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You said OK for orchiectomy, am thinking vaginoplasty

Dr. Reed,

I am a retired agricultural inspector and we originally talked about an orchiectomy.  I am
covered Medicare and am rethinking about a vaginoplasty.  Is this possible?

Dewitt

Dear Dewitt,

I have reviewed your chart, and you will have to ask your therapists to revise your letter of
clearance saying you are a candidate for vaginoplasty and this operation is “medically necessary”
or words to that effect. Because of your age I think a thallium or Cardiolite stress EKG is appropriate
within 2 weeks before your scheduled surgery.  Similarly you have to re-present your proposed surgical procedure
to your internist and receive his approval for vaginoplasty, a 4 to 5 hour procedure.  Have you given consideration
as to whether you wish a penetrable vaginal depth  Not all patients at your age seek this and surely this would
reduce surgical time.

Cordially,

Harold M. Reed, M.D.
Transgender Surgeon
The Reed Centre – Miami

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