Dear Dr. Reed,

I am seeking full hysterectomy with vaginectomy and closure. Do you perform this procedure, or is there another surgeon that performs those procedures? I am also interested in a consultation regarding meta and phalloplasty.  Marlon

Good afternoon Marlon,

We do vaginal closure (colpocleisis) and metoidioplasty.  The other procedures are done elsewhere.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Dear Dr. Reed,

I’ve been on hormones for 6 years. I’ve also had top surgery about 5 years ago.
Specific_Questions: I’d really like to stand to void. I was wondering if it is better to have a hysterectomy and vaginal closure before or after my phaloplastmy especially in regards to the lengthening of the urethra.

Adamos

Good afternoon Adamos,

Thank you for your interest in what we do.

Yes, before proceeding to either phalloplasty or metoidioplasty you should have a laparoscopic assisted vaginal hysterectomy, bilateral oophorectomy, and colpocleisis (closure of the vagina by fulguration and purse string sutures).

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.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

I would like to know about metoidioplasty and also i want to know if i can still keep my vagina. And have both

Jonas

Good morning Jonas.

Thank you for your interest in what we do.

Yes, you can do this.  However, stand to void results are more fraught with incomplete closure and may need revision surgery.   Also if you are looking for a stand to void result, the entrance way may be somewhat smaller.   So an option to consider is just metoidioplasty and void sitting as you do now.

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.

Please keep in mind…  April is a promotional offer month if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842).  Ask for Christina and mention my name.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

October 17, 2010

Good morning Milton,

The lipo and the lift should be done together as this is surgery in the same general area.  Fat in the labia majora also will be removed as the fat distribution tends to resemble a horseshoe in configuration. Then you need about 3 months of rest for all the swelling to subside.

Your plastic surgery friend is not entirely wrong about changing your lifestyle but also once fat cells are removed substantially from an area with aggressive liposuction, that area will not become significantly plump again, as there will be very few fat cells left to store fat.   If you continue to overeat, yes other areas will become “plumper”.  Despite aggressive dieting pubic fat has been called privileged fat and is usually the last fat to disappear. 

Most likely blousing of your skin devoid of fat will remain and of course this is why we do the “tuck” or lift.

Sincerely,

Harold M. Reed, M.D.

October 16, 2010

Good morning Milton,

My dear friend, for whom I have great respect and deep concern,

Yes, I perform this procedure and your fee to include anesthesia, use of the facility and any follow up care I perform is 4850.

Please understand the female genitalia are 30 degrees lower than its male counterpart and we are seeking to elevate the clitoris to adjust for that.  You can test this by standing in front of a mirror
and lifting your abdominal panus and mons pubis and see if you like that result, aside from providing a more youthful appearance.

This procedure and a metoidioplasty should certainly not be performed at the same time as the pubis is the delta that lymphatically drains the clitoris and labia and temporary injury from liposuction to the lymphatics will result in more swelling and compromise the result further down by not providing an optimal environment for wound healing.

With every best wish,

Harold M. Reed, M.D.
305-865-2000

At 10:05 AM 10/16/2010, you wrote:

Dr. Reed,  do you perform that surgery?  How much does it cost?  What is the recovery time for it?  Can you do them concurrently or do I have to have time betwn the lift/lipo and the meta?  Is it out of the question to proceed w/ the meta w/o the lift/lipo?  Pls let me know your opinion on all of these.
 
Thank you,
MW

Thank you,
Milton

October 16, 2010

Good morning Milton,

I am of the opinion you should have a lower abdominal liposuction and lift first before proceeding to metoidioplasty, otherwise you will have a very concealed result.

Sincerely,

Harold M. Reed, M.D.

Do you know anyone that make the compound? You said it wouldn’t be very expensive so I thought that price was way off as well.

Anyway – let me know where to go from here.

Strohecker’s is sending the prescription back to me by mail.

Thanks,

Derek
Andractim? (dihydrotestosterone)

The primary manufacturer of dihydrotestosterone gel globally is Besins International, based in France. Besins produces the drug under the Andractim name, … theironbrotherhood.com/showthread.php?717-Andractim?…

The Walgreen’s price is not that expensive considering a small “dab”.

Harold

I’m a casting producer with Pie Town Productions, a television production company based in Los Angeles, California. During my research, I came across your information and specialization in this area and wanted to touch base with you.

Our company is currently in the early stages of developing a documentary-style series that would follow a couple as one of the partners undergoes a gender transition. We are looking to make a thoughtful series that could potentially shatter misconceptions and stereotypes about those transitioning genders — and be relatable to all — no matter your sexuality.

As we begin our casting process, I wanted to see if you might be able to share information about our project with your clients – and/or have any suggestions of organizations / couples within this area whom we should contact. Any and all help would be greatly appreciated.

A little about us…Pie Town Productions, a Power Up! award-winning company, was founded in 1995 and has produced over 3,200 episodes of programming in a variety of formats from daily series to network specials to weekly reality shows. Our client list over the last fifteen-plus years includes: Discovery, TLC, Paramount, A&E, WE, Lifetime Television, Logo, CMT, Discovery Heath, the Food Network, and HGTV. We’ve brought over 44 series, 36 special projects, and 1 feature documentary to the market, including the Emmy-award winning A Baby Story. We are currently producing the new Food Network hit, Chefs V. City and WE’s new family docu-soap, Downsized. To see more about our programming go to www.pietown.tv < http://www.pietown.tv/>

Again, any suggestions you may have would be greatly appreciated. Thanks very much for your time!

I look forward to speaking with you.

Warm Regards,

Nina Corbett
Casting Producer
Pie Town Productions
818-255 9322

On 7/29/10 3:19 PM, “Harold M. Reed, M.D.” wrote:

July 29, 2010

Good afternoon Nina,

Your message is posted on our Yahoo group web-site http://groups.yahoo.com/group/MTF-SRS-FTM/
and may influence how arrangements could make with prospective patients.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

At 07:11 PM 7/30/2010, you wrote:
Hi Dr. Reed,

Thank you so much for the reply and for helping to get the word out about our program.

I wasn’t able to access the link that you gave me. Would love to check it out.

Thanks very much again! Will keep you posted on any referrals.

All the best,

Nina Corbett
Casting Producer
Pie Town Productions
www.pietown.tv
818-255-9322

July 31, 2010

Good morning Nina,

Real simple.

Enter http://groups.yahoo.com/
then specify our group name

MTF-SRS-FTM

This is an adult group, so there are a couple of dance steps you need to go through, and voila. You are there.

Your personal comments would be most welcome.

Have a restful weekend,

Harold M. Reed, M.D.
305-865-2000

I am a female and wish to BECOME: Male – FTM
Hormones/Conversion: Yes, I have been on Testosterone since Dec  2, 2002. I have had a full lap hysto and chest reconstruction.
Specific_Questions: Is the vaginectomy included in the 12,500  meta?
If it is then everything for bottom surgery is 12,500+5000 = 17,500?? How much extra is the mons reduction so the penis sticks out farther?

Can you at least tell me the length of stay in Miami for each surgery:

Mons/pubis reconstruction
Metoidioplasty/vaginectomy/ureathral hookup
testicular implants.

Great. Please let me know what you have available in July, the 5th Monday would be good. I wll be in Clearwater, Florida and I could drive down for the appointment.

Do you recommend doing the mons/publis reduction first? If so we could schedule that for late may 2011.   If you only require me to be in Miami one or two weeks for the metoidioplasty surgery I could maybe do it earlier than may of 2013.    Please let me know.

I can schedule the 3 sugeries separately correct?  Mons reduction first, then metoidioplasty/vaginectomy/ureathral hookup and then testicular implants last. How far in advance can I schedule surgery?

Thank you in advance for answers to these questions.

Denar

Good afternoon Denar,

Sounds like you are well on your way.  Yes, we’ll be happy to include vaginectomy (colpocleisis) in your fee for 12,500.  Testicular implants are 5000 extra and I would propose that this be done as a secondary stage.  We can do pubic reduction gratis as an additional procedure, but remember the pubis is the delta which drains the lymphatics from the perineum and labia, so too much surgery there causes a swelling and sub-optimal wound healing down below.  Best to have that done as a procedure unto itself.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

 If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

Read the letter and this is the classic example of how a letter of endorsement should not be written. This type of letter is in fact seen when a therapist feels a certain obligation to say something but in fact has deep seated reservations about making any written commitment. This is akin to a “letter of recommendation”  for an employee.   Miss so and so worked in my office from June 1st 1999 to September 5, 2001. (Start, period, end of letter).

This is a more a letter of detachment.

The standards for how a letter should be written if the Dr. is interested are posted on WPATH.   To wit:

The Mental Health Professional’s Documentation Letter for Hormone Therapy or Surgery

Should Succinctly Specify:

1. The patient’s general identifying characteristics;

2. The initial and evolving gender, sexual, and other psychiatric diagnoses;

3. The duration of their professional relationship including the type of psychotherapy or

evaluation that the patient underwent;

4. The eligibility criteria that have been met and the mental health professional’s rationale

for hormone therapy or surgery;

5. The degree to which the patient has followed the Standards of Care to date and the

likelihood of future compliance;

6. Whether the author of the report is part of a gender team;

7. That the sender welcomes a phone call to verify the fact that the mental health professional actually wrote the letter as described in this document.  

The organization and completeness of these letters provide the hormone-prescribing physician and the surgeon an important degree of assurance that mental health professional is knowledgeable and competent concerning gender identity disorders.

More or less in the first paragraph the therapist should introduce him/herself by virtue of their background and training and societal memberships. Next the therapist should endorse the client for transgender surgery (“I recommend, I endorse, or Miss so and so would be a good candidate for transgender surgery, etc”).

Next suicidal ideation or attempts (yes or no) should be mentioned, as well as any drug abuse history or ethanol dependency (yes or no).

Lastly the therapist should invite the recipient to call their office for further discussion should questions arise.

Look at Dr. Mora’s letter hopefully and you will see the difference.

Sincerely,

Harold M. Reed, M.D.
305-865-2000