I one that’ll thoroughly ruin your lunch ladies and gents.
No pics of the amhole in question. They aren’t needed.
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Ladies? Anyone have some experience with a prolapsed vagina that had to be amputated? Any pointers for the poor, soft madam, who’s still so TRAUMATIZED that “she” can’t even write about it?
Whenever I think there's nothing but body horrors in this thread they're always making posts with phrases like "she's now ready to pursue the vagina she desperately needs."
I think most gender surgeons won't operate with a BMI over 35. I know this because the MtF who wrote the revenge-fantasy novel about killing TERFs complains about it.
Jake Alley claims that not even the infamous Butcher of Ardmore Kathy Rumor will operate on him due his catastrophically high BMI and I’m pretty sure she’d operate on a donkey if Medicaid would cover it.
I imagine the BMI rule must be something related to liability insurance or set down by the hospitals that they do the surgery in, because you are right, most GRS surgeons would slice up the dick of a drunken hobo who wandered into their offices as long as he had a valid Medicaid card or good insurance.
It's not anything to do with gender surgeries really, it's surgeries in general. If you're too fat any surgery becomes very risky (anesthesiology is a big one and they're most vocal about it, but there's lots of other things) so they tend to only do actually life saving procedures that you actually do need. In Jake's case they told him (well, at least what he claims) the only surgery they'd consider was a bariatric surgery so that he could actually lose weight since he apparently refuses to do so otherwise. Then after he stops being too obese he can get his dick chopped off.
This comes out most in troons, though I'm sure the fat activists do the same whining, because they want unnecessary surgeries and think they're being gatekept specifically. But Micah (Gretch) and Jake would get the same thing if they were true and honest women trying to get a cosmetic surgery of some kind. These troon doctors obviously don't care much about their patients but risking killing them in the operating room is a step too far.
While the troons have managed to get their surgeries classified as "medically necessary" for payment they haven't yet been able to completely overturn the ethics of everyone involved in surgeries so they can slice the fat bastards up.
What I actually wonder about is if other countries would be more lax about this or if they'd actually be more concerned since their patients are probably not usually so fucking fat. A lot of these troons like Jake aren't the type to go to another country but surely there has to be some fat troon out there willing to do it but I have yet to discover many or any of them or they didn't get fat until later.
Just for an additional point to give you an idea of how fat we're talking, to use Jake since I don't know Micah's height, Jake at 6-2 or 6-3 has to be at least 280lbs to be over the BMI limit but the most likely story is that his doctor told him to
lose 150lbs originally which suggests he's far fatter. My personal opinion based on the
pixels now two year old photos and having seen a few
photoshops fatties in my time is that Jake being over 350lbs is very plausible.