![[COVER.jpg]] # Becoming Yourself: The Complete Guide to Gender-Affirming Surgery > [!ABSTRACT] Executive Summary > **The Problem:** Most resources are scattered Reddit threads, outdated blogs, or clinical brochures written by doctors who haven't lived the experience. > **The Solution:** A 1,093-page, 40-chapter guide written by a patient (Axl Ibiza) who underwent nulloplasty in 2024. > **Scope:** Covers the complete arc from decision-making $\to$ insurance $\to$ surgery $\to$ complications $\to$ long-term thriving. ## [Get your copy now on Gumroad — $49 →](https://borgpup.gumroad.com/l/tyslr) --- ## Why This Resource is Unique > [!NOTE] Key Differentiator > While medical overviews and memoirs exist, this is the **first comprehensive patient-written guide** and the **only book specifically covering Nulloplasty**. ### Comparison to Existing Literature | Resource Type | Typical Limitations | This Book's Approach | | :--- | :--- | :--- | | **Clinical Literature** | Third-person statistics; lacks "lived" feeling. | First-person narrative of the *entire* arc. | | **Memoirs** | Focuses on story, not actionable guidance. | Structured guidance woven with experience. | | **Online Forums** | Outdated, conflicting, unverified info. | 1,093 pages of researched, verified data. | | **Complications** | Often glossed over or purely clinical. | Honest documentation of serious complications. | --- ## The Stakes: Why Preparation Matters > [!WARNING] The Cost of Misinformation > Gender-affirming surgery involves high stakes. Without proper preparation, patients face: > * **Financial Risk:** One wrong surgeon choice can lead to a **$30,000 revision**. > * **Insurance Risk:** Missing one requirement can lead to denied coverage. > * **Physical Risk:** Preventable complications due to skipped prep steps. > * **Time Sink:** 50+ hours wasted filtering bad info on Discord/Reddit. --- ## What's Inside ### Volume 1: Prep, Procedures & Recovery (Chapters 1–25) **Part 1: Understanding Yourself** * Understanding Dysphoria & Debunking Myths * Reframing body parts $\neq$ Identity **Part 2: Preparation Logistics** * HRT Foundations & Surgical Options * **Financials:** Insurance navigation, legal documentation * **Medical:** Fertility preservation, neurodivergence considerations * Finding the right surgeon **Part 3: Procedures (Deep Dive)** > [!INFO] Procedure Depth > Chapters 12–22 cover every major procedure including techniques, realistic timelines, risks, and the "real considerations" clinical pamphlets omit. **Part 4: Recovery & Caregiving** * Managing dysphoria during recovery * **The Caregiver Guide (Ch 25):** A dedicated section for partners/parents on burnout prevention, crisis resources, and emotional support ### Volume 2: Long-Term & International (Chapters 26–42) * **Life After:** Documenting the journey, physical recovery, sex/relationships, and long-term thriving * **International Access:** Frameworks for care abroad and country-specific guides (12 countries) ### Appendices & Tools Includes 17 practical appendices: * 9-Week Surgery Sprint Plan * Caregiver Quick Reference Card * International Packing List * Insurance Appeal Template * Medication & Recovery Trackers --- ## High-Value Asset: WPATH Templates > [!TIP] 8 SOC-8 Compliant WPATH Therapy Letter Templates > **The Pain Point:** Many therapists want to help but don't know the specific language insurance companies require, leading to rejections and delays. > **The Fix:** These templates provide the clinical language and specific justifications required, ensuring the letter is done right the first time. --- ## About the Author: Axl Ibiza ![[Gemini_Generated_Image_x9k1hx9k1hx9k1hx.png]] * **Handle:** `@borgpup` * **Procedure:** Underwent Nulloplasty (Aug 2024) at The Crane Center. * **Credentials:** MBA in Finance; BA with Comprehensive Honors (UW-Madison). * **Experience:** Founder of `bottomsurgery.info`, community infrastructure builder, and former professional culinarian. > [!QUOTE] The "Insider" Perspective > "Surgeons can tell you what they do. They cannot tell you what it's like to be operated on... This book comes from someone who has lived with dysphoria for decades and actually underwent surgery and recovery." --- ## Who This Book is For **Primary:** * Trans/Nonbinary folks considering or preparing for surgery * Those specifically seeking **Nulloplasty** **Allies & Support Network:** * **Partners/Spouses:** To understand the timeline and emotional toll * **Caregivers:** Specific "How-to" guide (Chapter 25 + Appendix D) * **Therapists:** For the WPATH templates and client insight --- > [!SUCCESS] Get the Book > **Cost:** $49.00 USD > **Format:** Digital (PDF/E-book) > **Includes:** 40 Chapters, 1,093 Pages, 17 Appendices, WPATH Templates ## [Get your copy today — $49 →](https://borgpup.gumroad.com/l/tyslr) --- > [!tip] Related Pages > - [[Borgpup Pre-Op Nullo Q&A]] — candid Q&A before my nulloplasty > - [[Borgpup 2024 Nulloplasty Journey]] — day-by-day recovery documentation > - [[Borgpup 1-Year Post-Op Nullo Q&A]] — one year living as a nullo > - [[How to Prepare for Gender Affirming Surgery]] — free pre-op preparation checklist > - [[Global Resource Directory]] — providers and funding across 10+ countries