Sick Surgery
It’s time to stop medically perverse practices
THE tide of public opinion appears to be moving against “gender-affirming care,” a euphemism for child sexchange procedures not supported by the evidence that often cause devastating consequences.
Preventing such procedures for patients under age 18 has to be the baseline. But while restrictions on such procedures for minors are essential, more scrutiny should be focused on a lesser-known practice: “nonbinary” surgeries for adults.
Curtis Crane is one of the doctors leading this movement.
Crane is a University of Iowa and Dartmouth College-trained urologist and plastic surgeon who specializes in transgender medical interventions, including experimental nonbinary 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 and in Austin, Texas, employs a team of five doctors and conducts procedures on more than 1,000 patients a year.
As part of this caseload, his practice has veered into the disturbing new territory of nonbinary 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.”
Crane also designed and performed hundreds of nonbinary surgeries in which he fashions together both male and female genitalia for a single individual. He recounted the story of performing his first nonbinary 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 “soulsearching,” 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, nonbinary, gender-nonconforming, genderqueer and gender fluid. Crane proposed two solutions. 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 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 — in pursuit of therapeutic, left-liberal notions of authenticity, identity, equality and acceptance.
There is, however, a dark side to this philosophy. 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. And the human mind, untethered from moral limits, can conjure up nightmares.
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. A reckoning might be coming. In 2018, the feminist writers at 4thWaveNow discovered that a large number of transgender patients had sued Crane for medical malpractice.
All of the ex-patients described barbaric surgeries and gruesome complications. The cases were dismissed, potentially as the result of settlements.
To stop the radical procedures performed by surgeons such as Crane, society will need to impose limits. Medical associations, which have been captured by gender ideologues, 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.”