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Three and a half years!

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Fishing vessel at sunset

Fishing vessel at sunset

Wow, it’s hard to believe all this time has passed by and here I am, a woman, living next to the ocean in beautiful Oregon.  Just now, watching a gorgeous sunset, strips of thin clouds floating across the ocean from the north, fishing vessel out in front and I occasionally hear a sea lion barking!  It’s starting to get dim so my living room lights just came on.  Perhaps I’ll light a fire tonight.

I’ll cover some recent events and then talk about transition:

I had a chance to go back to Maui.  I was excited but also a little, well, scared.  I was worried about being in and among all the memories and places Lisa and I enjoyed and then the vary hard and sad years that I was there after she passed away.  It’s still very hard when I write about this.

Sifan Anniversary

Anniversary Remembrance

The people that owned the ohana where Lisa and I lived for seven years (an ohana is  a small house on the same property as the main house – meant for mother-in-laws – but usually rented out).  They asked me to house sit for them as they went on a three week vacation.  So, basically, I was right above the house where Lisa and I lived – all those memories…

It was hard.  But also beautiful and a celebration of the love we have.  When I had time, I visited a long list of places that were very special to both of us and places that hold special significance for me.

And – well, I worked almost 60 hours each week I was there, it rained all the time except for perhaps 2 days (got down to the beach on one of those days!) and the heat and humidity conspired to keep me awake most of the nights!  Wow, I don’t think I ever had this bad of weather the 8 years I lived there!

I came back with an appreciation for Oregon and where I now live.  This confirmed for me that I had indeed made the right decision.  I love Maui and it will always be in my heart, as well as the people and culture there.  I feel that it is a huge part of me and I feel as I’m a part of there.  It was interesting being and feeling both as a tourist and as a kama’aina (local)!  More than anywhere else that I have lived, Maui feels more like that was home, like the home where one grew up.

Lately, I’ve been spending a lot of time building out a remote observatory.  I have been creating instruments to control the telescope, automate tracking, acquisition and camera, plus dome control and environmental monitoring.  Lots of fun actually.  This brings together a lot of skills and talents I’ve honed throughout my entire life.  I will be using this for teaching and for astronomy clubs in this area.  And, of course, for my enjoyment.

And at last, friends from Maui are starting to take trips out this way and have stopped in to see me.  I’m always overjoyed to have them over.  This is a beautiful place and I love sharing it and showing people around this awesome area!

I’m not sure if I had mentioned this before – I’m at the end of a cul-d-sac and the houses on each side of me are owned by single women.  Together we’ll go out to events, have each other over, cook special treats for each other and help one another with projects  or whatever.  For me, this is part of what it means to be a woman.  This is not at all the same for men.

A while ago, I started a post about ‘The Secret Women’s Club” or perhaps “The Secret Smile”.  I never finished it, but perhaps I could put the just of it here as that last paragraph really touches on that:

This probably has a lot more to do with our patriarchal society than anything else.  As a woman, when I first came out (or more precisely, when I ‘passed’ well enough…), I would notice that other woman would smile at me.  Mind you, it is dangerous and misleading if as a woman you smiled at a random man passing by…  But I’ve notice that most women will do this with other women – all the time.  I think there are at least of couple of reasons for this.  One is, of course, there is a level of safety when one women smiles at another.  But there is also a sort of  we’re in the together type of thing, or “I understand and am with you”.

There is ‘gifting’.  We will make little things for each other.  No strings attached (unless they are tied in a bow of course)!  Or cook or bake and bring a piece over to our women friends to share.  There is no expectation of reciprocity either.  I have received tops, blouses, skirts, jewelry, pies, cakes, meals, little presents and on and on.  And I have given the same as well (just made a German chocolate cake with lots of icing and distributed that around my neighbors…).

A while ago, I was reading a book written by another transitioned MtF that also mentioned this.  I was elated to see someone else had noticed this as well.  She also mentioned the levels of friendship women have.  She mentioned three levels, the casual, the good friend and the one or two girlfriends that you can call at 3am when you need to!

Then there is ‘girl’ talk!  I’ve been trying hard to stay away from comparisons but in this case I have to:  men will discuss sports, or other competitive adventures, tell stories, each ‘upping’ the other for best/worst/most dangerous/most stupid etc.  If one sits back and listens, you can see the one ups’men’ship at play – always competitive.  Now, yes, of course, this is a generalization – women do this too.  But much more often, women have deeper, serious and ‘level’ conversations and about topics that concern us, as women (that includes style, shopping etc).  No wonder we always group together apart from the men!  I have to chuckle each time a women friend has told her husband or male friend to:  a) go get a drink, b) how’s the game doing, c)  aren’t the guys calling you or when all else fails d) please go back in and leave us alone!!

I’m sure there’s many other examples, these are the ones I had in my draft post.  Ah, now I can remove that draft!

For me this is wonderful, as this expresses who I am, what I feel and before transition had wished that I could express myself as.  I suppose in one way, this is yet another affirmation of who I am and that progressing through transition was exactly the best thing I ever did (apart from being with Lisa of course!).

(Interjection:  wheeee, the house just shook – a huge ‘sneaker’ wave just crashed into the shore… wow!)

Enough of my current situation and thoughts – on with transition and ‘where I am’/’what’s going on lately’ type of thing…   Once again, this could be TMI and is personal.  I’m putting this here for those that follow so you can see at least one person’s journey.  Like they say:  your mileage may vary …

As mentioned previously, everything has pretty much stabilized, probably around 1.5 to 2 years after surgery, physiologically.  For those of you that are within those two years – trust me – it actually does get better (that is so hard to believe when you are going through those first years).  Physiologically, we are equivalent to a woman that has had a hysterectomy: we need to take estrogen, etc.  After about 1.5 years, your body just falls right into that rhythm – it is absolutely amazing what hormones do and the effect they have on a body.  They really do switch the body over, and not just external features, but a lot more.

I never thought my male face would ever come close to passing – this was a huge concern of mine and was a cause of a lot of dysphoria for me (one of many …).  I’ve had years of electrolysis (there are less hairs on my face than most women have!).  This helped, of course, but it was the estrogen that built up a (hate to say this) ‘fat’ layer under the skin.  This makes the face, arms, legs (everything) much softer and more feminine.  I can’t believe the before pictures of me compared to how I look now.  I also can’t believe how soft my skin is now – and omg, after a massage and spa treatment – wheeee!!

Just after my transition, there was a lot of talk among our group of sisters (those that went through surgery at the same time), about cycles, being moist and where sensations were located.  You have to remember, these were new bodies for us and we were in a leaning curve!  At the same time estrogen was reacting with our new parts and making itself at home.  So things were changing over time.  That’s one reason they say this takes a year or two for everything to settle down.  That’s pretty amazing considering it takes a natal women (or man) roughly 14 years to do that same …

I had just switched doctors to one that was much closer to where I live.  She believes in connections and cycles and nature – and I’m grateful to have found her.  But I was still surprised when she recommended that I get a ‘period tracker’ app for my phone!  I had been noticing that periodically I will put on (extra) weight for half a week or so (bloating actually), then suddenly one day I’m sitting urinating almost every 45 mins – and we’re talking a lot of volume each time.  This is through the night as well – ugh.  Well when I was at the doctors this last time, I had to use the restroom twice and I explained to her that this happens every so often, repeating slightly less than a months time.  So she suggested the tracker.  After a few months I’ll report what I find.  I know some other sisters have experienced this too but I’m not sure how prevalent this is.

Something else we had talked about back then within that 1 year post transition time – some sisters would be moist there.  Now, natal women are naturally moist there (mostly), this is a way it has of keeping itself clean and it’s environment stable.  But we don’t have those same glans.  Yet a number of sisters report that they are moist.  Well, I wasn’t then but am now.  I wear liners all  the time.  It’s not much but it’s there.  My own thoughts on this are that is takes time for estrogen to ‘link up’ with what ever we have that is available it to and it does it’s job like it is supposed to.

Perhaps this is why my endocrinologist wants me to stay on a higher dose of estrogen.  There are probably a number of other things that takes time to re-align and a high dose facilitates that.  My previous doctor reduced my dosage due to a high level from one of the blood tests.  Back on Maui, when I had a high level and was concerned, my endo said not to worry, it spikes and will level out.  Well, now with my new doctor, I’m back on my normal dose.  Which is good, because I was starting to have hot flashes etc.  Now things are back to my normal!  We are all different, but I’m at .2mg/day using estradiol patches.  My levels of estrogen are around 250 for comparison.

One of the hard parts for me is weight – ugh.  So easy to put on and as a woman – sooooo very hard to take off.  I’ve been struggling to lose weight for almost a year and instead I’ve gained about 10 pounds.  I’m eating ok, but I need to get out and do a lot more exercise.  Wow, it is a lot harder to lose weight as a female!

Well, that’s the physiological side of things, now the sociological and psychological aspects.

I don’t think it’s humanly possible for a trans*person to not think about passing.  Lots of advice about be yourself, it is you that matters not what others think, and on and on.  Heck, we say  this to each other and to ourselves.  And try hard to not think about it or let it bother us.  Who are we kidding ….  Nice as a pep talk but then there is that good ‘ol reality thingie sitting right up in front!  Ok, obsessing is bad, agree.  Letting it get to you is not good ether.

Humm, right about here I should explain my thoughts regarding transgender vs transsexual:  I still make a difference between those two even though no one uses or likes the term ‘transsexual’ anymore because of it’s past connotations.  This has a baring on passing.

The term transgender, is a very broad term encompassing many things – but basically it’s anyone who is ‘in the middle’ gender-wise.  Passing doesn’t matter, most don’t want to pass, they are who they are – some a mixture, some neither, some nothing and some definitely not male nor female – a huge spectrum!

Transsexual (note, the bad press this gets is due to the three letter word in the middle, most taking that as the ‘verb’ – but it’s actually the noun – as in what sex are you) – does not really fit inside the broad strokes of transgender – transsexual is someone born one sex but is the complete opposite – not middle by a long shot.  We are the ones that need and go through surgery.  I don’t see myself as a mixture of male and female, one day maybe more of one than the other, any more than most natal male/females do.  I’m female, not androgenous nor male.  Passing matters!

Obsessing and letting it get to you are bad – agree.  But, you know, dressing right, posture correct, voice check, hair put up nicely – for me these are important.  To a lot of women, it is also routine (well maybe not the voice check…).  This is the sociological aspect, I want to be seen and accepted as who I am – a woman.  When I carry out conversations, I want those to be interpreted as coming from a woman and responded to in kind.  (I think I wrote an entire post about this already – having spent time in a virtual world as a female avatar before starting this long road to transition, I had noticed this huge difference in how we converse – this showed me my natural way of conversing and set me on my path – or more correct – showed me my path).

One other thing to mention:  I will sometimes get this certain feeling when I’m in a store or restaurant or group of people, I’ll be concerned whether I’m ‘passing’ or not, or perhaps just an un-comfortableness.  I will usually excuse myself and leave.  Just recently someone was badly beaten up in Portland.  Then another incident down south in the Willamette valley.  To a certain extent, I think it’s important to be concerned about how we look and ‘passing’.  I think there is a healthy side to this.  This is similar to what a lot of natal women experience as well, regarding how they dress and how they are seen.

Ouch, this was longer than expected.  My apologies.

With much aloha,



Back in Touch …


Snow on the Coast

Oh boy it’s been a long time since I posted and a lot has happened.  I’ll attempt to fill in the gaps and then cover updates to my transition.

In December I moved from Maui to my new home on the Oregon coast.  I’m semi-retired, working remotely from here.  I spent half of December packing up a shipping container and the other half traveling over but also spending time with my family in Minnesota.  The first part of January was spent moving the contents of the container to my home on the coast and then starting the process of unpacking.  My ex-spouse (1st marriage) came over to Maui to help and is staying here for a number of weeks helping me sort through and setup my home here.  She is also giving me moral support in this very difficult time.


Big waves take out the living room window

My kealoha Lisa, passed away 22 months ago and I am still in very deep grief.  Leaving Maui was difficult but leaving all the places and memories of the life we have spent together was infinitely more painful.   As they say, severe grief comes in waves – that is very true.  The more intense the love shared – the greater the grief experienced.  The worst thing one can do is try to suppress or try to ‘get over it’.  There is no such thing as getting over it – it’s for the rest of one’s life.  All that can be done is to learn how to live with this new reality.

I’ve eluded to this in past posts, I feel Lisa’s presence strongly.  She has always ‘been there’ for me when I needed her or called to her for help.  One example was when I was out to eat with her brother and his wife.  There were these beautiful flowers on the table, ones that Lisa knew and had on our lanai.  But I couldn’t remember it’s name.  I asked Lisa for help and within seconds the flower’s name came to me.  This has happened many times since.  There are also times when I felt a physical presence, tap on shoulder, bed depressing behind me as she would sit down on the side of the bed, and the list goes on.

I have documented a lot of these and have promised to write a post here about those.  That is yet to come.  Lisa wrote a book on spiritual awakening which is now ready for publishing.  More on that in another post.

I am very fortunate that my ex-spouse and I are on such wonderful terms.  As she puts it, now that I’m a woman, she sees me as one of her best girl friends.  At first she could not understand what had happened to us or during that time how different and changed I was.  At that time – nether did I.  Back then, I did not know that I was beginning the process of peeling back the layers and the woman inside me was struggling to get out as the testosterone in me fought to keep in control.  The result was messy and led to our divorce.  It wasn’t until nearly 4 years later that I even knew what transgender was and that I was one.  My ex-spouse (and myself) were very confused by this change that seemingly came out of nowhere.

When I finally figured out what/who I was, she and many others questioned  this, as they had not seen any signs of this in all my years with them.  Now, most everyone sees my gender in my past years.  My ex now realizes (as did Lisa) that they had fallen in love with me precisely because of my female gender – I was not (as they both have said) a ‘regular’ male – I was more sensitive, caring and ‘not chauvinistic’ like all the other men.

But at that time, when the internal wars began, this was not obvious.  Lisa had terrible trauma when she was a very young child.  This lasted her entire life time and it was only in the last year or so of her life that she was able to recognize this and to understand the great influence this had on her life and the great grief she carried.  Lisa was the first to point out that I too had something deeply buried.  And indeed, I had.

The greater the trauma, the deeper it is buried and the greater the internal protections become in order for one to both cope with similar situations but also to avoid those situations entirely.  In my case that created a powerful male layer that denied my gender in all ways possible, my true identity.  When I was very young, I knew I was a woman.  After this trauma, all that was deeply buried.  That layer then sought out to ‘prove’ in all ways possible, my maleness – like climbing, being a leader, getting married and having children and the list goes on.  Yes, I know that climbing, being a leader, starting a company etc. are not related to gender – however, 50 to 60 years ago – it was.

Being a woman and also being ‘under the influence’ of testosterone led to some very difficult situations in my past years, pre-transition.  But it really started to come to a head in the last years with my ex, before I met Lisa.  It takes a lot to  break a lifetime of testosterone based ‘protection’.  There was so much disphoria: the internal conflict between hormone directed actions and my feminine being.  This is all in hindsight – and was very confusing at that time.

Lisa was awesome in her acceptance of me and in her guidance and help.  She had difficulties with this.  She wrote about this in a previous post.  But despite that, she was a great ally and gave total support.  This is yet another reason I miss her so very much.

Update to my transition:

I was taking Divigel, which is a topological drug – daily I would empty two packets of this gel on my upper legs and rub that in.  The drug plan that I was on, changed their formulary, making this very expense (it went from $17/mo to about $75/mo).  Worse, for medicare plans, this was almost $250/mo!  I talked with my endocrinologist and was changed over to the Estrogen patch instead.  This costs me $11 for three months worth!!  What a difference.  I had blood tests done after I was on the patches for a bit and my levels have stayed about the same.  Even better, I put two patches on, twice a week.  So there is no longer a nightly routine of applying Divigel.  All I do now is change patches on Monday and Thursday.  So much better and easier.  I have yet to find a doctor here – I have 2 months of patches left, so that gives me a little time to find the right doctor.  But having to find someone who is trans* friendly is a bit daunting.

My final doctors visit on Maui turned out great, but sad.  I will miss them a lot.  Those were wonderful people.  I had a thorough exam: she said “wow, you have a good looking vagina”!  Everything ‘down there’ is looking good and in proper order.  Basically at the hormone levels that I’m at, I’m equivalent to a pre-menopausal woman that has had a hysterectomy.  I need to take estrogen for the rest of my life.  If I don’t or if I lapse, I will go into menopause (hot flashes and all) until I get back on and stabilize.  Menopause for the rest of my life is not a good thing…  I had a taste of that before my SRS – I had to go off all medications for a month before.

I still wear liners.  I find that, like many pre-menopausal woman, I have a slight discharge from the upper area.  Wearing liners just keeps things cleaner (and less washing…).  I do ‘get wet’ there when aroused.  From what  I understand from the doctors and research, SRS does not put reconstruct the female glans that allow for those discharges.  However, many of the trans*women that I know, also secret normally during the month but especially if aroused.  I’m happy I’m one of them!

My breasts are perhaps a tab larger than before, so even 3 and 1/2 years after starting estrogen, they are still growing, although just slightly.  Lately they are very firm as well.

And oh yes – once a female, if you put on weight, it is very very difficult to get off.  Even with all this moving and exercise and not eating much (well until the holidays came around) I hardly lost any weight.  Since the holidays, I’ve gained about 6 pounds which I’m now trying to lose.  I have a long way to go to get back to my SRS weight, but that is my goal.

Large hands and feet, broad shoulders, muscular arms etc. do not bother me – no disphoria there.  However, my face is another story.   I’m not sure what to do about it.  I have a high hair line and I wear bangs.  But I have to comb hair from past the middle of the top forward in order to cover it.  When it’s blowing etc, this tends to move the hair of the bangs to one side exposing a very high hairline on the other side.  Having a good trim and style is very important.  Since the move, I have not been able to get one – but I’m scheduled for next week.  I’m hoping that will help with this.

And as for that other very important aspect of being trans* – getting ‘clocked’.  So far nothing obvious has happened.  No one has mis-gendered me.  However, there were some places where I just felt very uneasy.  Whether or not people were looking or mis-gendering me, I had these feelings.  I have learned, now that I have transitioned, to respect these feelings.  So in these situations, I will graciously extract myself.

I just finished writing another post, this one talking about what are we post transition: woman or trans-woman.  Have a look.

Now that I’m starting to settle in this new life, I’m hoping to post here more often.  Mahalo to everyone that is following these posts.

With much Aloha,



Post transition: Woman or Trans-Woman

transgenderWhen is one finished transitioning?  Or for a more controversial topic – when is one a ‘woman’ and no longer a ‘trans-woman’?  This is a difficult question, one with heated disagreement on both sides of the answer.  First off, for me, I do not consider myself a transgender.  That term is very broad and in my opinion describes persons that are non-binary, somewhere in the middle between man and woman.  I’m a transsexual, someone who ‘is’ binary, just the opposite from the obvious birth characteristics.

There are problems with all of this.  For example, no one is completely a man or a woman, everyone has a bit of both.  Technically there is no binary gender system at all:  everyone is transgender!  Second, the word ‘transsexual’ has a lot of bad connotations to it – mostly because of the word ‘sex’ in it.  However, this is the noun ‘sex’ not the verb – something lost on most people … (eg noun as in what ‘gender’ you are, not verb as in having sex).  Because of this, I’m very hesitant to use that word and will use transgender when I’m discussing this with someone.

For a transsexual then, most of us (but not everyone) are driven to correct our situation (SRS surgery, hormones, etc).  Our goal is to become or actualize our correct gender, which is opposite (binary) from our designated birth ‘sex’.  (I’m very carefully stating this:  I was always a woman, but was ‘designated’ male, by someone ‘else’ when I was born).  None the less, having the wrong external sex characteristics and wrong hormones coursing in my veins caused great internal stress (disphoria).  So for me (and others) it was very important to become or actualize who we really are.

Here’s the dilemma:  as a transsexual, once I am past transition, I’m a woman – that’s what this transition was all about.  At the same time, I’m part of the ‘transgender’ community and today especially, it’s very important to not only stay connected but also to support and further that cause.

That’s the crux of the matter:  a lot of people have very strong opinions both ways:  one is always trans* and once transitioned, one is now fully their target sex (they were always their target gender).

And yes, for the cis-women in the world – I/we will never be that.  I don’t have the same life experiences as you.  However, do not discount that too quickly.  I grew up as a woman inside.  As a result I suffered very similar social injustice and prejudices and as a child suffered severe trauma.  Not the same, but a similar very rocky road.  Additionally, I had many confusing situations where I was either completely misunderstood or could not believe how the other boys/men around me acted.  In other times, I could not believe what my testosterone driven body was doing or feeling – which was completely opposite of what and who I was.  This is disphoria.

For me personally, I’m someplace in the middle.  I am a woman, I have been since before I was born.  I consider myself fully transitioned – I am now a female (sex) woman (gender).  At the same time, I am trans*:  I went through my transition and am here to support and help others.

However, I will not expose or openly declare my trans* status.  It is too risky in this day and age (still) and it can be deadly.  Also, I am a woman and want to fully engage in society as such.  In a trusted environment, in appropriate places, I will engage openly as a trans*woman.

Others are fighters, willing to push the frontiers.  We all need to respect each others limits and capabilities.

With much Aloha,


23 Months Post Op


Address the Maui Pride remembrance for Orlando

Wow, a lot has happened since my last post and the continuing grief and loss I have over losing my Keahola (beloved) Lisa.  I haven’t written about my transition for such a long time, mostly because Lisa’s passing has completely overwhelmed everything else in my life.  Perhaps that is good, as it seems a lot of the worry I had before about transition had been replaced by this loss and my thoughts about transition seem to have simply vanished.

At this point in my transition (is it still a transition?) everything for me, being a women that is, is very much normal and almost taken for granted.  I used the word ‘almost’ because I can never take this for granted after all I’ve gone through – what I mean is that daily activity as a woman is not questioned by me nor looked at with this “oh wow – I’ve made it” type of wonderment.  Back in 2013 I wrote a post about wanting to feel ‘nothing‘ – meaning everything is seen, felt and communicated – gender wise – correctly and not with extensive disphoria.  That is where I am today.

There are occasional disphoric moments, for example, seeing a reflection of myself when my hair is blown back and my face seemingly looking too masculine or interpreting a look from someone as evidence I’m not “passing”.  These are rare and for the most part I now walk through life with the assumption that everyone’s first impression of me is as a female.  In other words, I have a confidence now.  In situations where there are people that know that I’m a trans-woman, I have no issue being open and sharing, as long as they respect me ‘as a woman’!  And that is the norm – yayayayay!

The picture I chose above is when I addressed a gathering of over 300 people in remembrance of the shootings in Orlando at an LGBT* nightclub.  This was put together by the Maui Pride organization which I was elected to as a board member.  Just one of the things I’ve been doing since Lisa passed away.  And, a biggie for me, I was accepted into a Womyn’s group.  Another was being inducted into the service organization of the Rotary.  In all of these I am out and known as a trans*woman and accepted as a woman.

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Supporting Jaysen as he recites his poem.

I also have the opportunity to help a teenage youth, FtM, gain confidence as he transitions.  I’ve given him a tour of the summit observatories and did some stargazing while we were up there.  It’s so very rewarding to watch him gain confidence in himself and move forward in life.  He was a co-speaker at remembrance for Orlando as well.  As he started to read the poem he wrote especially for this event, he had a hard time getting started – so I went around and came up behind him and placed my had on his shoulder.  That was all he needed and his confidence was back!  He is now engaged in a lot of activities on the Island and is becoming known as the youth spokesperson for Trans*.  This is so awesome.  I’m very proud of him and honored to have been able to be a part.

Both of us were on a radio talk show here on Maui to discuss being trans, some of the misconceptions, and generally more information about trans* to help set the record straight.  It’s an hour long but I think very good.  Suzanne (the host) did a great job of asking the right questions.  At one point even I did mix up the  terms, placing sexual orientation words in a statement I was making about non-binary gender identity.  So embarrassing especially after just talking about sexual orientation is completely different from gender identity!  I know it’s long but please have a listen to the entire recorded show here on my YouTube site.  My mic was quite soft so you might need to turn up the volume to hear what I had to say.

I have been able to do so much and come so far, but all of this has been possible because Lisa had passed away.  I would not have gone out and got involved if Lisa was still alive.  I would have continued as we were, together, in love and always in each others company.  This troubles me a lot and is another source of terrible grief.  I remember Lisa telling me how badly she grieved after her brother died.  Lisa was the estate executor and she would say over and over again how she would rather have him be alive then have part of his estate.  I am now in the same situation, I have accomplished so much in the last 15 months since she passed away.  I would much rather have her alive and the two of us quietly sitting at home, together, enjoying life than everything I’ve accomplished since.  It’s painful.  I knew from the first day after she passed away that I had to get out there and be a part of everything I could:  Maui Pride, Hiking Groups, Maui Adventures, Womyn’s groups, Sunday brunch groups, Rotary and the list goes on.


Giving a tour and stargazing at the summit of Haleakala

Lisa wanted to retire back to Oregon the second I turned 66 – my full retirement age.  We had even put an offer on a house and had it accepted.  We were waiting for the inspection report before finalizing – and that is when she passed away.  The day she passed away I had to call and cancel that offer.  I have now come full circle – I have just purchased a home on the beach in Oregon – a huge dream of hers (and mine).  I will be retiring there on the 1st of Jan, 2017.  During the first two weeks that I stayed in the new home, I could feel Lisa’s presence in the chair next to me.  I could feel her happiness.  I can’t tell you how happy I am to have felt that and her acceptance of this home.  The irony is, she would not have purchased this when she was alive due to her bad knees, but she would have enjoyed this immensely in our retirement.

Back to transition ….

Once again a caveat … this is meant for those that are following me in transition, others may consider some of what comes next as TMI (too much information).  You have been warned!

Most everything has stabilized.  It is very hard to lose weight and so very easy to gain it.  This is very different from before hormones.  As a result, I’m up about 10 pounds from when I had my surgery.  My breasts have grown perhaps just a little, my aoreolas are more pronounced and I definitely need to either wear a bra or ‘peddles’ to conceal my nipples under a top.  I would also say I have some curves in the right places that I didn’t have before.

I still wear liners.  For one, panties go a lot longer.  I have a slight continuous discharge, not from the vagina but from the upper areas close to the clitoris.  My doctor told me that was normal for a lot of woman and due to estrogen.  This slight wetness keeps everything clean and healthy.  When I shower I don’t use soap there:  I rinse thoroughly with water under the shower, making sure to get into all the folds (after surgery for a number of months I used soap).   At first I had the ‘cheesies’:  deep in some of the folds a yellowish cheesie deposit would form and this did not smell very nice.  Again my doctor found and showed me where and how to clean.  This has not happened for quite a while now.

I still do not like to wear jeans or anything tight down there, but I am able to tolerate that longer now.  However, if I take a long arduous hike, etc., I’ll notice that it will be tender and sometimes sore.  Once my liner had a slightly pink color – so something bleed a little.  That was after a pretty hard long hike in the mountains here.  A few months after my surgery I had what felt like a bowling ball directly under my clitoris – very hard and sore.  It was only after that went away (shrunk and then disappeared) that I was able to sit without using a cushion.  Well, once after a difficult all day hike wearing tight jeans, this came back – maybe only marble size, but in the same place and with the same soreness and tenderness.  It went away withing 24 hours, but I thought that was noteworthy as it was almost the same thing.

And orgasms ….  I have not had any ‘over-the-top’ knock down, blows one’s mind out orgasm (yet).  I will have these mini-orgasms that will peak but will go away quickly.  These are full body and wonderful, but very short and perhaps not so intense.  One of my problems might be that when they happen, my mind kicks in with ‘oh wow’ and then ‘keep going’ – all distracting from the event itself.  Others that have transitioned the same time as me have figured it out and others still have not even had one, just like in the normal female population.  I consider myself fortunate to be able to have this.  Plus I think I’m placing too much pressure and ‘thought’ behind it.  I have to learn how to let go even more.  I really wish I had a partner in times like this ….  I remember how totally awesome it was for Lisa.

I have noticed that I have synchronized with the other women in the office.  For about a week each month, I bloat up only to loss all the water weight all at once over a 16 hour period – using the restroom as often as every 45 mins or so, with a large volume each time.

It’s just before this week that I have any inclination or wish for stimulation (what a huge difference from being a male!!).  I am really grateful for that actually.  As a male, testosterone imparted this almost constant drive that I hated.  As a women, I knew that was not part of me and I hated how that had effected me.  This is another one of the many parts of disphoria – a disconnect between one’s self and one’s body.

Dilation is not a problem at all any more.  I dilate once a week, but there have been times when I missed – and had no problem the next time.  I know others that can not miss a week without having trouble getting to depth or having tightness.  I’m lucky.  There was a discussion within the forums about switching to using a dildo or vibrator of the same width and depth instead of the lucite dilator.  So, well, I bought one!  It certainly makes dilation a lot easier!  But it’s not as rigid as the dilator, so I alternate to make sure I keep the depth and width.

After I had my surgery and the doctor removed the packing, he inserted the dilator and showed me the initial depth – it was 6.5 inches.  However, every time after that when I dilated, I measured 5.5 inches.  Now, in the last couple of months, I have reached the 6.5 inches!  So for me at least, I was able (after almost 2 years) to get back to my original depth.  Not that his matters – I don’t have a partner and even if I do find someone – a new partner would almost certainly be female.  But, as another trans*sister put it – you paid a lot of money/pain/effort for this …

Every now and then I wake up in the middle of the night and adjust the blanket – taking it off a bit because I got too hot only to put it back on later because I got too cold.  For a while I thought this was outside temperature changes (in Maui I have all the windows and the sliding door to the lanai open in my bedroom – Lisa and I both loved the fresh air).  But this was happening too often for this to be that.  It’s night sweats – mini hot flashes.  Cis women that I know that are post-menopausal have said that ya, they never really go away.  Not as intense, but still there.

I’m still having electrolysis.  The only part left is under my chin/neck and that is more than 1/2 way finished.  I do not shave above my jaw line at all any more – I only shave part of my neck.  That is a huge YAYAYAYAYAY!  I can not wait to have this completed.  I have electrolysis twice a week – 2 hours each time.  Since I’m moving to Oregon in Jan. I’m hoping to have this completed by then.

I also had electrolysis to remove the hairs on my back as well.  I didn’t have many, so that went pretty quickly.  Now, I’m having laser on my front and finally getting that under control.  I’ll have electrolysis on anything that is left on my front (just below the bikini line up to the neck).

In my experience, hormones did not have very much of an effect on my back and front hairs.  I had to shave/wax both all along (about twice a week).  However, the hormones did effect the leg and arm hair.  Mine are now much softer and much less.  I shave legs and arms perhaps once every three weeks to a month.  Just under my knee caps is the only place where it’s noticeable.

The heath provider from work just removed Divigel (estrogen – very very critical for me) from their formulations – meaning I no longer pay the $20 co-pay for it but now am charged $75 !!  What an increase!  I want to fight it, but omg what a mess that is.  In 5 months I retire and will get a medicare plan that will cover it.  I could just wait.  But I think I want to fight this – at least for others and those coming after me.  So we’ll see.  This will be difficult as there are so many other things that need to be done before I retire.  Messy ….

Well, there you go – finally got a post out!  I’ve learned not to promise when the next one will come – but I’ll try.  Things seem to be getting better now.

With much aloha,


Finality – A Year of Grief and Loss

A good friend of mine had lost her father and we discussed the finality of death and how hard it is to accept along with the grief and deep loss felt.  I thought I would post my reply here because this might help others.

My spouse, the most beautiful love I have ever shared, passed away a little more than a year ago now.  She was with me during my transition and during my operation.  So very supportive.  She passed away about 6 months after that operation.  This last year has been horrific in the pain of the loss and grief felt and accounts for the lack of posts on this blog site.  I know I’ve promised to write more here – enough so that I don’t dare promise anything except that I will try.  There are a lot of things I would like to write and I will.

Here is my response to the feelings of the finality when a person you love dearly passes:

Oh the finality …. I found there are two very distinct parts to that.  I spent 3 hours or so with Lisa’s body in the hospital after she was pronounced dead and before they came to pick her up (oh boy this is difficult to write…).  And then just before she was cremated I viewed her body for about 1/2 hour after which she was brought right to the back and cremated.  It was so hard leaving there, I walked backwards out the building looking at her the entire time until I could not anymore – my last sight of her physical-ness – ever.  Her brother was there with me and came rushing up to support me as I was stumbling and collapsing.

Even though this is so very hard to bring this memory back up – it ‘proved’ beyond a doubt that Lisa had passed – I knew from a visceral level that she was gone – no way to come back.  And that brought closure for me – in a way.
But then, more than a year later, I still grieve so intensely.  There seems to be another part of me that still battles that ‘finality’.  Some other aspect of myself.  From my experience it never goes away, instead I am just learning how to live again, how to get back my sense of purpose and enjoyment of life, but now living alone.  Everything seems ‘just under the surface’ and grief and loss strike at any time – still.  I have found that time helps with coping, but does not diminish the loss or grief and in a way the finality either.  Like you mentioned, we just learn to life like this now.
I do talk to Lisa all the time and in the first person.  I tell her about my day, ask her for help or guidance, etc.  I’m trying to learn how to live with her, together, but in this new ‘state’ of being or relationship.  That does help.
That was my response.  There is so much more about grieving and loss of a loved one to write about.  I will try…
Much Aloha,
(much tears)

Fullness and Freedom: Re-Embracing Form as the Expression of the Formless

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Fullness and Freedom: Re-Embracing Form as the Expression of the Formless

This is a great post dealing with awakening and what is sometimes called ‘Zen sickness’. It puts balance back into awareness and life.

Words from the Wind

By Adam J. Pearson


Welcome to the Now

What do you experience here and now? If there’s one thing you know beyond all doubt, it’s that right here, right now, you’re aware. A universe of colour, form, sound,  touch, fragrance, and taste is flowing through your consciousness, leaving no traces. Right here, right now, your formless awareness is filled with forms. Colours and shapes and sensations are dancing through this awake space that is aware of them here and now. The screen on which you read these words is glowing. A steady heartbeat thumps in your chest. Without you having to think about it, your chest rises and falls with the incoming and outgoing of your breath. In. Out. In. Out.

As you bring your attention into your inner body, you can feel a tingling sensations in your hands and feet, the aliveness within. You can feel the fabric of your clothes rubbing against your skin when…

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Memo to my Former Self (3 of 3: to my 58 yr old self)

This is the third in my series “Memos to my Former Self”.  The first was to my 7 year old self. The second was to my teenage self.  This one is a letter to my older self, when I was 58 and on the cusp of finding out my truth.

I recently read a book (“Letters For My Sisters, Transitional Wisdom in Retrospect. Published by Transgress Press”) compiled with stories that trans* people wrote to their younger selves.  They were asked “what would you say to your former self” and “to what age”?

Steph at 58 yrs old

Steph at 58 yrs old

Aloha Steph!  Yup, I’m from Hawaii.

I see you finally settled on being a professional instructor, traveled the world (many many times over).  Wow, very impressive.  You’ve accomplished a lot! I can’t begin to tell you how proud I am of what you have done with your life.

Oh yes, I know, lots of hard work and some catastrophes on the way.  Like being director of global technical training for 12 years and then having that company be acquired and the entire training division cut and you out of a job ….  But look, you got back in and are training again and are still traveling – although not internationally any more.  But lets face it you were gone overseas almost 1 week out of 5 and were getting really tired of that.

Boy, you sure have changed your name a lot.  As a young boy everyone called you Steven.  Then later in high school you were Steve.  When you were a director of training you proudly called yourself Stephen (Stefan).  And now your are going with Steph.  You will shortly find out why.  I know your most favorite name in the world is ‘Stephanie’.  I’ll come back to that.

Your two sons are married and they each have bought their own houses and have moved out.  Wow, who would have known that in this economic climate you would have had to have them live with you for so long, even after they were married.  You have given them a great start in life.

Steph about 50yrs old

Steph about 50yrs old

A lot has happened to you as of late: kids moving out, getting laid off from a job you held for 36 years, the agony of looking for a job for a half year and for the last 2 years you are back as a technical instructor. Add to this your wife’s depression and every night being on suicide watch is really putting a huge drain on you.  I know.  This is a hard part of your life.  You just want to be happy and enjoy life.  Hate to tell you this, it’s about to get worse.  In the next year you will lose almost everything …

You have reached a crossroads in life and you know it!  Well at least you have inklings of it at this point.  I know you have a lot of pressures on you right now, from many different sources and angles.  One of those is something your subconscious had buried long long ago – and now it’s coming back to consciousness.

 You know what I’m talking about – but you don’t know to what extent this will lead you.  You have just had a number of ‘interesting’ coincidences that are seeming to lead you into this.  At work for example, the owners wife came into your office, shut the door, and confided in you – things that she would only tell another close girlfriend.  You have also confided with your female co-instructor  that inside, you feel as a woman.

A couple of months ago, you were asked to go into SecondLife, a virtual world, create an avatar and investigate the feasibility of using that as a remote/distance training platform.  And what did you do?  You created a female avatar for yourself.  Yes, I know that your method, style and philosophy of training would best be matched this way.  The students experience would be congruent.

But what happened next was a surprise for you huh?  You found that being in as a woman was natural and a freeing experience, whereas, those times you were in as a male avatar, you found you were role playing and did not like that one bit.

You know all these things are leading up to something.  Even the sequence of your nicknames points to this.  You have recently had a couple of moments where you took time to think carefully about this and to mentally give yourself permission to continue.  You will look back on these times and call them “your bathtub moments”.

Steph, these are real.  You have had a trauma long ago when you were a small child.  This caused your subconscious to deeply bury this truth about yourself.  This was ok – it protected you and allowed you to achieve so much in your life.  That’s a good thing Steph!  However, that protection is not needed any longer.  You have raised your children, your wife is pushing you out and seems to need independence.  All these things are coming together that allow you to start to drop all the protections you have and start to see who you really are.

At this point you see yourself as a woman surrounded by and protected by this male called Steph.  You have even named the woman inside ‘Sifan’ after the name that was given you in Beijing which you also used as your  avatar name.  This is a good start.

Do yourself a favor – look up ‘transsexual’…  Read stories of those that have transitioned.  See therapists that are knowledgeable in this area.  This would save you a couple of years my friend!

Talk to your sister.  She understands you and will be a huge help to you.  Yes, I know you have already confided in her.  But continue, she will be such a huge help for you in the coming storm.

Be careful but look for and seek out support.  You will desperately need that – but be careful who you trust.  This can be dangerous.

I already mentioned that you are going to lose almost everything in this next year.  It’s a pretty bleak and dark storm.  But storms pass and this one will as well.  Some pretty awesome things lay ahead.  You get married again, you move to Hawaii and you find a job at an observatory – your life long ambition!

Most importantly, you will become your true authentic self.  Your deep secret will come to life and you will become – completely – who you deep down know you are:  a woman.

You see, I know – because I am that woman:  I AM SIFAN…

Sending you love and fortitude for the journey before you,

… your not so far in the future self:  Sifan

PS:  I kept our middle name as Stephenie  (yes, ‘en’ as a nod to us)

Womanly Prep Time

spiral clockA good friend of mine asked me how different it was being a woman – specifically regarding the time it takes to get ready or to perform normal everyday activities.  I thought I would share my answer.  Be warned, a paragraph below contains potential TMI (too much information), so feel free to skip this post.  I include this because these are some issues and topics that no one talks about concerning post SRS life.  If you are going through transition or considering SRS surgery, these are things you should know.  Not that it makes much difference, but I wish I knew this before hand – if just for the information, but also now after SRS, it is ‘comforting’ to know this is ‘normal’.  But you can only know that if you have close female friends that are open to discussing these issues.

A male throws water over his face and combs his hair once, wears the same clothes as last month with maybe a change of shirt to make it look different, although he doesn’t see why that matters.  He might use a hair dryer but only to ‘dry’ his hair and only if he’s in a hurry.  One pair of shoes is all he needs.  They only thing he will change often is underwear and socks!  5 to 10 mins max and he’s out of there!

There are two things that totally changed this for me:  being a woman, of course, and being post-opt.  Both have large time requirements.  And as far as sophistication, I’m probably equivalent to a late teenage girl (maybe I’m up to early 20’s by now…).  Now and then I’ll ask Lisa for advice on the colors I’m choosing or matching the style of clothing to the jewelry I would like to wear that day.  A hair dryer is for styling one’s hair – not for drying it – who would of thunk it!  Time is taken to make sure fingernails and toenails are trimmed and proper.  Body hair maintenance (not just facial, but legs, arms, chest, etc.) is a huge time component.  If I’m going to work or anywhere outside the house, time is spent on choosing the style and look I want that day – things like where I’m going, who I’ll see, casual (and exactly how casual) or business (and what business message I want to project) and what the weather is like, all go into that decision.  Thought goes into matching shoes, jewelry, outfit, purse and to a smaller extend hair style, lip stick and perhaps a small amount of makeup.

(TMI alert…) Being post-opt and having ‘womanly parts’ has brought an entirely new dimension to the time taken not just to get ready but also for mundane daily activities of which men just have no idea.  After suffering through that UTI (Urinary Track Infection), I am now about as paranoid as the most paranoid women I’ve known when it come to cleanliness, especially down there:  washing my hands before and after, washing down there, douching, even being careful with the shampoos, soaps and conditioners I use – making sure they are pH balanced and safe.  Case in point:  a guy usually only ‘wipes’ after a ‘#2’.  Not only do I wipe after everything, but it has to be the ‘down and back’ and never reuse type!  Also if the ‘spray’ was a bit to much (a common problem with a #1), then I pour water down there to get clean and prevent a rash.  A guy is concerned about cleanliness of basically one orifice (#2) – I have to be concerned about three.  Douching and maintaining a pH balance have been added to the list.

And on top of all of that – because I’m a post-opt SRS- for the rest of my life I will have to dilate.  Right now that is 3 times a day: 5 mins to set up, 15 mins dilation time, then douche and clean after – totals up to about 1/2 hour for each.  I do appreciate how fresh and clean I feel after.  But that’s another point: as a guy I never could understand when a woman talked about feeling fresh and clean – oh do I understand now.  As time goes on, dilation will reduce to a couple times a week.

Going to work?  Who has time to go to work????

Men just do not understand.  Before transition, I had an appreciation for the time a woman required to prepare, but it was nothing like the reality I now live.  My hope is for those that are starting this journey, that you gleam some information (and perhaps wisdom) from this, that is seldom discussed or disclosed (due to it’s TMI content).

With Aloha,


Surgery in Thailand – Part 4, Hotel


From my hospital room they wheeled me down to the waiting van carrying all my supplies and luggage, Lisa holding my hand on the way.  Now remember, it was only the day before that I was allowed up out of bed.  Sitting on anything – using the special seat cushion – was a new experience and not exactly a good one.  Trying to find a comfortable position was difficult.  Then shifting from the wheelchair into the van was another experience in patience and ‘logistics’.  Normally the trip between the hospital and the hotel was about 20 mins or so.  However, this time there was a lot of traffic and it took perhaps twice as long.  It was difficult just sitting, but then bouncing along on those not so good roads in heavy traffic, stopping and starting, bumps etc. – well, let’s just say I stayed in bed most of the rest of that day letting my new bottom recover!

27384a183062f9d63e8825a94be11dcbWe got settled back into our hotel room, put everything away and ordered some food in.  Later one of the clinic staff came in to help me get organized for and do my first dilation (see part 3 about dilation).  Everything had a place and everything was handy for doing my dilations.   Even still, I would forget something and had to ask Lisa to bring it to me (once I’m in position, it is hard to get up until I’m finished).  There were a number of ‘special’ features in these rooms that made it quite nice for trans* people recovering.  I have a feeling, since almost the entire 3rd and 7th floors are for us, that Dr. Suporn had a hand in specifying these.  For example, there was a fresh water (tap water was not drinkable) spray hose for rinsing our selves off after using the toilet.  It was important that it was ‘clean’ water and of course not cold!  All these little features really made my stay there comfortable and convenient.

a7e2a1e6c70d49f7dfb6eed4a957d18cThat evening we went down to eat at the hotels restaurant.  We had a wonderful Thai meal with delicious appetizers, some with the famous Thai peanut sauce.

This is also where we had breakfast with all the other transwomen each morning.  This was one of the most important parts of being here in Thailand at Dr. Suporn’s clinic – to be able to meet and becomes friends with so many others like myself.  All different, yet so much in common.  They came from all over the globe.  We formed a sisterhood that has kept going long after we left Thailand.  There is lots of support and shared knowledge between us.  We can ask advice and others will respond with how they handled the same issues.  When one of us is in pain or depressed or having a hard time – we all respond.  This is so awesome – what a community – what a sisterhood!

cbf2e12c0e68190a8f60ea31f6c67aeaThis is the main lobby of the hotel where we would wait for the clinic van to take pick us up.  A lot of times the ‘sisters’ would meet down here too and just have fun.  In the far corner was an ice cream vendor, plus wine and cakes.  I made use of that a few times.  Nothing like ice cream to ease recovery a bit!

Off to the other side was a door that led out to a small garden nestled between parts of the hotel.  Lisa and would take walks out there during the times I wore the catheter and could not leave the hotel.  This gave me a little exercise without over doing it.

0df80b9f88abd6ae148e05701abd0861On our floor (7th floor – the top floor) we had a wonderful little waiting area that had current magazines (mostly in Thai however), but also books (in English) and videos that we could borrow.  The window looked out over the bay and the ocean.  Lisa and I watched a few storms pass by from this window.  For those sisters staying on this floor, this was a nice place to meet, chat and just relax.  Since just about everyone on this floor was a patient – this sort of was our private little area.  The third floor also was for Dr. Suporn’s patients.  They had a similar area there too, but there was a patio outside they could go on.  Many of us would get something to eat or drink and bring it out there – pending on the heat and humidity and occasional thunderstorms.

We seldom have thunderstorms in Hawaii (almost never) so those were exciting.  Lisa and I would leave the curtains open at night during a storm just to watch and enjoy the storm.  Most days it was partly cloudy to overcast and hot and humid.  This was after the monsoon season so we only got an occasional storm.

20140918_193113This is the view out our window.  We were facing east and had the morning sun.  For me that felt great as Lisa liked to have our room cold – the sun streaming in warmed up that area of the room and I made use of that.  I would sit in the chair under the window, legs up on the bed, seat cushion under my and plenty of pillows around me.  I had either my computer or my tablet and would spend the time reading e-books or on-line.  Almost all of the sisters were on FB and we kept in touch that way, including making plans for diner or if someone could not get up – we would get them what they needed.

In this view you can see a giant Buddha over on the hill side and just below to the right is a huge Chinese temple complex, you can see the one large building with the orange double roof.  One day we say a powered hang glider flying around by the Bhudda!

The farthest away we got was to a 7/11 about 3 blocks down from us.  It was interesting trying to find what we needed as everything was in Thai.  Finally Lisa had to point to her bottom to ask where the liners and pads where!  Because of my complications I was not able to do much more than this.  Lisa however, was able to cross the main street and explore the mall on the other side.  There was a great pizza place over there and an ice cream place too.  I wish I could have gone!

One thing Lisa and I did do towards the end of our stay was to use the hotel’s car and driver and to the Central Plaza  – which is a HUGE mall they have there.  We arranged for them to pick us back up 1 hour later.  This place was really huge.  We wanted to buy some Thai souvenirs – but this mall was for them, not tourists – as a result everything in there was ‘western’ stuff – no traditional Thai nick knacks!  I was really sore after that trip.

The next post will cover the complications I suffered and at the time I’m writing this – I’m still not recovered from them.

With Aloha,



Surgery in Thailand – Part 1, Arrival and Hotel

suporns butterfliesDr. Suporn in Chonburi has an amazing setup, everything is coordinated and taken care of, from the hotel, the clinic just a block away to the hospital.  He has nurses and staff that check up on use all the time and make sure we are ok.  We are even picked up at the airport and driven back when finished.  He is the only one in the world that ‘keeps’ patients for 30 days to make sure all is working correctly.  He personally sees us once or twice a week and will do ‘corrections’ if needed during this time.  His technique is vastly different from the ‘standard’ method for SRS and his results are known world wide as the BMW or Cadillac of the business.  Also Thai medical practice is not hindered by insurance dictating limits on procedure costs, so this was full care.

20140911_071013They have the above picture on all the literature (books and instructions etc.) that they give us at the clinic.  It’s a beautiful image of a chrysalis changed into a beautiful butterfly, painted in a beautiful Thai style.  And, we are known as Suporn Butterflies!  Although someone also coined the phrase ‘supornistas’!  But what a beautiful and perfect icon this is and it so perfectly reflects what I have just went through.  I kept this picture along with all the cards people sent me, close to my bed in both the hospital and the hotel.

Comparing my surgery with three other friends of mine that had surgery within the same week as I did – oh wow – did I make the right decision!!  They were in the hospital 2 days, recovery in the clinics hospice for 4 days and then sent home!  I had a 6 hour surgery, was kept in the hospital for 7 days and then stayed in the hotel for another 3 weeks before flying back home.  For my friends, that flight home was excruciating!  It was difficult for me, but omg – nothing like the pain they had.

It was a long exhausting trip from Hawaii, almost 21 hours long including two 6 hour layovers.  Because of Lisa’s knee, we had a wheelchair for her.  But a couple of nights before, I stubbed my toe on the bed frame, jamming the bones behind and hardly could walk, so I got a wheel chair too.  We had the airlines contact the intermediate airports to make sure wheel chairs were waiting at each place.  Good thing too.  I never could have walked that far.

We had a 6 hour layover in Narita (Toyko, Japan).  So naturally at some point I had to use the ladies rest room.  The Japanese are way ahead of us in automation and that includes ‘toilet technology’!!  Basically you have your choice of 5 different types of toilets all labeled on the stall door.  They range from the standard US type, to the Asian hole in the floor, to three types of ‘automated advanced function’ toilets!  I tried one of the advance electronic ones.  Well, you can choose to have music played or a running water sound to ‘mask’ your bodily sounds, you can turn on a bidet type function to squirt water on your front, or on your back or both and you can have warm air blown on your bottom to dry it without the use of toilet paper.  And I don’t even remember what the other 10 or 12 functions were.  It was like programming a VCR – it was complicated and  you needed an instruction book! Of course each button had an icon (if you could figure out what it meant) and words in both Japanese and English.  I was sort of afraid to touch anything least flashing lights and disco music would turn on!

We arrived at Bangkok almost at midnight.  They brought us through security in our wheel chairs, collected our luggage and brought us out front.  There waiting for us was a Suporn staff member named Fon and the clinic van.  It was a 1 hour drive from the airport to Chonburi, just south of Bangkok located on a bay off the ocean.  We were checked into our hotel and whisked up to our rooms.

20140918_193241We had a deluxe room on the top floor (7th).  Our room looked out the back and had a beautiful view of the hills and forest.  There was a temple directly below us, a huge Buddha on the next hill over and a Chinese temple complex off to our left.   Our deluxe room had a queen size bed (was larger than our size here in the states – almost a king size, but oh was it ‘firm’), fridge, mini-bar, two nice chairs, desk, large LCD TV which was also a monitor (which I found out the last day I was there ….).  It was a very comfortable room.

20140918_193232Good thing too as I spent a month there without being able to go out much (due to a catheter I had to wear – a complication I developed).  I have a feeling the design and layout of these rooms had some input from Dr. Suporn, especially the bathroom.  There were a number of extra’s that you just don’t see in hotel rooms.  For example, they had a special spray hose next to the toilet to wash ourselves ‘down there’.  What was unique was that this was hooked up to a source of pure water.  You can not drink the water from the tap – the hotel supplied bottled water (we would ask for 8 to 10 bottles a day as I had to douche with bottled water as well after a dilation), plus I was told to drink lots and lots of water after this operation.

20140918_193113We had a great view out the back of the hotel into the forested hills.  Sometimes in the morning we could watch the steam rising up from the forest and swirling about.  There was a temple directly below us, a large Buddhist statue on a hill over to our left and a huge Chinese temple complex to the far right.  One day we watched a powered hang glider circle the skies above the Buddhist statue.  Another day they had a celebration in the small temple complex directly below us, everyone bringing flowers, taking their shoes off and walking inside.  Meanwhile, the local dogs were busy sniffing the shoes!

This floor had a large seating area with books and videos we could borrow.  It had a large window looking out over the ocean too.  Later, we would meet and sit with our ‘sisters’ in that area.  Other “trans-sisters” had rooms on the 3rd floor.  They also had a nice sitting area that lead out to a small deck where you could be outside and enjoy fountains, birds and a nice garden.  Many people would pick up a lunch or diner and come up here to eat.

On the first floor of the Chon Intr hotel was their restaurant.  It was open most of the time.  The daily schedule once you are post opt was: you got up early in the morning, showered, dilated, cleaned up and got dressed.  You would finish by 9 am then come down for breakfast at the restaurant with all the other sisters.  We would have our breakfast (buffet plus omelet bar) and chat, compare notes, network and support each other.  Then at 10 am sharp we all went back up to our rooms as the staff would come around at that time to checkup and exam our parts, see if we needed additional medication and let us know the next steps we were expected to do, including when we had appointments at the clinic or special events like sight seeing trips or trips to the shopping mall or to the beach.

One of the best parts of this entire experience was meeting the 30 or so t-sisters, most already had their surgery and were putting in their 3 weeks before leaving, the rest like me, were just arriving.  Meeting and chatting with these woman provided a huge support platform that was invaluable – not just about this surgery, but about being trans*, about all our experiences and about being part of this international sisterhood.  This was awesome and so very important to this experience.  If someone could not leave their room, one of us would go to the store to get them whatever they needed, or to help in any way.  It was a family – a sisterhood.

Lisa and I slept good that night.

In the van, they gave me a card with all the appointments for that next day.  I had three different appointments, it was a busy day.

20141014_132004First, we met a person from the clinic who walked us over to the clinic (about 2 blocks away) – a walk I would be repeating often.  There I was given my set of dilators (in a very pretty Thai decorated box, more about dilators in another post), measured for breast implants (more about that in a moment), given a book all about what was going to happen and discussed all the aspects of the coming days.  I also had to give them the originals of the letters from my therapist and from my HRT (hormone replacement therapy)  doctor stating that I met the WPATH requirements for SRS.  Because of my age, I also had to give them the original letter from my GP doctor including the results of my cardiac stress test, verifying I was fit for surgery.  Then they gave Lisa and I a very delicious cold drink (found out later when I asked for another that that was only for your first visit … ratso).  The hospitality at the clinic, the hospital, the hotel – everywhere, was amazing.

Around noon the clinic van came to the hotel to pick Lisa and I up for a trip to the hospital.  The clock in our room unfortunately was wrong and they had to call up to remind us!  This was the preliminary checkup for surgery.  It involved waiting in lines at a number of different stations.  There were three other people with us – one like me was getting the initial checkup, the other was going in for her surgery (her friend was accompanying her).  The clinic staff would come and get us and bring us to each station.  I had my blood drawn, an EKG taken, xrays of my chest and chin area, blood pressure and of course weight.  I was only worried about the weight – the limit was 205 pounds – I came in at 204.2 pounds – just under the limit.  About 2 years ago, I started at 242 pounds and have been dieting and losing weight all this time to make this goal.  Wow, made it.  Today as I’m writing this, I’m at 197!  I’m so happy to be under 200.  My goal is 180 – I have some beautiful dresses that will look awesome on me at that weight – not to mention my swim suit!

When the van came back to pick us up to bring us back to the hotel, they also picked up a woman who had her surgery 7 days ago and was on her way back to the hotel.  She didn’t look that well, but talking to her it became clear that she was in high spirits and no pain – just still under the influence of the drugs.

That afternoon I had my third appointment, this one back at the clinic and would be the first time I would meet Dr. Suporn.  He does one operation each day in the morning, then in the afternoon sees all the post-opt patients and exams them.  He also meets the new patients like me.  As a result Lisa and I had to wait.  During our wait we got to meet more of the women that were here – people we would see again at breakfast.  Most of them were sitting somewhat uncomfortably on their seat cushions – something I will become very familiar with later.  I had friended a number of people in the private Facebook page for Suporn and while waiting for my turn, two woman came up, asked if I was Sifan and introduced themselves saying who they were and they knew me from Facebook!  Wow.

Finally it was our turn to see Dr. Suporn.  Lisa came into his office with me, which was a very good idea.  I get a reaction to Ibuprofen so they had to make sure to use drugs that were not of the same genre.  Nurse Lisa and the doctor had a long conversation, most of which I could not understand – but was very glad Lisa was there to answer and ask questions.  Whatever they talked about and agreed upon certainly worked!

Dr. Suporn then examined me and told us about his technique and what I could expect.  He highly discouraged me from getting breast implants.  As he put it – that was the easiest operation to do from a surgeons point of view but the most difficult and painful for the patient.  Whereas SRS is the hardest on the surgeon but the easiest for the patient!  Part of the difficulty with breast augmentation is that the implant is placed under the muscle and after surgery, for quite a while, the patient has to ‘move’ the implant around (massage it) to create and maintain a cavity under the muscle for the implant to move, making the result very real as it will move naturally the way it is supposed to.  After hearing all that, I decided (and would thank the doctor later) not to have breast augmentation.  Later, with the complications I had, I am very glad I made this choice.

We had a questionnaire that we (Lisa and I) filled out just before seeing him.  One of the questions on the questionnaire was to rank three expectations of the surgery in the order that we thought was important.  They were: vaginal depth, overall aesthetics, and sensate expectations (orgasmic).  Dr. Suporn’s technique is different than any one else’s in the world and is known for being able to give you the maximum depth, much more than any other surgeon or technique (we are talking 7 to 10 inches here …..).  And because of his technique, we get a fully functional bottom, with nerves in all the correct places and even the muscles are arranged as per a natal female.  There is even the equivalent of a G-spot.  He truly creates the Cadillac of SRS and is world renowned for it!

So, my choices?  Well, depth does not mean anything for me – I’m married to Lisa and to be able to please her is the most important thing.  So sensate was number one, then aesthetics.  But he still wanted to know what depth I expected or wanted.  I had no idea what to say – I did not want much, just enough – but what is ‘just enough’?  Lisa and I looked at each other and said 5 – 6″.  After the surgery I had 6″ – but that usually reduces and today I’m maintaining 5.5.  Right in the middle of the range I asked for!

The next day we had free.  But we were so tired from out trip and the whirlwind of the previous day that we spent the day in the hotel getting to know our way around.  We had a wonderful diner in a beautifully decorated Chinese restaurant on the 2nd floor of the hotel.

Next post will cover the hospital stay.

With aloha,