Please fix stump of you know what on my MTF vagina

January 18, 2015

hello. My name is Gina. I have compleated srs almost 3 yrs ago.. At the time of surgery sensation was at the top of my list..  Sensation is very good but i was left with.. Well looks like a stump of a penis. I am inquiring if you have seen that affect and or could do a clitoras revision to appear smaller and more natal. Sensation at this point is not as important as the cosmetic look..

Ty for your time


Hi Gina,

Thank you for reviewing our web-site

See if you can relate to image # 17.  We see this frequently from a part of the world
beyond our borders.  What was needed was reduction, removal of the corona which is screaming penis,
a clitoral hood and of course clitoral sulci the groves on the side which help to set-off the delicate clitoral body.

Best wishes for a happy and productive 2015.


Harold M. Reed, M.D.

Transsexual Surgeon



Anonymous sponsor. Grant applicant asks am I eligible?

January 18, 2015

I am writing you in hope that you will be able to provide me information on getting transgender surgery SRS. My GF and I receive SSI and I am not working at this time. I am looking for a job just a rough economy right now. I really need this to be whole and complete life. is there anything you can do for me.

Thank you

Michelle T

Good afternoon Michelle,

The best we can do is include you in the most recent anonymous grant disbursement.  This generous stipend is being apportioned among a few deserving patients and sounds like you would be one.  Transsexual surgery is your dream and our mission.

Please call the office tomorrow (Monday) and speak with Anne.  I think she’ll bring a smile to your face.  Her hours are 9 to 4.

The idea is not to underwrite all the costs for one person but to assist a few who are almost there, to get over the finish line.

Have a restful Sunday,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine

Do I have to take estrogens to qualify for vaginoplasty. Did you get my photos?

January 17, 2015

Dear Dr. Reed,

Did you receive my photos.

Sir an again thank you so much for everything soo far an I have a question do I have to take estrogen for six months before I get my reassignment surgery?


Good morning Francine,

Your photos are gorgeous.  The type of girl you’d want to bring home to mother.

Some MTF patients like yourself are already very effeminate without estrogens.

There is no rule you have to take them before sexual reassignment surgery..  If you are on estrogen homones we tell our patients to stop for one month before surgery to avoid thrombo-embolic events.

However after surgery which includes castration probably it is a good idea to take them to maintain normal bone density and promote home grown breast mass.  How are you in that department now?


Best wishes,

Harold M. Reed, M.D.

Photos from transgender project ‘Reassign’

By Andrea Romano

Photographer Claudia González captures side-by-side portraits of transgender men and women as they transition through gender reassignment in Cuba for her ongoing series, Reassign. While she also works internationally in the fashion and publishing industries, this series is a personal project as well as a professional one.

González said she conceived of the series after learning about Cenesex, the Cuban National Center for Sexual Education. The government-funded organization is led by Mariela Castro, daughter of President Raúl Castro, and provides support and education on LGBT issues, especially for transgender people.

“I feel a huge sense of responsibility for these people,” González says. She hopes the project will help people understand the lives of transgender people all around the world. She quotes 1960s photographer Danny Lyon on her website, writing: “The pictures do not ask you to ‘help’ these people, but something much more difficult; to be briefly and intensely aware of their existence, an existence as real and significant as your own.”

While LGBT rights can be a struggle anywhere in the world, participants in González’s project have had their own experiences that are unique to transgender people living in Cuba. People who came of age in the 1960s and ’70s can remember an even more conservative time in Cuba’s history. “[They] have suffered heavy oppression,” González says.

Despite the hardships her participants have endured, González is hopeful that the climate is changing for transgender people everywhere. “Fortunately, times change and there is greater acceptance and general education, but much remains to be done, especially socially,” she says.

More photos from Reassign, as well as González’s other personal and professional work, can be found on her website.

Cuban government helped with sex reassignment surgery

Ana’s Story: Gender Reassignment in Cuba

 By The New York Times

In the 1960s and 1970s, the Cuban government brutally repressed sexual minorities, but in the last seven years there has been an evolution of rights for people who identify as L.G.B.T. This transformation was led by Mariela Castro, a straight woman who is the daughter of the current president, Raúl Castro.

The Cuban government paid for Ana Rafaela Díaz Gómez’s sex change, yet challenges still remain for same-sex couples on the island.

Alexandra Garcia, a visual journalist at The Times, arrived in Cuba earlier this month to work with the editorial board member Ernesto Londoño. To accompany a Times editorial on sexual minorities in Cuba,  Ms. Garcia, made a video about Ana Rafaela Díaz Gómez, whose gender reassignment operation was paid for by the government. Andrew Blackwell assisted with the editing.

“By the time I met Ana, I only had about 36 hours on the ground left, so I knew I had to keep my video very focused,” Ms. Garcia said. “ She still had to have the legal change of identity so she could be married to her partner of eight years ‘as a regular heterosexual couple,’ so I focused the story on the two of them and their relationship.”

Ana’s Story: Transgender in Cuba

Transgender woman requesting orchiectomy

January 16, 2015

I am a trans woman very interested in getting an orchiectomy.  I would love have a full sex reassignment surgery but feel it is much to expensive. I feel the surgery would help enhance my self image as well as my feminine appearance. I hope you can help me. Thank you, Janine

Good afternoon Janine (such a pretty name),

Thank you for your interest in what we do, several orchiectomies every month.
Among the advantages are the feminzing effects, discontinuation of a testosterone blocker
and reduction of estrogens by a third.  Our fee for orchiectomy is 2,500 which includes local
anesthesia with IV sedation, use of the facility, surgery and any followup care I provide.

We do recommend you stay at one of our 2 recommended hotels for 2 days afterwards
(Daddy O or Beach Place Miami).  I will see you there afterwards and this is the
exception to the rule that doctors don’t make house calls anymore..

As this is irreversible surgery, we do require 2 letters of licensed therapy clearance,
one written by a therapist with a doctoral degree and the other by a therapist with at least
a masters degree.   If need be, we can arrange for therapy evaluation in the greater Miami

We have availabilities for orchiectomy almost every week.

After reading the attached, if you believe I am the doctor
for you, please initiate a consultation over the phone with our office
by sending us your name, address, and telephone number
in an envelope along with a check for 250.    We’ll
get started ASAP.  We’ll have a lot to talk about.


Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine, full member


Pre sex change work-up

Hello Dr. Reed,

I am a 26 year old MTF transgender.  I anticipate that by the end of 2016
I will have the funds necessary to finally take the final step in my transition.
I have spoken about this with my primary doctor a lot over the last few years.
She wanted to know if what kind of diagnostic work up might be required once
I get closer to my surgery?

Thanks in advance,

January 16, 2016

Good afternoon Maria,

A CBC should be performed 2 months before your scheduled procedure.

If your blood count is low normal or below normal values, a hematology

consult may be needed. Better to learn of this well in advance.

Within 10 days before surgery, all patients are required to have these

blood tests: a CBC (again), PT, PTT, and platelet count. These can be

done at a local lab, the results will be faxed to our office.

All patients require a letter of medical clearance with reference to an

EKG and chest  X-ray to be obtained within 7 to 10 days  before your

scheduled procedure.  If you have cardiovascular risk factors or are over

40, you may also require a thallium stress EKG.

I hope you and your physician find this information helpful.  There is also

a ton of information on our website

Enjoy the weekend,

Harold M Reed, M.D.

306 865 2000

Dallas lady insists on transgendered surgery if only we would help some

January 16, 2015

Dear Dr. Reed,

I am a transgendered woman desiring a below the waist sex change.  Have visited our web-site and poured over the photographic examples and know when I have surgery I want you to do it.

My friend in Dallas had surgery with you last year, and you may remember when I visited her in Miami.

Financially I am almost there.  Can you help me to cross the finishing line?


Good afternoon Sarah,

Compassionate discounts is our middle name. You have a dream, we have a mission.  We will jump through hoops to try to help you.  Please review carefully all the literature that we send out by E-mail (
So happens at this time we have an anonymous sponsor and that money is intended to be spread out over a few deserving patients.

Please call Anne at the office, who will bring a smile to your face.


Harold M. Reed, M.D., FICS
SRS Surgeon

Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine

Acceptable BMI for sex change surgery

Hey Doctor Reed,

My best friend and I are both working towards our weight goals so
that we could be candidates for sex change surgery with you.
We are working from opposite sides though…I am about 35lbs too
heavy and she is all skin and bones.  Do you have any helpful input?
All info is appreciated!



January 16, 2015
Good afternoon Jeannie,

In overweight patients, while individual consideration is given in every case,
we are disinclined to operate on obese people in an outpatient – 24 hour hold
setting, as they pose a greater risk for complications. For your information,
smoking and obesity are the two most preventable causes of early death in
the United States. If you would call the office and give us your height and
weight, we’ll tell you where you stand on the charts. You may wish to review
the “ideal weight charts” for women and men

There is an acceptable range and yes we can cut you some slack if you are
a few pounds over, that’s not 10 or 20 pounds over.

Overweight people are more difficult to manage pulmonary wise, have heavier
legs with the threat of neural or circulatory compression, and are technically
more difficult to operate on. Beyond that you are giving their poor heart an extra
work assignment to pump blood into tissues which are not needed for appearance
or function.

Most importantly, do not take Ephedra (or like drugs). It’s
a killer. You will have a tachycardia (fast heart rate) on the
operating room table and your case will be cancelled.

For your friend, how thin is thin would be the next question.
Your BMI, a relation of weight to height will give us some idea.
Please see
to obtain your BMI.  Here is a BMI table for reference.

  • Underweight = 18.5 or less
  • Normal weight = 18.5-24.9
  • Overweight = 25-29.9
  • Obesity = 30 or greater

Vaginoplasty is a more stressful procedure than a breast implant or facial surgery
and the incision lines are a lot longer.  Your torso weight, which could be 80 pounds
or more, on your perineal incisions contributes to wound separation.   For this reason I
propose for optimal wound healing, your BMI be 22 or higher. If your BMI is below 22,
please consider a medical evaluation, and consume more calories preoperatively .
Many patients will lose 10 pounds after surgery for a while, and which places them in
a underweight category.


I hope this answers your questions.  If you have further questions you may contact

the office at 305-865-2000 or visit our website


Have a great weekend,

Harold M Reed, M.D.

Electrolysis before sex change surgery

Hi Dr. Reed,

I wanted to thank you again for everything. You and your staff
have been great!  I am so excited to finally get started!

In preparing for my reassignment surgery, I know that I will need
to start electrolysis soon.  I have gotten mixed feedback from other
girls, was hoping you may have a better answer about what areas
to treat?

Thanks again,


January 16, 2014

Good Morning Jacky,

We thank you for choosing us to help you in your journey.  We too
are excited for you to get started.

Essentially you will require complete removal of any hairs on the shaft,
and a ring or path around the base of the penis 1 inch wide. If you wish
to be pretty, then also have removed any hairs on the scrotum under the
“shadow” of the penis down to and around the anal verge. This is optional.
Removal of any other pubic hair is also purely optional.

Ideally electrolysis to include all above mentioned areas should be “first
pass” completed 3 months before surgery. This allows enough time for a
secondary pass 1 month later as some hair follicles may regenerate.
Laser hair removal is OK also. The skill of your licensed technician is more
important than the method is used.

I have found this electrolysis diagram to be helpful for our patients.
If you or your electrolysis technician should have any further
questions, contact our office at 305 865 2000.  We also have tons
of useful information on our website

Have a restful weekend,

Harold M Reed, M.D.