I think you're right about the small uterus but she's clear that they 'couldn't fit anything in the hole' (I'm assuming for vaginal hysto) and had to 'cut through'.
She's cagey about it but claims early and persistent dysphoria around 'dangly bits' and a mysterious 'hormone imbalance'...
She obviously wants us to think she's intersex (Turner syndrome?) but I'm wondering if puberty blockers stunted her 'bits, 'hole' and 'bean' (new rule for deluded infants seeking surgery: if you can't call it by it's proper name you aren't old enough to have it cut off).
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Also WTF surgical team?! Why push on with the original plan? Should have gotten pre-consent for lapro if necessary, if not wake her up and reschedule.
And if for some retarded reason you were about to sterilise a lass who had never even been to the gynae and you find signs of a potential DSD: DO NOT PROCEED! You no longer have informed consent for the surgery.
I don't want to be too rainbow but just maybe she's not intersex faking and she's been having pooner feels because there is genuinely something wrong with her female body. And maybe she's reachable with logic and maybe just maybe she could accept and respond to appropriate FEMALE hormone therapy and be a happy healthy girl.