary brings in a BRAT diet for her to try as the nurse hands her her pills and writes on the whiteboard.“We like to switch you off morphine and onto oral pain meds. I have three antibiotics for your IV.” as she sets them up.“Today, I want you to try shifting around in bed, but don’t over do it!”

“Okay.” Mira says as she see that the morphine machine is gone and gladly takes the pain pills. Over the day, Dr. Dugi comes in to see how Mira is managing the pain, but does nothing else. Tomorrow comes the reveal!

Robert and Amanda stay with Mira until they head out around 6pm to go find some dinner and say that they will be back around 9am tomorrow for a longer visit. And to give Mira emotional support as tomorrow the dressings come off.

Day two, around 8:32am, the nurse comes in with Dr. Dugi as they carefully take off the bandages and dressing. Dr. Dugi looks at Mira.“Ready?” he asks as Mira nods and the dressing is removed and she looks at bare skin. The male equipment is gone. No sign that was even there...but oddly...it was. Just transformed. Every inch of organ has the capability to become the other, if you are a man. As a woman, it would require graphing...luckily Mira does not have to worry about that!

Mira looks at the swollen folds and flaps and wants to vomit. The catheter enters the folds as it leads to her bladder. Below the catheter is a wider hole with gauze packed inside.“We’ll keep that packing up there for another five days, this will give the incisions time to heal.” he says as Mira agrees. Oddly, this hole is pointless as she can never become pregnant, and having sex is likely out of the picture.

“Now I want you up and moving about every hour. DVTs seem to occur at this point, so lets keep those legs moving.” Dr. Dugi says as he looks at her chest.“I also want to order an x-ray of the chest to be sure no pneumonia is settling in, due to your CF.”

“Thank you.” Mira says as her emotions are at their limits and she is doing her best not to cry. The nursing staff come in on the hour to check Mira’s pain level, check her wound and refill her water. About 10pm, evening nurse comes in with a plan.

“How do you feel about taking a walk?” the nurse asks as Mira smiles and she nods. The nurse helps Mira swing her legs to the side of the bed and then stand up. Her eyes open wide as the catheter moves and a jolt of pain erupts from within. Walking slowly down the hall, Mira notices that when she walks, her manhood is missing, gone...but still there...just transformed.

Mira is amazed how fast she is recovering. Back to her room, Mira sleeps on pain meds and the morning sun arises and the nursing staff returns with a painful task.

“Take this kiddo.” says the nurse as she gives an extra does of pain meds.“Doc is coming in today to remove your draining tube.”

“Will it hurt?” Mira says as she would love for that tube to be gone. Sleeping on your back is almost too painful as the tube moves.

The nurse shrugs,“It won’t be delightful, but some patients say it is an odd sensation. Don’t worry, we’ll apply some local to deaden the wound.”

Mira tries to be brave as breakfast comes and she eats light. By 9am, Robert and Amanda come in as Mira hugs her parents.“How are you doing?” Amanda asks as Mira smiles.

“Doing better, they are going to remove my drainage tube.” Mira says as she eagerly awaits the nurse to have her tube remained. She does not look forward to the pain, but feels the pain meds kicking in. When nursing comes in, Robert and Amanda walks out as they give her some privacy. They have Mira lay on her belly as they deaden the skin around the tube and with a strong hand, they pull the tube out as Mira cries out. They stitch the wound and bandage the wound.

Robert and Amanda talk to Dr. Dugi who is telling them that Mira will be required to dilate three times a day and will need to be on reduced work for about three months. They agree, but know that keeping Mira down will be hard. With Mira healing nicely, Doctor Dugi believes that Mira is on track to be discharged either on Friday or Saturday. She will then need to come back on Monday to have her catheter and packing removed.

Robert and Amanda talk about things they can do as a family and about Mira’s regiment she will have to follow. Doctor Dugi brings to three dilators to show her as he talks about what she will have to do.

“After we removed your packing, you will have to do dilating three times daily by inserting these into your vagin*.” Dr. Dugi says to Mira’s horror.

She did not think this was a requirement, but it makes sense. She needs to keep the hole from narrowing and closing up. Mira does not want to talk about it as she just nods. When Friday comes, Mira’s lungs are full of secretions as for CF has blocked up her lungs.

Her health rapidly declines as Robert and Amanda get a call from the nursing staff about pneumonia that has grown in her lungs. They think it happened when they went for a walk...they forgot to mask her up. Mira coughs up mucus as fast as she replaces it with a new batch of mucus.

“How did she get pneumonia?” Robert asks as the nurse does not have an answer.

“She probably caught it while walking in the halls. We are treating her pneumonia and upping her therapy.” the nurse tells them as Mira is going to be in the hospital for a little longer. For Mira, she is happy to still be in the hospital as she just does not feel ready to leave. Mentally and physically.

Monday finally comes knocking as day 8 arrives as Dr. Dugi comes into Mira’s room. They will have to do her clinical here in her hospital room.“So sorry that you are still here. Today we are going to remove the packing and catheter and go over dilation.” Mira submits as Mira stirrups her legs, exposing her packed neither-region as Dr. Dugi removes the packing from the canal and then removes the Foley catheter from her urethra. He takes one of the dilators and goes over the instructions.

“At first, it isn’t going to be comfortable and I suggest using the S+ for awhile. Expect to dilate for two hours per day! During the first year I recommend you do dilation 3 times per day for about 50 minutes.” with the packing gone, he takes a speculum to examine the skin. He takes some Aquagel and lubes the dilator and slowly inserts it inside. Mira cringes as it is unpleasant.“Any severe pain?” Mira shakes her head, oddly, it feels‘weird’.

“How long will I have to do this?” Mira asks as Dr. Dugi answers.

“Two years at least, or until your doctor says that your size is preferable, then you must dilate 2 to 3 times per week.” he says as Mira did not think of the constant dilation she would have to do her whole life. Dr. Dugi hands Mira some hand sanitizer and has her try.“In time you’ll be able to insert the L+ dilator,”as he shows Mira a fat dilator as her eyes open wide.

“My God!” Mira says as she holds the massive hunk. She pulls the tube out as she cringes from the sore tissue. Dr. Dugi discharges Mira from his care and three days later is healthy enough to go home. Once home, Mira sleeps from the pain as it is still red, swollen and full of stitches. Mira is horrified when she forms yellow, clumpy, mucus-like residue over her organ.

About three weeks later, a chunk of her inner labia just fell off and then grew back! She thought she was dying, that she was rejecting, but the healing power of her womanhood was amazing!

By her fifth week, she goes to see Dr. Worth who checks up on her healing as she explains how the surgery worked. The very fact that every organ in your manhood and be reshaped into womanhood was shocking.

“You see darling, your cl*tor*s, which use to be the glans of your penis, is positioned in a completely different way.” she said she Mira looks at her mutational.

“There is some days I reach down...and nothing is there!” Mira says as she would need to pee and walk into her bathroom and reach down and find nothing. Some days she thought she could feel her penis twitch...like it was there.

“Basically, your cl*tor*s is telling you that it is still the glans, the most sensitive part.” she shakes her head“Your surgeon did a wonderful job!” she looks at Mira,“How are you adjusting mentally?”

“Mentally,” Mira says as having a functional womanhood has shocked her.“At first, the discomfort and discharge stopped me from forming a positive relationship...I won’t lie, I cried many nights, curing my decision. I am a active young lady, but walking was hell! And all the dilation's...I’ve lived on YouTube and Facebook!”

Dr. Worth sees no problem and writes a new order for hormones and then asks to see Mira again in three months. After five to six months, something seemed to transform inside her womanhood as pain was replaced with pleasure...the dilation caused her who body to shiver and she found the love of dilation to be well-work her time. She got a call from Dr. Dugi’s office to see how things are going.

“Not bad...I am really loving it!” Mira says as her next dilation is coming up soon. She still cannot use the L+ dilator, but she is getting close. She finds the pleasure being a woman is 100 times stronger then when she was a male.

Three months later, Mira and Dr. Worth talked about where her dysphoria is. Mira looks at her B-cup breasts and frowns.“How much work would it take to have an augmentation of my breasts...I would like a fill them out to a C-cup.” she says as Dr. Worth recalls talking to Mira about her desired breast size.“But facial feminization is priority as I still look‘male’.” Mira says as Dr. Worth nods and pulls out a form for OHSU again.