miri1985 I completely agree where you say:
I think a lot of issue is with the language surrounding it. If you tell someone you're creating a vagina rather than a pseudo-vagina which is more akin to an open wound you shouldn't be surprised when they're suprised by its lack of function. By being delicate and whimsical around these surgeries like calling a mastectomy top surgery or refering to amputating a penis as bottom surgery, it belies the seriousness of the procedure and its irreversability
This is exactly what the NHS web information about gender dysphoria does. It’s awful. I hope that the Cass report and this judicial review team will pick up on that.
The NHS uses the same everyday language that describes our naturally-occurring human genitalia to describe the results of surgery, which is impossible. This deceitful language has been on their webpage for years which is also shocking. It is actual real transphobia to intentionally mislead patients like this:
‘Surgery for trans men
Common chest procedures for trans men (trans-masculine people) include:
- removal of both breasts (bilateral mastectomy) and associated chest reconstruction
- nipple repositioning
- dermal implant and tattoo
Gender surgery for trans men includes:
-
construction of a penis (phalloplasty or metoidioplasty)
-
construction of a scrotum (scrotoplasty) and testicular implants
- a penile implant
Removal of the womb (hysterectomy) and the ovaries and fallopian tubes (salpingo-oophorectomy) may also be considered.
Surgery for trans women
Gender surgery for trans women includes:
- removal of the testes (orchidectomy)
- removal of the penis (penectomy)
-
construction of a vagina (vaginoplasty)
-
construction of a vulva (vulvoplasty)
-
construction of a clitoris (clitoroplasty)
Breast implants for trans women (trans-feminine people) are not routinely available on the NHS.
Facial feminisation surgery and hair transplants are not routinely available on the NHS.
As with all surgical procedures there can be complications.
Your surgeon should discuss the risks and limitations of surgery with you before you consent to the procedure.’
From: https://www.nhs.uk/conditions/gender-dysphoria/treatment/
Why doesn’t this NHS information discuss ‘the limitations of the procedures’ itself here? When the ‘limitations’ are so profound as to make the words used actually dishonest. You can’t ever surgically make a penis, scrotum, vagina, vulva or clitoris. It’s never been possible to do that. These things are functioning human organs.
It’s a complete failure of accuracy and honesty.
It shouldn’t be left, as it suggests here, to an NHS surgeon to unpick misconceptions that may have been placed in a patient’s mind by trusted NHS web information that could cause the patient to believe that actual new sex organs could possibly be created by having surgery.
Misleading patients demeans them, creates added health risks to them, wastes precious NHS resources and breaks everyone’s trust in the NHS.
These same NHS information webpages also explicitly lump together ‘teenagers’ with ‘adults’ when discussing signs of gender dysphoria.
It is totally inappropriate given the different life situations and maturity levels and social pressures on say, a 13 year old girl or boy compared to an adult father seeking to transition in mid life, for the NHS to fail to acknowledge that difference: https://www.nhs.uk/conditions/gender-dysphoria/symptoms/