TL;DR
- Transmasc individuals often turn to ex-partners for aftercare after top surgery.
- Support networks are crucial in the current anti-trans political climate.
- Top surgery recovery requires physical and emotional support.
- Many face challenges accessing necessary care and resources.
- Community care is vital for successful recovery.
When it comes to top surgery, the journey doesn’t end on the operating table. For many transmasc folks, the real challenge begins in the recovery room, where the need for aftercare becomes paramount. And guess what? Sometimes that care comes from an unexpected source: ex-partners. Yes, you heard that right. In a world where access to trans healthcare is becoming increasingly fraught, many are finding solace in the familiar hands of former lovers.
Ana Bukowski, fresh from their top surgery, found themselves in quite a predicament. With drains hanging from their chest and unable to lift their arms, they needed help with something as basic as taking a bath. After weighing their options, they decided to reach out to their ex, who had also volunteered to assist with aftercare. “It didn’t feel sexual at all, even though he was essentially giving me a sponge bath,” Bukowski shared. “It was just someone who knows my body, who knows how to take care of me. It was very sweet.”

It turns out, Bukowski’s experience is not an isolated incident. As the political landscape grows more hostile towards transgender rights, the need for community support has never been more critical. With the Trump administration making moves to ban trans healthcare for minors and restricting public insurance for adults, the urgency of finding reliable aftercare has skyrocketed. The number of gender-affirming surgeries in the U.S. has nearly tripled between 2016 and 2019, with top surgery making up a significant portion of those procedures.
Julian Harper, another transmasculine individual, faced a similar dilemma. Newly single and living alone in New York City, they weren’t sure who would be there for them after surgery. But during a casual catch-up with a recent ex, the offer came: “As someone who knows your body, I would love to help take care of you after top surgery.” Initially skeptical, Harper ultimately decided to accept the help, realizing that just because a relationship ended doesn’t mean the care has to. “That’s not the end of caring about each other,” Harper reflected.

Dr. Juliet Widoff, a primary care physician specializing in gender-affirming care, emphasizes the importance of having a caretaker during recovery. “Access to a caretaker who can help you deal with limited mobility is fundamental,” she stated. The reality is that many trans individuals face significant barriers when it comes to accessing both surgery and the necessary aftercare. Whether it’s financial strain, lack of family support, or simply finding someone to help, the challenges are real.
But amidst these obstacles, the beauty of community care shines through. Bukowski describes this as an “inheritance of care,” where knowledge and resources are passed from one trans person to another. “The next time I know someone who gets top surgery, I know how to be there,” they said, highlighting the importance of solidarity in the trans community.

As the barriers to trans healthcare continue to multiply, the way trans people care for one another post-surgery paints a hopeful picture. It’s a reminder that even in the face of adversity, there exists a world of support and love, often found in the most unexpected places—like a bathtub with an ex. So, if you’re gearing up for top surgery, don’t hesitate to reach out to those who know you best, even if they once shared your heart. After all, it takes a village to help you heal.