Which is better a metoidioplasty or phalloplasty

Kristina from Macedonia writes:
Dear Kristina,
A metoidioplasty is a lot less expensive and
is very satisfying for many especially those who do not
desire penetrable sexually relations.
Your sensation should be preserved 100% which is
not always true for phalloplasties as there will
need to be a neural hook up. Also with phalloplasties
there is a disfiguring harvesting scar either
on the forearm, or back, or lower abdomen.
But if all works well, you wind up with a normal
adult sized phallus.
If you have a metoidioplasty, this could be later
converted into a phalloplasty, but better to go in the
right direction from the start.
Your call.
Harold Reed, M.D.

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