While restrictions on “gender-affirming care” for minors are essential, more scrutiny should be focused on a lesser-known practice: “non-binary” surgeries for adults.
a euphemism for child sex-change procedures not supported by the evidence that often cause devastating consequences.But while restrictions on such procedures for minors are essential, more scrutiny should be focused on a lesser-known practice: “non-binary” surgeries for adults.
Crane is a University of Iowa and Dartmouth College-trained urologist and plastic surgeon who specializes in transgender medical interventions, including experimental non-binary surgeries. Crane has been hailed as an innovator in vaginoplasty and phalloplasty — creating artificial vaginas and penises for patients. He operates clinics in San Francisco, Calif., and Austin, Texas, employs a team of five doctors and conducts procedures on more than 1,000 patients per year. As part of this caseload, his practice has veered into the disturbing new territory of non-binary surgery, which includes castration, eunuch and nullification procedures, which Crane describes as the process of “removing all external genitalia to create a smooth transition from the abdomen to the groin.”Instagram/@curtiscranemd Crane has also designed and performed hundreds of non-binary surgeries in which he fashions together both male and female genitalia for a single individual. Crane recounted the story of performing his first non-binary genital surgery in a question-and-answer session for potential patients.“In the beginning of my practice, within the first year, I’d say, I had a trans man come to me, and he wanted a phalloplasty, but he wanted to keep his vagina,” Crane recalled. After a process of “soul-searching,” he concluded that, if gender was not binary, his surgeries did not need to conform to a typical male-female pattern. Last year, in a keynote speech for the Equality Alliance, Crane laid out his philosophy of transgender medicine. “Our history has been riddled with inequalities,” he said, and the West, in particular, has propped up a false gender binary — that of man and woman — that denies the basic right to recognition of individuals self-identifying as transgender, non-binary, gender-nonconforming, genderqueer and gender fluid.First, the social-utopian solution: to reeducate all of society to accept that biological sex is not binary — “XX is not always female and XY is not always male” — and “humanize this predicament,” with the end goal of “acceptance” of anti-normative sexual identity.Second, the technical-constructivist solution: to remove, alter, fabricate and reorganize human genitalia so that transgender patients can “become the people they were always meant to be.” The doctor’s surgical practice represents the strange metaphysics of transgender medicine, which would work simultaneously to sever the link between sex and biology, erase the primordial distinctions between man and woman and transcend the limitations of nature through the application of medical technology — all in pursuit of therapeutic, left-liberal notions of authenticity, identity, equality and acceptance.If biology, human nature and traditional ethics are seen as impediments, rather than as guides, then rational restraints no longer remain on what can be done; the only real limitation is the imagination.The surgeon, armed with a scalpel and a genital-nullification robot, becomes the new arbiter of human nature. Crane styles himself as a champion of science and equality, but he more closely resembles Dr. Frankenstein. that a large number of transgender patients had sued Crane for medical malpractice., potentially as the result of settlements. To stop the radical experiments performed by surgeons such as Crane, society will need to impose limits.do not seem capable of resisting the temptation of “trans-affirming medicine.” Outside pressure will be needed, including intervention by legislators, to ensure reform within the medical system and to prohibit medically perverse practices, such as the male-female hybrid genitalia procedure. Our society does not have to recognize as equal those ideologies that violate natural law and does not have to accept medical practices that fail to meet the discipline’s most basic test: “First, do no harm.”
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