The "4-Week Rule": How to use the bathroom when you can’t sit up.


Phalloplasty recovery has a way of making the simplest tasks feel like a puzzle. Case in point: The Toilet.

For the first 4 weeks, you can’t sit upright. This isn't just a comfort thing. It’s about protecting the blood flow to the phallus. It also protects the incisions from being pulled or stressed.

So, how do you actually do it? It’s all about leaning back, like you're in a recliner. You don’t sit upright. You lean your back against the back of the toilet. If your sink is close enough, use it to lower yourself down at an angle.

The Pro-Tip: Cut a hole in the back and to the front of your mesh underwear. It sounds small, but it means you don't have to keep taking your underwear off and re-propping every time you have to use the bathroom. You can both urinate and have a bowel movement with this method.

Here is a video of me showing you how to cut the mesh underwear.

video preview

Recovery is about adapting your environment to your new body, not the other way around.


Stay Steady,

Brett Lighthouse Transitions

P.S. Logistics are the "invisible" part of surgery prep. If you want a full roadmap that covers every detail we talked about today (and 100 things we haven't), join the Deep Water Waitlist. I’ll be opening doors for our Founding Members this fall.

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