Transgenderism:Gender Replacement Surgery

     The idea of gender replac ement surgery (GRS) is that it will bring your body into alignment with your psychological sense of gender. There are two types of GRS – top and bottom surgery.

     Top surgery;
This refers to men receiving breast implants to look more feminine and women getting mastectomies to look more masculine. Almost all of the GRS’s are Top Surgeries. Usually, hormone therapy accompanies top surgeries.

     Bottom surgery;
In a man, the testes must be removed, the penis amputated, the urine must be re-routed and the labia, clitoris and vagina must all be created.
In a woman, it is much more complicated. Creation of an artificial penis is a very difficult procedure. The artificial penis cannot achieve an erection, the urine must be re-routed and an artificial scrotum must be created. These surgeries are rare compared to Top Surgeries. Hormone therapies accompany bottom surgeries.

     The above procedures don’t change your sex, are irreversible and have many post-operative difficulties.  The male-to-female GRS person will never ovulate, menstruate, become pregnant, give birth or nurse a child. A female-to-male GRS person will never have a prostrate, produce sperm or father a child. The person’s genetics will still be that of their birth sex.

     The emotional outcomes of GRS are still negative. A 2011 study showed substantially higher rates of overall mortality, death from cardiovascular disease, cancer, suicide, suicide attempts and psychiatric hospitalizations compared to a healthy control group2. A 2015 survey showed much higher rates of suicide in transgendered people than the normal population1. So, while transgendered people generally report satisfaction with their decision for GRS, their underlying psychological problems still exist. GRS did NOT solve these ‘problems’.

     A long standing principle of western medical ethics has been to “First do no harm”. A doctor should not damage a normal, healthy body. In GRS, healthy, perfectly functioning urological and reproductive organs are destroyed, removed and irreversibly transformed and damaged. If I went into a hospital and asked them to amputate my right arm, they wouldn’t do it. I’d be talking to a psychiatrist real quick. They would treat the root cause of my problem request rather than removing a perfectly healthy arm. All GRS does is mutilate a healthy body.

     According to Dr. Paul McHugh, a Harvard educated physician and formerly University Distinguished Service Professor of Psychiatry at the Johns Hopkins University School of Medicine:

“Transgendered men do not become women, nor do transgendered women become men. All (including Bruce Jenner) become feminized men or masculinized women, counterfeits or impersonators of the sex with which they ‘identify.’ In that lies their problematic future.”3



2…Cecilia Dhejne,”Long Term Follow-Up of Transsexual Persons Undergoing Sex-Reassignment Surgery: Cohort Study in Sweden”, PloS One 6 no.2 (2011):7