A downloadable game for Windows, macOS, and Linux

Download NowName your own price

Languages: English, 日本語


It's been three years since Peyton last saw his old roommate from university when he learns that he's just had top surgery, and that he's transgender, just like him. He doesn't know how long it's been since Marcus came out, or what's been going on in his life since then, or even why they haven't spoken in so long, but... it's worth a try, isn't it? To reconnect.


Peyton's Post-Op Visits is a visual novel. Join Peyton as he visits his old roommate Marcus after his top surgery, and learns the ways their lives have converged and diverged in the years since they last met.

One ending, 20-30 minute playtime. 

The game is free, but if you pay $3 or more you can support me as a creator and get a digital art collection containing the art from the game, sketches, and author's notes. Author's notes also available separately in a text-only PDF.


Check out the standalone prequel: Marcus Comes Out Online!


Content Notice: This game discusses issues that trans men and trans-masculine people might face, including issues surrounding top surgery, which is a topic that can be sensitive and personal.


Story, Coding, Art: littlerat

Music and SFX: Pocket Sound

Caption Tool for Ren'Py: npckc

日本語: @fuglekongerige

Special thanks to npckc and Krissi!


Featured In:

Hand Eye Society SuperFESTival 2022: Game Exhibit

PlatformsWindows, macOS, Linux
Release date Aug 31, 2021
Rated 4.9 out of 5 stars
(35 total ratings)
GenreVisual Novel
Made withClip Studio Paint, Ren'Py
Tags2D, friendship, LGBT, Ren'Py, Transgender
Average sessionAbout a half-hour
LanguagesEnglish, Japanese
InputsKeyboard, Mouse, Gamepad (any), Touchscreen
AccessibilityColor-blind friendly, Subtitles, One button, Blind friendly


Download NowName your own price

Click download now to get access to the following files:

Peyton's Post-Op Visits - PC.zip 58 MB
Peyton's Post-Op Visits - MAC.zip 24 MB
Peyton's Post-Op Visits - LINUX.tar.bz2 31 MB
Peyton's Post-Op Visits - Art Collection.pdf 6 MB
if you pay $3 USD or more
Peyton's Post-Op Visits - Text-Only Author's Notes.pdf 51 kB
if you pay $3 USD or more

Development log


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Neat to learn some stuff about transition surgery!!!


thanks for playing and for the video o/

Yeah! It's quite a learning experience!

I'm blind it took me 2 years to learn how to use my devices independently. I love gaming but often there's not any or many accessible games I can find and play. I found this game underneath the blind accessibility filter on itch.io was just wondering since it doesn't say anywhere if there's  accessibility options on the game after you download it? 100% OK if there's not but I just wanted to ask before downloading. Even if it's not accessible I'll look for a let's play of it on YouTube so I can experience it that way as well. The game sounds amazing and I definitely do want to play or experience it in some way. Please reply when you can. Thank You! I'm LGBTQ+ and would love to experience this game in some way.

(1 edit) (+1)

Hit "v" and it should turn on self-voicing!


I appreciate you helping and replying to my comment. It makes me very happy to know that I get to enjoy this game just like anybody else.


THIS IS REALLY A WONDERFUL GAME!!!!!!!!! It's always really valuable to explore the struggles and celebrations of transition, I think, and so....... Really, people coming together with each person's individual struggles and finding comfort in each other even when society as a whole is, the way it can be, is truly beautiful.... This is a really excellent story!!!! I frankly don't have much experience with transition myself (only just started a few months ago pff) but....... I dunno........... This is just a story that really kindles a nice, wonderfully assuring flame!!!!!! 

Thank you for making it!!!!!!!! It's really splendid!!!!!!!!!


Was really intriguing to read about the trans-masc experience – particularly as someones currently in the early stages of going the other way (mtf) physically and working towards having those “lumps of flesh” grow using hormone that at least one of the characters dislikes enough to have them be discarded by means of surgery.

The name and pronoun things are of course still the same regardless of gender. (And plurality makes it 10x more tricky on top of that.)

Can only agree that the conversations really read like what they’re supposed to be: like two old friends hanging out, discussing a difficult subject. 🌟

- Erin & Kiera


I get so happy when I see trans characters in games hehe^^ And also thank u for sharing some info about top surgery, I didn't know a lot of it so it's been helpful!! In general this game was super cute~ The conversations sound so natural and the art style is really pretty,, Thank you for making this game! <3 


This game was so sweet! Thanks for sharing some transmasc experiences and info in such a chill and comfortable way! Congrats on finishing it btw!!

Thank you!!!!! I'm so glad it's done now aaaaaa


(ftm) I love this game. Them both playing the videogame together is so chill, and the deep conversations hit right in the feels. They feel like friends I never had. Replayed it 3 times. I give it 5/5 bees! 🐝 🐝 🐝 🐝 🐝

b e e


such a sweet little story.


Thank you for playing!


This makes me so so happy! There aren't a lot of transmasc games out there, so this brings me a lot of joy ^-^ I love the art style too, very cute!


I'm glad to have made your day a little bit brighter c: