Part 4: A transgender woman undergoes her gender confirmation surgery
Skip navigation! Story from Body. This story was originally published on July 1st, , and we're bringing it to your attention again in honor of Transgender Day Of Visibility. Sal Steiner can remember the first time he knew he was a man. As a shy 6-year-old, he would watch kids on the playground, noticing the typical heteronormative dynamic between boys and girls.
Story from Body. This story was originally published on July 1st,and we're bringing it to your attention again in honor of Transgender Day Of Visibility. Sal Steiner can remember the first time he knew he was a man.
As a shy 6-year-old, he would watch kids on the playground, noticing the typical heteronormative dynamic between boys and girls.
How Going From A Woman To A Man Changed My Perspective (NSFW)
Thanks to less-than-stellar sex-ed and a religious home where his anatomy was never discussed, Steiner spent his early teen years expecting his penis to come in - it seemed natural to him. He didn't get his period until he was 17 and his vagina never bothered him, but once he started developing breasts in his late teens, he started to feel a real disconnect with his body. They felt like they were outside myself. This feeling of estrangement from his body continued, even as Steiner married a man, got divorced, and eventually came out as a lesbian and finally trans at the age of He's now living in San Francisco and working as a roastery manager.
He considers himself very fortunate to be surrounded by both an open-minded, supportive community and a loving family. In an experimental program they began to explore the possibility of helping patients via surgery, as was being recommended by Dr. The Hopkins' Surgeons used a variant of Dr. Burou's method. In the fall ofnewspapers around the country propagated the following item from a column in the New York Daily News: "Making the rounds of Manhattan clubs these nights is a stunning girl who admits she was a male less than one year ago and that she underwent a sex change operation at, of all places, Johns Hopkins Hospital in Baltimore.
Surprisingly, the hospital confirms the case, saying surgery followed psychotherapy. Such operations, although rare in this country, are neither illegal nor unethical, according to a Johns Hopkins spokesman.
Their successful "sex changes" became widely known about, and they became sought after as love objects by many prominent, wealthy men. Some very wealthy men (including Aristotle Onassis) would occasionally "sponsor" the sex change surgery of a Le Carrousel girl, who would then became their mistress for a while. Watch Before and after sex, and sex change! - 85 Pics at pills-rating.com! xHamster is the best porn site to get Free Porn pictures! Thanks to less-than-stellar sex-ed and a religious home where his anatomy was never discussed, Steiner spent his early teen years expecting his penis to come in - it seemed natural to him.
Officials at a number of major hospitals here agreed with Johns Hopkins on the legality and ethics of the operations but none could recall such an operation ever having been performed in New York. The Times article provided extensive information on the surgical and hormonal treatments then being done abroad, and on the new program at John's Hopkins University Medical Center, where several surgeries had recently been done.
The article also identified Dr. Benjamin as being the world's leading authority on transsexualism, and as author of a new textbook on the subject entitled The Transsexual Phenomenon see this link for an online version of the original text. Harry Benjamin, M. Benjamin was the pioneer of the whole new area of medical knowledge of transsexualism. His paradigm-shifting medical text described his experiences with many patients over several decades. He was the first researcher to recognize how gender identity and sexual orientation are two independent dimensions of each person's human nature.
Benjamin recommend how "intense transsexuals" could and really should be treated, in order to enable them to live in the gender they sought.
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His book documented the results of the new, innovative surgical and hormonal treatments and put those treatments into a rational context as therapy for transsexualism. This book gave fresh hope to many transsexuals, and opened the door for the modern medical approaches that we now take for granted. At the same time, the fact that Johns Hopkins was actually doing transsexual surgeries greatly enhanced the visibility of Dr.
Benjamin's theories and the attention that his research results received from the medical community. These figures are taken from Chapter 22, by Howard W. Jones, Jr. By this time it was common to refer to this type of surgery as "sex reassignment surgery" SRS. The illustrations were reproduced from an original article by Howard W.
Schirmer, and John E. Figure 1. A sketch of the perineum showing the line of primary incision. Figure 2. The right spermatic cord is clamped and ligated.
Figure 3. The primary incision is continued up the ventral side of the shaft of the penis. Figure 4. The anterior flap is developed from the skin of the penis. Figure 5. The urethra is dissected from the shaft of the penis. Figure 6. The corpora cavernosa are separated to assure a minimal stump. Figure 7. The perineal dissection.
The perineal dissection has been completed and the anterior flap perforated to position the urethral meatus. Figure 9. The skin flaps are sutured and placed in position in the vaginal cavity. Figure The preservation of the vaginal cavity is assured by use of a suitable vaginal form. Note 1: Figure 10 is quite misleading and does not correspond to the anatomy the should result from this procedure.
In figure 10, the vaginal opening is way too far forward from the anal opening, and the vaginal entry is shown going first in horizontally and then turning upwards after passing a large web of skin in front of the anus. Compare this sketch with the later photos of the details of modern SRS results, especially the one showing the entry of a vaginal stent into a postop's vagina.
This very poorly conceived sketch has likely been the source of many botched surgeries in the early days, as surgeons copying the Hopkins procedure may have thought that a thick web of skin was needed in order to prevent tears into the rectum. Note 2: Over the years, the techniques for doing SRS have been steadily refined.
It has also became common for post-op MtF's to have additional genital surgery called "labiaplasty" that construct further details of the external female genitalia. The result of many years of research observations and clinical practice by Dr. Benjamin became the seminal text on transsexualism. The book finally identified transsexualism as a distinct, major medical affliction in which patients have an innate gender identity opposite to the genital sex of their bodies.
These theories and results obtained considerable attention within the U. Then, following interactions with Dr. Benjamin and some of his patients, physicians at the Stanford Medical Center started a exploratory gender clinic inled by Norman Fisk, M.
SRS operations were undertaken on selected MtF patients, and the Stanford clinical and surgical results further validated the concept of SRS as treatment for those suffering from intense transsexualism. Acceptance of SRS as a serious and valid treatment for transsexualism began to slowly spread among thought leaders in the U. Hospitals around the country began gradually lifting their bans on transsexual surgeries, and surgeons at various locations began performing these surgeries on small numbers of selected patients in the U.
In Stanley Biber, M. The excellent successes of his surgeries became widely known, and patients streamed to him. For a detailed report from one of Dr. Biber's surgeries, see this Operative Report. For many years Dr.
Sex-Change nickname makes Colo. Transformation via surgery has become common in community.
There was Elise, a buxom brunette in a crop top and hip-huggers. Kate, a Harvard graduate writer in khakis, hand-knit sweater and pearl earrings.
Thea, a graphics designer sporting chic suede boots. And Jackie, a towering figure in trousers and blazer. In the lunchtime crowd of merchants, housewives and farmers at the Main Street Bakery and Cafe, the four stuck out like fashion models on a pig farm. Retreating to the kitchen, the waitress pulled her boss aside and stammered, "Those women I'm waiting on?
They're men! Hardly anyone else gave the foursome a second glance. Not in the so-called "Sex-Change Capital of the World. Repeat that phrase to, almost any of the town's 9, people and one would likely get a lecture on what the southern Colorado hamlet should be known for - its idyllic scenery, comfortable climate and friendly people.
Most don't mind that more sex-change operations have been done in their town than anywhere else about 4, to date ; they just hate that nickname. Although no formal statistics are kept on the number of sex reassignment surgeries, experts in the field agree that Trinidad's Stanley Biber - because of the year he began and his age - has performed more than anyone.
What makes Trinidad unique is not that it's the sex-change capital of the world, but the fact that this former mining town has come to accept its destiny, depend on it and even embrace it. InTrinidad was a town in transition. Coal had been king in these parts since the turn of the century, but after World War II, the mines began closing.
By the late '60s, only a few remained. Families left, and Main Street, once a bustling collection of. Yet Biber was thriving from his fourth-floor office inside the First National Bank building. As Trinidad's-s only general surgeon, Biber did it all - from delivering babies and removing appendixes to reconstructing the cleft palates of poor children.
In those first 15 years, Biber built a comfortable life around a practice he loved and a town he adored. Inhe encountered the patient who would forever change both. A social Worker Biber had met asked him to perform her surgery. And Biber asked, "What is that? After consulting a New York physician who had done sex reassignment operations and obtaining hand-drawn sketches from Johns Hopkins University, Biber agreed to do the surgery. With less than a handful of doctors performing the procedure, Trinidad became THE place to come for a sex-change operation, and Biber was THE man to do it.
The town's sole hospital, Mt. San Rafael, was run by Catholic nuns, and Biber hid the charts of his first transsexual patients. But he knew he'd eventually need the approval of the hospital board and his neighbors. Biber explained his Work to the sisters and local ministers.
I went through the psychology of it all. They decided as long as we were doing a service and it was a good service, that there was no reason we couldn't continue doing them," he says. Soon, Biber was lecturing to the hospital staff and the public. Not all agree. The Rev. Verlyn Hanson, pastor of the First Baptist Church for the past three years says the town turned a blind eye to Biber's work because of the economic boost it provided.
At the height of his practice, Biber performed about transsexual operations a year. His patients brought families and friends who remained in town during their loved ones' eight-day hospital stay. Whether or not people liked what Biber did, they liked the squat, balding doctor who wore jeans and flannel shirts to work and always said hello.
At 77, Biber has scaled back his transsexual business to about surgeries a year. The majority of his practice remains tending to the ills of Trinidad's citizens.
He knows retirement may not be far off, and he's in search of a surgeon who will continue his work. Biber was one of the pioneering surgeons of the 20th century.
Sex-change surgeon fired after sharing graphic photos of patients on Instagram
Over a 35 year period beginning inhe performed over sex reassignment surgeries, almost single-handedly establishing SRS as an acknowledged and accepted treatment for transsexualism in the U.
Much beloved by the trans community, Dr. Biber passed away on Monday January, 16, at the age of In this configuration, the penis cannot usually get enough blood supply for full external penile erection.
Even though the external part of the penis cannot erect when tucked tightly, the girl nevetheless experiences the familiar female "glow" and warmth throughout her interior genital region when she is aroused, for example, by a man's warm attentions.
In addition, the corpora cavernosa shafts inside her body can become erect once the girl is sexually aroused, and that arousal feels really wonderful - even though the external part of the penis is flaccid.
Sexual stimulation by rubbing and caressing the genital area and the breasts can then lead to orgasm for a girl who is sufficiently aroused. From experiences like this, preop women can visualize that after undergoing SRS the remaining internal stumps of her corpora will still engorge and become erect, and that she can experience similar feelings of sexual arousal when she is postop.
Sex change pics
In addition, the postop woman can now also experience wonderful sensations from caressing her clitoris, which, in contrast to the previously hidden penis, can now be openly played with without her experiencing angst about her body-image. After surgery, some women find that their adrenal glands the other source of testosterone do not produce enough to provide adequate libido or orgasm.
You may require a small amount of supplemental testosterone to regain functioning. The amount required is typically far below the amount that will cause any other unwanted side effects, such as hair growth.
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Not everyone requires this, but keep in mind that some do. Many natal women who are having difficulty in feeling turned-on and in achieving orgasms especially post-menopausal women are now taking Estratest tablets, which contain a combination of estrogen and small amounts of testosterone.
Although Estratest is a somewhat controversial treatment, many natal women began taking it after it was featured in a story on Oprah Winfrey's hugely popular television show in the U.
As a result of this news, and of advice like that on the Zen page, some post-op women who were experiencing difficulty in arousals and orgasms began using Estratest too, and some report that the therapy helps them. These tablets contain either 1. There may be some kind of threshold effect involved here, whereby some women need a small amount of testosterone to maintain orgasmic capability. On the other hand, many other postop and post-menopausal women enjoy strong orgasms even in the complete absence of testosterone.
In any event, once a postop woman begins experiencing arousals, the nerves in the clitoris and vulvar surfaces become highly sensitized, and sensual and sexy feeling permeate her body. Then, just as during pubertal sexual awakening, she will automatically feel urges to play with her body and to masturbate. The arousals will gradually intensify as her genital area fully heals from the SRS.
Masturbation and sexual activity can likely play a role in helping neural regeneration and sensitivity during this period. There are many ways to masturbate, but one favorite way for girls to do it is to "rub on a pillow". The girl does this by lying face down on her bed, with a firm pillow between her legs. This way she can rub her vulva and clitoris on the pillow while squeezing it, putting pressure on her clit and also being able to thrust and thrash around.
At the same time she can play with her breasts and body with her hands. Alternatively, she can rub her clitoris with the fingers of one hand while squeezing her legs and thrashing around to stimulate her body.
And there are many other ways to stimulate arousals and produce orgasms, including using vibrators and other women's sex toys. Girls discover these ways just as automatically as boys discover "jerking off", even though girls have been more secretive about it our society in the past. While masturbating, the pubertal girl will suddenly begin to experience her first orgasms, and she is then on her way to developing her full sexuality as a woman.
In just the same way, the postop woman needs to explore her new sexual anatomy and masturbate, and learn her new sexual responses and experience her first orgasms as a woman - learning what most girls do in their teens during puberty. This ongoing pubertal ct of immediate postop life can be very thrilling and exciting, but also very confusing and scary for the woman, much in the same way that the onset of sexual maturity is for any teenager.
Monica's site stresses the need to gain experience with your new sexual responses prior to having intercourse. It is also important to try to get over hang-ups about what's "OK" and what's "naughty". Then too, many woman enjoy experiencing playful anal stimulation, including using sex toys to overcome inhibitions and enhance arousals.
Most women also learn to use fantasies to trigger and enhance arousals and orgasms. Those fantasies can be used during masturbation, and then later used to help heighten one's experiences during intercourse with a lover.
Thus we see that transition and SRS are just the very beginning: They enable the girl enter her new puberty. What she will make of herself as a woman is yet to be determined! The most prominent SRS surgeons in the U.
These surgeons are in their prime, are performing hundreds of SRS each year, and are achieving outstanding results in appearance, function and sensitivity. Marci Bowers, M. Biber, has recently taken over his practice in Trinidad, Colorado and is reported to be doing excellent SRS surgeries there Dr. Biber is now retired. Suporn" in Chornburi, Thailand. Toby Meltzer, M. Eugene Schrang, M.
For information on many surgeons performing excellent vaginoplasty SRS operations both here and abroad, see Andrea's Vaginoplasty page and follow the many links there. There are also a number of surgeons in Thailand who are now performing good quality SRS's, and the costs of surgery there are much lower than for comparable work elsewhere in the world.
This compounded the tragedy of being TS for the small minority of women who had been forced to live "on the streets" and had contracted this dread disease. However, surgical techniques have improved to where SRS can now be done without risk to expert surgical teams, although extra procedures are required that may raise costs.
Christine herself survived life on the streets, and went on to become a successful postop woman. Another link contains a detailed sequence of photos of a labiaplasty performed by Dr. Spanish actress Carla Antonelli's website also contains a very detailed "still-frame-video" sequence of SRS. And here is a link to a photo of an early surgery done by Dr. Biber in Trinidad, Colorado in Biber became justifiably famous among T-girls in the U. The early surgical technique and results are very similar to Lynn's sex reassignment surgery, which was performed by the famous Mexican plastic surgeon J.
Barbosa, M. Lynn had follow-up surgery for vaginal deepening and labiaplasty performed by Dr. Schrang in Novemberin order to bring her results up to modern standards.