Friendly reminder to people considering these surgeries who are not active members here: there are only a few surgeries in this area that are standardized and relatively safe. Until these surgeons begin creating standard work parameters and aftercare procedures, you should avoid any other type of surgical work.
If the trans community wanted to really further trans health care, then they need to find the funding for mandated databases with reported outcomes. We have them for bone marrow transplants and people with cancer, among other things. There are people who's entire job is checking in 4 times a year on every patient with these treatments/diseases. Are they alive? Are they in remission or did their cancer return? Did they get a new cancer from the treatment? It's how we can say, "X treatment for Y cancer is an effective treatment." which helps further standardized care for all patients.
This won't happen in the trans community because:
1. The doctors are all doing different things in different countries. You'd have to start with standard terminology, and they don't want to give out their "secrets". What does PPT mean, specifically? How, exactly, is a "clitoris" formed? Did the patient recover sexual function? It's not like chemotherapy. 5-FU is 5-FU all over the world.
2. Some of the shittier doctors count on their patients having Medicaid and therefore no choice in a provider. I think Rumer gets most of her patients that way. It would hurt her business to have her outcomes recorded because she'd be dropped by Medicaid.
3. There are patients who consider anything put in the way of their surgery "gatekeeping". You want me to see a therapist that I have pay for more than one session? Gatekeeping! The surgeon refuses to operate if my BMI is high? That's gatekeeping! Many of these patients are paying cash, and doctors don't want to weed too many people out of the patient pool.
I work in healthcare. I knew that SRS has been done for a long time (Trinidad, CO was the epicenter for years) but I had no idea that restoring sexual function is a crap shoot at best. These doctors are butchering people's genitals and feeding them a lie. And that's not informed consent. Informed consent would be telling them in writing that it's entirely possible that the patient will never orgasm again.
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