Surgeons Reveal They’ve Engineered Female-Like Organs in Boys as Young as 15

They say the number of minors requesting the extreme surgery is climbing

An Italian patient who identifies as transgender sits on an hospital bed after undergoing sex-change operations at a clinic in Belgrade, Serbia, on Oct. 11, 2016. Andre J. Isakovic/AFP via Getty Images

At 15, boys can’t legally smoke a cigarette. But an increasing number are requesting—and undergoing—surgery to recraft their genitals, a study shows.

The study, titled “Age Is Just a Number,” flies in the face of claims by radical gender ideology activists that child sex-change surgery isn’t happening.

It also shows that the sex-change surgery guidelines of the World Professional Association for Transgender Health (WPATH) are being defied by surgeons.

The study, published in The Journal of Sexual Medicine in 2017, reveals details from interviews with 20 surgeons who perform sex-change surgeries.

Of the group of doctors, 11 said they had performed vaginoplasty on boys younger than 18, the study found.

The doctors, who remained anonymous in the survey, said they'd each performed between one and 20 operations on boys as young as 15.

Detransition advocates meet outside of the annual Pediatric Endocrine Society conference held in San Diego, Calif., on May 6, 2023. John Fredricks/The Epoch Times

Vaginoplasty on a male is an operation to create something like a vagina, with the most common way for surgeons to create a facsimile of female genitalia on boys is to invert the male genitalia and perform a skin graft from the scrotum, the study reveals.

Other methods include transferring colon tissue to create the appearance of female genitalia, according to the study.

The doctors told researchers that patients receiving these surgeries are increasingly younger.

“When I first started my practice, I would estimate that 85 percent of patients were older than 25. Now, I would say that only 40 percent of my patients are older than 25 in the last nine years,” one doctor said, according to the study.

Some surgeons expressed concern over the experimental nature of the surgeries.

“I have seen horrific unethical practices by surgeons who lie about their experience and horrific results surgically as a result of that,” one doctor told researchers.

“We are using transgender people as guinea pigs, and the medical profession allows this to happen.”

A young girl at the annual New York City Pride March in New York City on June 25, 2023. Samira Bouaou/The Epoch Times

Others suggested that age doesn’t matter in performing sex change surgeries as much as “maturity.”

“To me, there might be a minimum age, but I don’t know what that should be,” one doctor told researchers. “I will see a 16 or 17-year-old that I will agree to do surgery on, and then there could be another one I won’t agree to, based on sexual and physical maturity.”

One driver for child sex-change surgery is convenience, a doctor said.

If a boy can get sex-change surgery out of the way before college, his parents can help with follow-up care, and he can arrive at college pretending to be female, that doctor told researchers.

“With their busy schedules and their busy lifestyles, it is very difficult for them to adhere to their dilation schedule,” the doctor said.

“So the reason why I decided to operate on people younger than 18, is that I would prefer that they have their gender-reassignment surgery done while they are still at home and their parents can help them adhere to their schedule until a significant period of time has passed so they will not compromise their results.”

It’s likely that when boys undergo “gender-reassignment” surgery, they will lack the will to perform painful follow-up procedures, such as the required “dilating.”

That means stretching the newly created orifice by inserting a device designed to help maintain the depth and width of surgically-created space. Dilation hurts, doctors said.

Patients must perform dilation for about two hours daily for more than a year after surgery. Long-term, they must dilate at least weekly.

The ‘Wild West’

Surgeons quoted in the study said the massive number of people arranging sex-change surgery is a new phenomenon.

As a result, there aren’t enough well-trained doctors to fill the demand, study participants said.

“The term‘ Wild West’ also was used by a few highly experienced surgeons who were alarmed at the absence of surgical standards and the ease of entering the subspecialty without any documented training,” the survey reads.

Some surgeons called for WPATH to demand stricter standards to determine which physicians can perform transgender surgeries.

Currently, WPATH guidelines don’t recommend surgery for children. But the organization notes nations disagree about the age when adulthood begins.

A transgender children's book in Irvine, Calif., on Aug. 30, 2022. John Fredricks/The Epoch Times

Most surgeons said that when determining whether a patient is too young for surgery, they favor a case-by-case approach, rather than a strict no to surgery before 18.

“My experience of these women is that no one just wakes up and says, ‘Oh yeah, I think I’m a woman’ at 17,” one surgeon said of his young male patients.

“This is a lifelong realization and a process of transition that’s gradual.”

The Epoch Times contacted WPATH and the study’s creators but received no comment by publication time.