Megathread SRS and GRS surgeons and associated horrors - the medical community of experimental surgeons, the secret community of home butchers

If this were any other medical procedure, her setting up a DNR, or even just a tattoo, we'd say she's capable of consent.
If she had been "asking" for a breast augmentation, would that have been performed? It's an honest question from my end, I've never seen such a profoundly disabled person with silicone tits and in my mind it does not seem ethical, but I might be wrong.
 
I have no idea what happened here.

Note the self harm scars.

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This is evil incarnate
 
You are at least kinda new to this, aren't you? Check the internal surgeon's powerpoint - there are (almost) no good outcomes. They say it themselves:



If you consider that these complications don't always overlap in one patient,
we are basically looking at a failure rate of this procedure, in one way or another, above 50%.
And even if it "worked", what good is a dangling fleshgraft with no functional purpose and massively scarred harvest sites to begin with?
The source is attached to the quoted post. Thread's moving fast, just on the off chance you missed it.

That complication class alone makes this a coin flip, basically.
Way, waaay beyond BBL, which is already dubbed one of the most dangerous cosmetic procedures with the highest death toll.
And on whom are BrazilianButtLifts mostly done? Again, women. Insecure ones with body image issues...
Yup. It's damning. Which is why the flippant tone of the document irked me so much. And also, this statement is quite revealing as to the motives:

I am a reconstructive urologist (18 years) who has decided to devote the rest of my career to the "Mount Everest" of transgender surgery.
It stuck out for me, because it reads as though this its all about the 'challenge' for him (in addition to the money obvs), and really makes me think of the experiments of Dr Mengele and his coherts. I literally shivered the first time I read through it all.
 
It stuck out for me, because it reads as though this its all about the 'challenge' for him (in addition to the money obvs), and really makes me think of the experiments of Dr Mengele and his coherts. I literally shivered the first time I read through it all.
That's the real problem here, he isn't doing cutting edge work there: He's just improving HIS skill on this insane, unworkable idea which leads to nowhere innovative at all. When I heard abouts the nazi doctors, I always assumed that whole pioneering angle was just lamp shading their basal sadism - I don't think it's different here, because if he was an actual glory hound, he would sharpen his teeth on something respectable and try to invent new procedures or improve ones which are actually seen as benign and helpful. I take a vain glory hound surgeon, please! The "I can keep my patient alive after doing THIS much damage" -hacks, step aside and take a hike!
 
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You're not wrong, but this is where it gets hard to regulate.
It's impossible to cite a doctor for "writing like a Redditor."
Tone and nuance are really difficult to police.
I wasn't suggesting someone should go after him legally/regulatorily/etc, more taking it as another sign of how far off the reservation this whole "practice" and its practitioners are.

Some professional orgs try to cover common sense stuff with "conduct unbecoming"-type language, but I agree that some behaviour can't be regulated/compelled, like how no law in a diversified country could achieve Japan's 95% lost wallet return rate, or make it safe to leave baby prams outside the drug store like in Scandinavia.

In a healthy society, someone at some stage of this presentation's creation would've taken the guy whose name is on it aside and said "you may want to reconsider the tone here". Or it just wouldn't happen to begin with, because doctors (lawyers, accountants, etc) would know to act like doctors (etc).
 
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Did the doctor sneezed with the scalpel on his hand? What's going on?
Wound dehiscence.

You ever have an old, well-loved pair of pants, then one day you squat down and it rips, right along the seam?

Same thing but flesh. Surgeon sewed her up there but the sutures didn't hold. Too much movement, inadequate closure, fat/smoker/diabetes/poor diet, EDS, some of each.

Now the surgical wound is open and is either going to heal with granulation from the bottom up, "secondary intention" like a plain ol' gouge might heal, or the surgeon will have to go and debride the sides and suture it back together again, better this time. Probably going to be the first one. Wound VAC would help.

In a healthy society, someone at some stage of this presentation's creation would've taken the guy whose name is on it aside and said "you may want to reconsider the tone here".
I get what you're saying, but the problem isn't really the tone but the horror it's applied to. From other professional-level PowerPoint presentations I've seen the slides from, Dr. Fakedick here at worst sounds like he's been hanging around plastic surgeons.
 
it reads as though this its all about the 'challenge' for him
It is all about that, one way or another, for them. Doesn't really matter if its a cancer surgeon or a rotdog one. Surgeon's gotta surgeon. Beat your personal best (or the odds, ahem) and/or make surgeon history and do a paper or conference talk on what you did. Get attaboys and asspats from the peers. Gotta keep your surgeon chops honed too. Practice, practice. On anyone who consents. Even if they're not a good candidate or have decent odds.
 
She's clearly able to use the internet, seeing as she has social media accounts.
That’s not clear at all. It is very likely that her grifting parents manage her social media accounts. They appear to manage everything else for her around the clock. Do you think the cute pet accounts are actually run by the pets? Of course not.
 
On anyone who consents. Even if they're not a good candidate or have decent odds.
This part not completely--you gotta keep your success rate up. Besides, if you operate on someone with bad sleep apnea, or wonky labs, then you're gonna keep getting paged by post-op for trivial things like blood gas and electrolytes until you tag in an internist to do the long-term, boring management.

That’s not clear at all. It is very likely that her grifting parents manage her social media accounts.
I bet we have less than a day in C.P. Pooner and the Splendiferous Top-Lop before disability activists start writing their own op-eds and saying that questioning the capacity a facilitated communicator with a recent CVA means we want chubby alt girls with canes to die, nothing about us without us.

Nobody has long-distance mental eval certification; whichever side is arguing, looking at video of her is going to be as time-consuming and fruitless as when people were running Schiavo footage back and forth like the Zapruder Film.

However, like you said: the writing on the accounts sounds exactly like a parent (or a pet parent). It's too press-releasey; there's no introspection. If she's 100% mentally normal and spends most of her day online, she should sound like the Zoomer she is, and be regurgitating the buzzwords from the fandom Discords that groomed her (in this hypothetical). Her gender talk is suspiciously parent-oriented and a few updates behind.
 
If you're a sociopathic surgeon then trannies are the perfect patients. They're in a cult like semi-religious movement where they accept surgeries that are horrific in any other context, do not stop each other and in fact actively encourage each other to seek them out, and accept having up front experimental surgeries (so you're not on the hook). You get money, you get to tinker around outside morality, and it's not going to come back around. Sociopaths are ultimately too selfish and smart to be outright serial killers like fiction proclaims, because it wouldn't be worth it if it's something that would be easy to get in trouble for. But someone crazy enough to go out of their way to willingly sign up for experimental surgeries where the outcomes literally have no measuring stick because you're frankensteining parts they don't have? And where there is no limit to the number of patients since they go willingly rather than needing reconstruction (and therefore needing an accident or something to need work done)?

Golly. It's like Christmas!
 
It is all about that, one way or another, for them. Doesn't really matter if its a cancer surgeon or a rotdog one. Surgeon's gotta surgeon. Beat your personal best (or the odds, ahem) and/or make surgeon history and do a paper or conference talk on what you did. Get attaboys and asspats from the peers. Gotta keep your surgeon chops honed too. Practice, practice. On anyone who consents. Even if they're not a good candidate or have decent odds.
That is still dependent on what flies socially. There's a reason why this was a rare specialty for most decades before recently. I bet there still is at least a silent contempt for these guys form other "real" surgeons, in he same way surgeons often see themselves as the "real" doctors, because their work is most hands on and the penultimate end point of many treatment circuits for severe ailments. The guys who stoop that deep are just protected like any pro trans goon is shielded against criticism now. It was also hushed and never mentioned openly, I actually never outright encountered talk about it or advertising - ever. It was just vaguely known that some insane people go through extreme lengths to get this done and you were always kinda left with "how?" - to which the answer simply remains: "Not possible. It really is horrific mutilation."
 
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Just a 100% expected, minor complication: Wound-Dehiscense.
Yup. Shocking, isn't it?

Edit to avoid double posting
I've got a quite a few research papers relating to complication rates in GRS. Haven't gone through them yet.

Was wondering if it would be worth starting a thread for purely research, studies, and literature like the slides I posted.

My thinking was that we could attach anything of interest to the OP of the thread as a sort of index, with all of the papers are attached to the whenever one of interest surfaces, like this:
  • Title: Vaginalplasty Complications
  • Date Published 1/1/01
  • Type: Power Point Slides
  • Author: Dr Mengele
  • Description /Summary
  • Organisation: Auswitch
  • Notable Quotes (highlights or anything especially interesting)
  • NSFW ( or not)
Whenever someone updates the thread with a new document, we can update the Index on the OP.

The purpose of a seperate thread would be to make it easier to find stuff, rather than hunting through posts. Discussions about the research articles can still be held in the thread, but with an index it makes stuff easier to find.

Thoughts?
 
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Was wondering if it would be worth starting a thread for purely research, studies, and literature like the slides I posted.

This thread is supposed to serve for the gathering and discussion of scientific and "scientific" studies on trans-related topics such as SRS, hormone therapy and the consequences of these, as well as the scientists and researchers involved.

Had me wondering the same and indeed there is. Happy posting! We really have everything on here, haven't we?

But maybe it would actually be better to have one on the gender quackery and one on the actual surgeries... like there's trans thougts/tranny Ls and this very SRS thread. Hmm.
 
Another one, different hospital, same grim complication rate.
Highlights, presented without comment.
Radial forearm free flap phalloplasty (RFFP) is the current standard of care for most FTM gender confirmation surgeries. This procedure is associated with a rate of urethral stricture as high as 51%, which falls only to 23–35% even among the
most experienced contemporary surgeons.
(:_(
Urethroplasty is technically challenging and fails in up to 50% of cases. Repeated surgery or salvage urethral exteriorization procedures, which can leave the patient with lifelong perineal urethrostomy, are often required.
:jaceknife:
Patient and physician knowledge regarding the high burden and poor treatment options for urethral stricture after phalloplasty is incomplete, and patient acceptance of this reality is crucial for honest understanding of the potential complications of this increasingly common but extremely complex surgery.
:stress:
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