There's only 2 scenarios that will take place.
- Scenario 1 - Spudders has been making this all up and the day will come and pass with some excuse or reason why it didn't happen.
In this case, it would be the ultimate and most documented example of just how far Phil will go with a lie for asspats and sympathy, and I'd gladly volunteer to produce a wiki page with timelines and specific examples of how it started and ended.
I'm sure plenty of his few remaining asspatters will console him for whatever invented plot prevented him from reaching his appointment, even though there's literally nothing he could come up with that would be anywhere near the truth. The least of all is the one where shadow assassins from Kiwifarms are setting up ambushes between his hovel and the hospital. We're just not THAT into Phil, sorry.
- Scenario 2 - Spudders gets his Spanish slit.
To be honest, I'm actually hoping for this to be what happens. Phil's life won't change one iota with the exception that he'll have a nasty, mangled mess between his legs that will most likely become infected and permanently stink, or not heal properly that will create a whole new saga for him. I just can't see him holding to the dilation schedule and hygiene requirements correctly.
After some time, Phil will realize that he still has every social and financial problem he had before, just without the excuse he's used for years. He will still be outcast from the Trans community. He will still be jobless. He will still be appropriating a culture he doesn't belong to. He will still be sucking off of disability to live and... most importantly, he'll still be exceptional.
Oh sure, he'll be smug and act like he's achieved some major victory over the imaginary race war van kiwi's that somehow have been preventing him from succeeding in life, but the reality is we'd all just strap in for a whole new level of Phil acting like an autistic tranny who's new mangled bits entitle him to absolutely nothing.
Soon, he'll realize he's just as fucked up as he was before and the world isn't magically fixed for him without a penis. Depression will kick in as there's nothing to explain it away anymore other than his own personal accountability for his actions.