More often than before we are receiving requests from older patients who want more to have their penis and testes removed and look like a female down below, but are seeking a reduced fee based on foregoing a vaginoplasty (making of a vagina) per se.
Sure we can accommodate these people, but must caution them, that a sexual feature of the external female anatomy is a cleavage between labia, and this cleavage can only be best developed if an invagination of skin into the area which normally would become the vagina is performed. Otherwise, there is a term, “smoothie” for the end result, and I think this is not aesthetically appealing and almost a nihilist procedure. There are people that want to sign off on sexual life whatsoever, but how long this will last falls into an area of uncertainty. What then?
So yes, we can do the operation, and there will be a fee reduction. Some recognition from your therapist(s) acknowledging this is what you want and will have and can live with, would be appreciated.
Harold M. Reed, M.D.