For Providers
Post-Op Providers
Surgery — gender-affirming, cosmetic, or otherwise — affects what you can offer and when. This guide covers recovery timelines, client communication during healing, pricing strategy, and the documentation worth having.
Common Procedures & Timelines
- Breast augmentation: 4–8 weeks no manual contact; full return ~3 months. Can resume non-chest sessions earlier.
- Mastectomy / top surgery: 6–8 weeks no upper-body strenuous; chest sensation may take 6–24 months to stabilise.
- Vaginoplasty: 3–6 months before penetration; dilation routine permanent. Sensation continues developing 12–18 months.
- Phalloplasty / metoidioplasty: 3–6 months for partial return; full sexual function timeline 12+ months. Multi-stage: revisions common.
- Lipo / BBL: 4–6 weeks recovery; must avoid pressure on grafted areas (BBL no sitting on it for 6 weeks).
- Facial surgery (rhinoplasty, FFS): 2–4 weeks visible recovery; photos and on-camera work delayed 6–12 weeks.
Client Communication
- Pre-surgery announcement. Give regulars 4–8 weeks notice. They'll plan around you and book before. Block calendar for full recovery period.
- During recovery. Light social-media presence — don't disappear; reduce frequency. Brief, vague posts ('quiet month, back soon') maintain engagement without explanation.
- Restricted return. Be explicit about what's available: 'returning for outcalls only', 'no chest contact this month', 'oral and manual only until April'. Clients respect clarity.
- Pricing during recovery. Many providers raise rates 20–40% during restricted return — fewer slots, higher demand from regulars, plus a premium reflects the limited service.
Documentation
- Pre-surgery photos for portfolio reference (private; never public during recovery).
- Scar maturation timeline — many clients never notice scars after 12–18 months; intermediate phase requires positioning awareness.
- Receipt-keeping for tax purposes — surgery in some jurisdictions is deductible for sex workers as a business expense.
- Medical clearance to resume specific activities (some surgeons provide a written timeline).
Trans-Specific Considerations
Vaginoplasty and phalloplasty results vary widely between surgeons and individuals. Sensation, depth, lubrication, erection capacity (for phalloplasty) are individual. New offerings post-op (penetrative as bottom, top with new functional anatomy) often command premium pricing in the trans-friendly client market. Most clients won't expect the same service menu as pre-op; the menu evolves and that's fine.
Frequently Asked Questions
How long should I block bookings?
Surgery-specific. Conservative + your own healing pattern beats surgeon's rosy timeline. Better to extend by a week than tear something.
Should I tell clients what surgery I had?
Generally no. Vague is fine: 'medical recovery'. Regulars who would care are usually told one-on-one.
What about photos in profiles?
Update once you're settled into post-op body. Old photos misrepresent and lead to bait-and-switch complaints.
Can I do online-only work during recovery?
Yes — OnlyFans / cam work usually resumes earlier than in-person. Body positioning hides incisions; voice/personality unchanged. Many providers expand online catalogue specifically during recovery.
What if a client books and I'm not ready?
Reschedule. 'Recovery extending an extra week, can we move to [date]?' Most regulars understand. Don't push through and damage healing.