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Claire Bockman's avatar

My son is gender nonconforming and is a sensitive child. I thank you for all the work you do to help make space and advocate for people like him. And I am grateful to those who are brave enough to admit they made a massive mistake in order to protect future children from unnecessary medicalization. I feel confident that my son will be ok but I can’t stop worrying about all the other little boys out there like him who might get sucked into this dangerous and regressive movement because their anxious parents have been fed a lie.

James Loewen's avatar

For males "bottom surgery" (aka vaginoplasty) includes total castration, amputating the testicles, cutting away the interior of the penis, and turning the remaining penis skin inside-out and tucking it into a deep wound cut into the perineum to imitate a vagina. Some of the scrotal skin is repurposed to imitate female labia.

A young man (aka transwoman) I know, operated on as a 17-year-old, described waking up from surgery (vaginoplasty) with the feeling of "having been hit between the legs with an axe".

For females "bottom surgery" (aka phalloplasty) can involve a series of surgeries, flaying an arm, leg and/or part of the torso, to construct a very poor facsimile of a penis. Infection and tissue necrosis is likely. If the grafted tissue survives the resultant "phallus" can only be used for penetrative sex with implantation of a device. Complications are common at every stage of this surgery.

Now that young children are being primed for "transition" it's time to stop using the euphemistic term "bottom surgery" and speak very frankly of what these vulnerable children are facing. Rather than "affirming" the delusion of "changing sex" in children, let's affirm reality for gender questioning and dysphoric children, and love and accept them just as they are.

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