Phalloplasty, or the surgery to construct a penis, has grown increasingly popular among transgender men — but it’s medically complicated. Jamie Lauren Keiles takes a closer look at the procedure while following the transition of Benjamin Simpson.

As Ben prepared for Stage 1 surgery, he told only his family and close friends. He knew that acceptance from some people in his life would hinge on every step going smoothly, and found himself acutely aware of a mandate to justify his desires. Though surgery today can construct a penis, it cannot reconcile millenniums of phallic anxiety: the tangled bond between penises and manhood; the supposedly inherent violence of the penis; the sense of the vagina as its wanting opposite; the feminist call to destroy gender essentialism. Even among trans men themselves, phalloplasty remains a highly scrutinized desire. It is easy to stand up for some vague and glittery right to gender self-determination; fighting for the penis is like rooting for the Yankees.

Cheri Lucas Rowlands

Cheri has been an editor at Longreads since 2014. She's currently based in the San Francisco Bay Area.