Name: So You Want to Be a GENDER SURGEON [Ep. 35]
Uploaded: 2022-04-12T17:40:19.000Z
Duration: 16 min 38 s
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You love the idea of creating new body parts and want to be one of the first surgeons to

Let’s debunk the public perception myths of what it means to be a gender surgeon and

Welcome to our next installment in So You Want to Be.

In this series, we highlight a specific specialty within medicine, such as gender surgery, and

help you decide if it’s a good fit for you.

You can find other specialties on our So You Want to Be playlist.

If you have a specific specialty you want covered, make sure you’re subscribed to

Also, consider becoming a YouTube channel member to receive additional perks and priority

Click the JOIN button underneath this video for more information.

If you’d like to see what being a gender surgeon looks like, be sure to check out my

Day in the Life of a Gender Surgeon video with Dr. John Brosious on my second channel,

Kevin Jubbal, M.D., and subscribe for more Day in the Life videos covering other specialties

Gender surgery is the field of medicine concerned with alleviating gender dysphoria through

Gender dysphoria is defined as the unhappiness that patients in the gender expansive community

feel due to the incongruence between their gender identity and their physical characteristics.

We often think of gender surgery as synonymous with genital surgery; however, the scope of

Any surgical procedure that is done to help alleviate gender dysphoria can be considered

This includes masculinization and feminization of the face and chest, tracheal shaves, voice

modification, body contouring, and even limb lengthening and shortening procedures.

Gender surgeons work with the full spectrum of gender patients including transgender,

Transgender patients are individuals whose gender identity differs from their assigned

Within the gender surgery community, the appropriate terminology is either “assigned male”

We use this terminology as opposed to “biologically male” or “biologically female” as the

latter terms do not take into account the mental and psychological aspects of biology.

Non-binary individuals do not identify as solely male or solely female but rather view

There are also gender-fluid individuals whose gender identity varies depending on the social

For example, these individuals may identify as one gender while at work and another while

This isn’t to be confused with cross-dressing which is typically done for sexual satisfaction

as opposed to being an integral part of that person’s identity.

Lastly, there are intersex individuals who are born with some variation of both male

Because gender surgeons work with a wide variety of gender patients, each with their own unique

goals and needs, the treatment plan often varies significantly from patient to patient.

When it comes to gender surgery, there is no one-size-fits-all solution.

This brings me to an important method of differentiating a gender surgeon’s practice: top surgery

vs bottom surgery vs other masculinization and feminization surgeries.

The majority of gender surgeons focus primarily on top surgeries.

This includes a variety of chest masculinization and feminization procedures including mastectomies

for trans-men and breast augmentations for trans-women.

This is the most common type of gender surgery as these procedures are very similar to routine

breast augmentation, reduction, and mastectomy procedures.

They are also less functional compared to genital surgeries so there is often less risk

The combination of these two factors means that more surgeons are comfortable performing

Gender surgeons who perform bottom surgery, which includes vaginoplasty, phalloplasty,

and metoidioplasty, are much less common.

The reason being is that the surgical creation of a vagina or penis is still quite new and

these procedures are constantly evolving.

It has only been within the last few years that training to perform these procedures

In the past, physicians interested in performing genital surgery had to do much of the research

on their own and seek out mentors who were willing to train them.

That being said, bottom surgery does not always involve the creation of a new sex organ.

Sometimes the role of the gender surgeon is to simply remove the incongruent sex organ

to combat hormone production or to allow the patient to live more in accordance with their

For example, a trans-female that has an orchiectomy to remove one or both of the testicles may

be able to significantly reduce the amount of testosterone-blocking medications that

she has to take – thereby reducing the risks and side effects of the medications.

In addition, a trans-male may find having menstrual periods as a male to be very traumatic

In this scenario, having a hysterectomy to remove the uterus may allow him to live more

Lastly, there are other gender surgeons that don’t perform top or bottom surgeries, but

rather other procedures that help alleviate gender dysphoria.

This includes plastic surgeons that perform facial masculinization or feminization, body

contouring, or fat grafting procedures; ENT surgeons performing tracheal shave or voice

modification procedures; and even orthopedic surgeons performing limb-lengthening or shortening

Let’s clear up some of the misconceptions about gender surgery.

But rather than telling you myself, I’m going to hand it over to my friend, Dr. John

He’s the only practicing gender surgeon in the state of Nevada that performs genital

surgery and just recently opened Nevada’s first gender surgery practice, Vegas Plastic

Without further ado, here is Dr. Brosious.

To start, many people believe that you have to be a part of the LGBTQ+ community, or have

a family member that is, in order to do gender surgery.

As a heterosexual, cisgender, white male, who grew up in a religious household, I can

If you are a kind, empathetic, and down-to-Earth individual that truly wants to help gender

patients, there will always be a place for you within the gender surgery community.

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So You Want to Be a GENDER SURGEON [Ep. 35]

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