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Subject Ladies and genital men! Mind-blowing surgery lets patients have TWO sets of genitalia 'We don't live in a binary world. So why should my tre
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Original Message Patients seeking cross-sex genital surgeries typically have the penis surgically inverted to create the impression of a vagina, or have the vulva and vaginal canal removed to construct a penis out of flesh cut from the arm. An emerging subset of transgender people are instead pursuing surgeries that preserve their existing genitals while adding on genitals of the opposite sex, according to Vice.

Patients who seek both sets of genitals and the surgeons who operate on them are bucking the conventional wisdom within transgender medicine that surgical interventions ought to make a patient anatomically correct — presenting as either a man or a woman.

“Medical boards, licenses, and personal ethics inform what a surgeon perceives as beneficial to a patient,” Eric Plemons, a medical anthropologist at the University of Arizona, told Vice. “Surgeons are not just technicians-for-hire who alter bodies in whatever way a person requests.”

“The main thing I learned from the trans community is that we don’t live in a binary world. So why should my treatments be binary?” Curtis Crane, founder of the transgender surgical center Crane Center, told Vice.

The rationale for cross-sex surgeries is that they may alleviate the sense of discomfort a patient has with their biological sex by changing their physical features, but some patients seek “bigenital” procedures because their original genitals aren’t a source of distress for them, according to Vice. They may also wish to preserve their fertility, save money, avoid obstacles to certain types of surgeries or may have a sexual preference for keeping their genitals.

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