When should I consider orchiectomy

Dear Dr. Reed,

I have been living for the past 3 years as a lady and pass very well
but tucking so much baggage is not fun.  I’d be happier to take
less estrogens.


Dear Diane,

We do several orchiectomies every month.  Our most recent was done yesterday
and she is doing very well.  Surprisingly no discomfort.  Her boyfriend
was in the operating room with her

The advantages are reduction of estrogens by about 1/3rd and avoidance of
testosterone blockers such as Spironolactone.

Our approach is via a singular midline vertical 1 inch incision.  At this time we
do high ligation of the cord (no tootsie roll).

Please see
for some photographic examples.

If you are married we will need a release from your wife..  You will also need
2 letters of clearance, both written by licensed therapists, one of which has a doctoral degree
(could be a PhD or an MD if a psychiatrist) saying your are mentally stable, that the likelihood
of remorse is low, and that you will be a happier and more productive person as a result
of your orchiectomy, or at this time in your transition that the procedure is “medically necessary.”

Fees are consultation: $250, orchiectomy to include high removal of cord under local with
IV sedation, use of the operating room and any followup aftercare I provide: $2,500.

If you wish for simultaneous removal of the scrotum please add an additional $1500.

If you are 40 years or older, you may also need a letter of medical clearance
with reference to a recent EKG, and routine lab tests…
a CBC, PT, PTT and platelet count.

Candidates who wish to secure their reservations are required to have minimally
a letter of clearance if needed and a phone consultation with a favorable response
to questions of concern.  Assuming this, you will be given the nod to send
in a 50% deposit which is non-refundable.

If there is further interest, please call and ask for Anne our amiable office
manager who will assist with arrangements.

You will need to stay overnight, ideally 2 days after surgery,
at a nearby motel.

We recommend Daddy O Hotel, 9660 East Bay Harbor Drive,
one block from our office (305-868-4141) somewhat more posh,
or the Beach Place Miami (305-866 3313) advanced tourist class.
Now is” off season”, so rates are very affordable.

Please no aspirin or aspirin products, no anti-inflammatory drugs
such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex
or Vioxx for a week before surgery. No Vitamin E or excessive alcohol
or spices for a week before surgery as this may promote bruising.
Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice
a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets
sublingually, 4 times a day), vitamin C 500 mg (3 times a day)
starting 1 week before surgery. Do take these medications
unless there are specific reasons why you choose not to
and let’s discuss it beforehand.

Boiron brand is available at Whole Foods and on the web at for “pennies” and we do notice
a difference. You will need 2 vials.

Anticipate we will show you every courtesy.


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery

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