Surgery shaming is a problem in the trans community, says British trans activist Jamie Raines in the opening off his new video. “It’s cool to not like certain surgeries for yourself, but lets stop making general negative comments about certain procedures, especially telling trans men that bottom surgery is pointless.”
According to Healthline, Bottom surgery generally refers to:
Vaginoplasty is typically pursued by transgender women and AMAB (assigned male at birth) nonbinary people, while phalloplasty or metoidioplasty, is typically pursued by transgender men and AFAM (assigned female at birth) nonbinary peopleINFORMED COSENT VS WPATH
- Leading transgender healthcare providers will either follow an informed consent model or the WPATH standards of care.
- The informed consent model allows the physician to inform you of the risks of a certain decision. Then, you decide for yourself whether to proceed without any input from any other healthcare professional.The WPATH standards of care requires a letter of support from a therapist to begin HRT, and multiple letters to undergo bottom surgery.The WPATH method draws criticism from some people in the transgender community. They believe it takes control out of the hands of the person and implies that the transgender person deserves less personal authority than a cisgender person.However, some care providers argue that ethical standards don’t contradict informed consentTrusted Source. Requiring letters from therapists and physicians appeals to some hospitals, surgeons, and care providers, who may look at this system as legally defensible if necessary.
- Both of these methods are considered by some in the transgender community to be an improvement of the previous and widespread gatekeeper model. This model required months or years of “real-life experience” (RLE) in their gender identity before they could have HRT or more routine surgeries.Some argued that this presumes transgender identity to be inferior or less legitimate than cisgender identity. They also believe that RLE is a mentally traumatic, socially impractical, and physically dangerous period of time in which a transgender person must out themselves to their community — without the benefit of the physical transformations that hormones or surgeries bring.
The gatekeeper model also tends to use heteronormative, cisnormative criteria for qualifying the real-life experience. This poses a significant challenge to transgender people with same-sex attractions or gender expressions outside a stereotypical norm (dresses and makeup for women, hyper-masculine presentation for men), and essentially erases the experience of nonbinary trans people.
WATCH Jamie Raines discussion on the topic below.