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Top To Bottom

Top To Bottom

A Memoir and Personal Guide Through Phalloplasty

Finlay Games

Quick Overview

A personal, insightful and witty account of a trans man's experience of having phalloplasty (lower surgery). This book charts the author's physical and emotional journey throughout the different stages of the surgery, alongside a wealth of practical advice, tips and humorous anecdotes.
Published by Jessica Kingsley Publishers
Details Price Qty
Paperback / softback
2021, 8.43in x 5.51in / 214mm x 140mm, 288pp
ISBN: 9781787755871
2021, ePUB
ISBN: 9781787755888
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"This book is about my penis. This is my story of going through lower surgery, specifically phalloplasty, and the adventures I have with my changing genitals along the way. Welcome to my journey."

After coming out as trans, Finlay Games was adamant lower surgery would not be a part of his transition, but as the years went by, and his gender dysphoria increased, he decided to explore surgical options. Detailing the emotional and physical journey of phalloplasty, this book takes the reader through Finlay's experiences, from the initial decision-making through each stage of the surgery to its completion, recovery and after-care. Describing how he had to relearn his body, sexuality and his relationships, Finlay shares his wealth of advice and tips on donor site options, different types of surgery, the referral process, essential items and resources, and looking after your mental health.

Part memoir, part self-help guide, this insightful, witty and deeply honest book highlights the life-changing impact surgery can have for trans people and provides hope to those on a similar journey.


'The tongue in cheek phrase 'top to Bottom' explores openly, honestly and candidly, one individual's journey from sexual shame and gender dysphoria, to gender and sexual autonomy. This uncompromising tale inspires and challenges us. As a trans man myself, Finn has always encouraged and motivated me. For helping to dispel fear and those accompanying ghost stories, thankyou can never convey enough! A must read for anyone considering Lower Surgery and those who support us.'
- Dr. Wenn B. Lawson (PhD) CPsychol AFBPsS MAPs

'Top to Bottom is a wonderful trans memoir and a greatly needed resource for anyone considering phalloplasty. Much more than that though, Finlay's book is a human story of the move towards authenticity and belonging. Told with great warmth, humour, and self awareness, it's a cracking read for anybody.'
- Meg-John Barker, author of How To Understand Your Gender and Gender: A Graphic Guide.

'Top to Bottom - a story you've never heard before but a story that needs to be told. This memoir is universally written, acting as an outstanding guide to any trans man about to embark on this journey but also a fascinating insight into the complexity of being human. Finn is an extraordinary writer, his tone is warm, painfully honest, profound and humorous. I'll be highly recommending this book for years to come.'
- Ash Palmisciano, TV Actor and Speaker

'Finn has given us a gift. A timely companion on the journey to advocate for ones own pleasure, hone the hoop jumping skills needed to medically affirm ones gender, and to nurture the community needed to raise a penis!'
- Dr. Liam “Captain” Snowdon, Genderqueerdo & Co-founder Institute for the Study of Somatic Sex Education

'A grippingly in-depth and honest account of a process that's rarely been told so openly before. Radical, honest and timely.'
- Fox Fisher - Artist, film maker and campaigner


By (author): Finlay Games