The McIndoe vaginoplasty is literally done on people born with vulvas and no hole leading to the/(a?) vaginal vestibule. THE FUCKING COPE. These are intersex phenotypically-female people getting surgery to have a vaginal canal. It has nothing to do at all with penile inversions. It's MRKH female babies, not male trans patients.
I'm still curious what they were sloughing off as the penis in the descriptions, I could very much be wrong here! But yeah, it's not like babies with ambiguous genitals are born and we just throw up our hands and say "dealer's choice!" -- they are still male or female in 99.999% of cases.
What do MRKH babies need a orchi and circumcision for. Those babies may very well have some birth defect, but they ain't phenotypically-female.
MRKH have an underdevelopped vagina, but externally they are typically female and not detected until adolescence.
Per the description:
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a disorder that occurs in females and mainly affects the reproductive system. This condition causes the vagina and uterus to be underdeveloped or absent, although external genitalia are normal. Affected women usually do not have menstrual periods due to the absent uterus. Often, the first noticeable sign of MRKH syndrome is that menstruation does not begin by age 16 (primary amenorrhea). Women with MRKH syndrome have a female chromosome pattern (46,XX) and normally functioning ovaries. They also have normal breast and pubic hair development. Although women with this condition are usually unable to carry a pregnancy, they may be able to have children through assisted reproduction.
When only reproductive organs are affected, the condition is classified as MRKH syndrome type 1. Some women with MRKH syndrome also have abnormalities in other parts of the body; in these cases, the condition is classified as MRKH syndrome type 2. In this form of the condition, may be abnormally formed or positioned, or one kidney may fail to develop (unilateral renal agenesis). Affected individuals commonly develop skeletal abnormalities, particularly of the spinal bones . Females with MRKH syndrome type 2 may also have hearing loss or heart defects.
It's not like babies with ambiguous genital are born and we just-
yeah yeah yeah stop right here. It's exactly like that, even thought it's very very rare. They would turn little boys with mishapen micro-penis into little girls in the old days, because better be "a girl" than a "freak male who can't have intercourse".
I suggest you do a little more reading on the intersex community.
Basically, in the case of intersexed they used to turn them all into little girls, because it's easier to carve out. Even if they knew the kid had a proto-penis and parts geared towards sperm-making.
They went as far as doing vaginoplasty on children, which means that doctors and parents would have to do the after-care: they would would dilate the kids regularly to maintain the neo vagina, only with the best of intentions, of course. Deep trauma would ensue, as it basically medicalised rape, but the "science" used to be that it was a lesser evil to be dilated by your parents than to not be able to have some kind of penis-in-vagina intercourse later in life. This is an example of our society being pathologically centered on heterosexual intercourse and it's horrifying.
Intersex activists have been asking for the end of those practices for decades.
Like, i am relieved in the case mentioned by Deepland Bystander that AT LEAST they are waiting until the patients are older before doing the neovag. Lesser evil.