From an article about student health plan coverage for sex reassignment in USA.
For female-to-male surgeries, the new coverage plan will include “mastectomy, hysterectomy, salpingo-oophorectomy, vaginectomy, metoidioplasty, scrotoplasty, urethroplasty, placement of testicular prostheses (and) phalioplasty,” Hebert wrote. For male-to-female surgeries, coverage will include “orchiectomy, penectomy, vaginoplasty, clitoroplasty (and) labiaplasty.”
I loathe the use of cosy euphemisms "top surgery/bottom surgery".
This list of procedures really spells out what a journey of horror any trans person seeking surgery is about to embark on. I think of it as a menu of mutilation.
I think it is really important to pull no punches what the end destination is for any child/teen who starts out on puberty blockers is.