1. Reversal is possible, but it is never a simple “undo.”
Several people report that surgeons can remove the constructed phallus and take down the new urethral route, yet every step carries fresh risk. One woman who had stopped her abdominal-phalloplasty midway says her urologist at Massachusetts General Hospital will “re-open the area and reverse the urethral lengthening, and come together with a plastic surgeon to remove the phallus,” but the surgeon’s own worry is “if everything is going to work properly.” “She can do it,” the patient adds, “but the only concern she has is if everything is going to work properly.” – ThatGirlChyna source [citation:b2ccac51-33e9-4266-8fec-53444f62a3ae] In other words, the operation is technically feasible, yet continence, scarring, and repeated surgeries are part of the bargain.

2. Each extra stage that has already been completed—especially scrotoplasty—makes later repair harder.
If the labia have been sewn together to form a scrotum and implants have been inserted, the tissue is stretched, scarred, and sometimes permanently numbed. One detransitioned woman describes “rocks” sewn into her labia, followed by rejection, emergency removal, and lifelong suture pain: “The sutures from that removal—over 10 years ago—are still inside of my labia. They cause me daily pain.” – nwtae source [citation:60aee085-7240-464f-8032-1f244c780ca6] Reversing that means re-opening scarred tissue with no guarantee of restoring comfortable anatomy.

3. Urological problems can follow you for life.
Rerouting the urethra once is demanding; rerouting it a second time can leave strictures, dribbling, or the need for more catheters. A detrans man warns: “Your urethra will again have to be rerouted and will potentially give you more urological problems… It’s a mess whichever way you go after SRS has taken place.” – Silhouetofandrogyne source [citation:0517c1f1-19bc-46a1-83d2-513e7c99e895] Normal urination may return, or it may not; infections and incontinence are real possibilities.

4. Some losses are irreversible—ovaries, sensation, and un-scarred skin.
Even if the phallus is removed, the graft site on the forearm or thigh remains, and if the ovaries were taken during a hysterectomy, the body no longer makes its own estrogen. “The ovaries are gone and cannot be replaced… You need hormone replacement for life.” – TheDorkyDane source [citation:72371f6e-47ad-41e9-9356-b6be1ca19ebb] Nerve damage can dull or erase sexual feeling, and no surgery can re-create what was removed.

5. Only a handful of surgeons are willing to attempt reconstruction, and insurance hurdles are huge.
Most teams that perform gender-affirming procedures do not advertise reversal; patients piece together names on their own. The specialist most often mentioned is Dr. Miroslav Djordjevic in New York, yet even he requires letters, travel funds, and proof that multiple disciplines have signed off. Meanwhile, securing coverage for “non-standard” repair can take years. “I’m currently jumping through hoops with insurance to get back to my surgeon for a consult.” – Antiquatedfish source [citation:9a4f1e8d-b12d-4766-936f-f4ca17534280]

Conclusion
The stories show that phalloplasty can be dismantled, but every additional step—urethral lengthening, scrotoplasty, hysterectomy—adds another layer of difficulty, pain, and permanence. Understanding these realities before any irreversible surgery is part of protecting your body and your future. If you are struggling with discomfort around your sex, know that psychological support, community, and plain old gender non-conformity (living exactly as you are without medical alteration) can ease distress without putting urinary function, sexual sensation, or lifelong hormone balance on the line. Your body is not a problem to be carved until it fits a role; it is already yours, worthy of care, conversation, and creative, non-medical paths to peace.