Out: transgender care is healthcare

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In: WPATH Expert: Many Surgeons Performing Transgender Surgery Are Amateurs

“Complications can be pretty bad for vaginoplasty and the most-dreaded complication is to perforate the rectum while you are dissecting the vaginal cavity,” Dr. Alex Laungani, a Canadian surgeon, who has “expertise in trans surgical care,” said at an event sponsored by the World Professional Association for Transgender Health (WPATH).

“You are essentially dissecting the vaginal cavity between the prostate and the rectum and there’s literally no space there,” he said. “So, you have to create a new plain in a spot that doesn’t exist. So, you’re very close to the rectum and it’s very hard–it’s very easy to get in there. We don’t, I mean, the more you do it, the less risk you have, of course.”

“We’ve seen a growing number of programs throughout the world of gender affirmation, probably with a lack of training and not proper training, for now,” said Laungani. “And so, you know, better ca–any care was better, probably, than no care. So, it did allow individuals to have access to surgery. But it’s time just to make sure that we have the right training and that everybody has the same standard because the patients deserve it.

“And, so, we need to make sure that, you know, we’ll build these training programs, fellowships, and things,” he said.  “And it’s really happening now. So, this is going to be something mandatory.”

“Well, you do great only what you do often, right,” Laungani said. “So, if you do a vaginoplasty every two years, I don’t think you could consider yourself proficient. You’re going to have more complications.

“You’re not going to follow up, you know, and you’re not going to be that interested that you actually go and hang out at these kinds of conferences and learn from your colleagues, because you’re not going to do it as much,” he said. “So, I think you need to dedicate a huge part of your practice to gender-affirming care if you are going to do it at all.”

"You're not going to follow up, you know, and you're not going to be that interested..."

Think about that. These are people who are doing extremely dangerous surgery with high rates of terrible complications, and they really don't know what they are doing.