Arlen Dwight Denny (born May 1, 1947) is an American craniofacial surgeon who trained a number of surgeons who serve our community.
Denny studied with Paul Tessier and focused on pediatric surgeries. He is one of the surgeons who trained Jordan Deschamps-Braly.
Denny retired from his medical practice.
Archival contact info:
Address: 8915 W Connell Ct, Milwaukee, WI 53226
Phone: (414) 266-6430
Murray Harris Kimmel (May 28, 1930 â October 28, 2013) was an American urologist who served our community.
Background
He attended Central High School in Philadelphia. He earned his medical degree at Temple University School of Medicine and completed his residency in urology at Thomas Jefferson University Hospital in 1959. He was certified by the American Board of Urology and practiced at Parkway Medical Associates in Philadelphia, Pennsylvania. He retired around 2009 due to illness and died in 2013.
Kimmel offered hormone prescriptions, orchiectomy, and other gender-related health care. He was known for providing services to clients who had been turned down by others.
Former contact information
2301 Pennsylvania Avenue (Parkway at 23rd Street) Philadelphia, PA 19130
Office 215-563-0847
Fax 215-563-4881
Consumer reports
Castration in Philadelphia with Dr. Murray Kimmel by Jennifer Bentley (2002) http://www.annelawrence. com/kimmelaccount.html
My Orchiectomy Experience in Philadelphia, Pennsylvania by Brianne (2002) http://www.geocities.com/brianne669/page1
Orchiectomy In Philadelphia with Dr. Murray Kimmel by Samantha (2006) http://www.electrolysisfinder.com/~samantha/Kimmel-orchi.html
Choomchoke Janwimaluang was a Thai plastic surgeon who served our community. He practiced on Koh Samui island at The Samui Clinic and Bandon International Hospital.
According to an online report from a former patient, Dr. Choomchoke died in September 2015.
Archival contact information:
Address: Box 109, Nathon Post Office, Koh Samui, Surat Thani, Thailand 84140
Rosemary2001 (February 6, 2016). The world has lost an artist. Realself https://www.realself.com/review/bandon-international-hospital-koh-samui-thailand-66-years-stop-mirror-gorgeous
Greechart Pornsinsirirak is a Thai plastic surgeon who has served our community. He practiced out of Yanhee Hospital in Bangkok. In 2019 Yanhee Hospital confirmed Dr. Greechart is no longer operating from their hospital.
Archival contact information:
Address: Yan Hee General Hospital, 454 Charunsanitwong Road (Soi 90) Bang-O Bangpad Bangkok, 10700 Thailand
âąÂ LINK: Sexchange at Pattaya is a new section of their commercial site. http://www.pattaya-inter-hospital.co.th/service_sexchg.html
Ellie Zara Ley (born ~1973) is a Mexican-American surgeon. She performs gender surgeries with the Gender Confirmation Center in California.
Background
Ley was born in San Luis, Sonora. She received treatment as a child in the US for a medical condition. She earned bachelor’s degrees in Spanish literature and biochemistry from University of Arizona in 1995. She earned her medical degree from the medical school of Universidad AutĂłnoma de Guadalajara in 2000, then returned to the United States to work at New York Medical College and at University of Arizona. Following her fellowship in pediatric craniofacial plastic surgery at Primary Childrenâs Medical Center in Utah, she trained at UCLA in hand and microsurgery. She then returned to the University of Utah for a fellowship in plastic and reconstructive surgery.
She founded the LEY Institute of Plastic & Hand Surgery before joining Toby R. Meltzer at The Meltzer Clinic in Arizona. In 2022 she joined the Gender Confirmation Center with Scott Mosser. She is licensed to practice in Arizona, California, Oregon, and Utah.
Peggy T. Cohen-Kettenis was born in 1948 in Jakarta, Indonesia. Indonesia declared independence from the Dutch on August 17, 1945, and the family left in 1951 when it became dangerous for Dutch colonialists to stay, since Cohen-Kettenis’ seminal parent was a police commissioner. After arriving at The Hague, they moved to Rotterdam, then Utrecht.
Cohen-Kettenis attended Stedelijk Gymnasium Utrecht and Johan de Witt Gymnasium Dordrecht and earned a doctorate from Utrecht University in 1973.
Professor of Medical Psychology VUmcVUmc Sep 2002 – Jul 2013
Professor UMC Utrecht Sep 1987 – Sep 2002
Nederlands Instituut van Psychologen (NIP) logo Voorzitter Sector G 1997 – 2000
Cohen-Kettenis served as Professor of gender development and psychopathology at the Department of Child and Adolescent Psychiatry, University Medical Center Utrecht.
Transgender research
In 1987, Cohen-Kettenis started the first outpatient clinic in Europe for children and adolescents with gender problems and intersex conditions.
Cohen-Kettenis was a member of the World Professional Association for Transgender Health’s Standards of Care Committee and of the Task Force of the Endocrine Society Clinical Practice Guideline on the endocrine treatment of gender-dysphoric/gender-incongruent persons.
Psychologist Peggy Cohen-Kettenis reacts less negative. She is, after reading parts of the book not surprised about the row, but âwhen Bailey says that sexual preference and gender identity are not two entirely independent dimensions, he is not necessarily wrongâ, she says.
In contrast to Bailey, Cohen-Kettenis expresses herself very diplomatic. As no other she knows the sensitivity of this terrain and the ease with which a âconflict can be created around this issueâ. The psychologist agrees that not all transsexuals are heavily gender-dysphoric in youth. She attributes the dominance of âthe woman captured in a manâs bodyâ image, to itâs endless repetition by the media.
[…] Gooren is scathing about Blanchardâs work. […] Cohen-Kettenis shares Goorenâs objections to terms like homosexual and non-homosexual transsexuals. She would rather differentiate between early and late onset transsexuals. But apart from the terminology, these groups are very similar to those of Bailey and Blanchard. Primary TSs are more often homosexual while secondary TSs usually have had straight relationships before entering treatment, Cohen-Kettenis explains. âIn the second group, during puberty cross-dressing is often paired with sexual excitement â she says. âWhen they enter treatment however, the cross dressing is very restfulâ.
Cohen-Kettenis estimates half the number of TSs are secondary TSs. Whether all secondary TSs have had a autogynephile history she cannot say. âExtreme gender dysphoria can, I think, come to be in all sorts of ways. Secondary TSs are a very diverse group. We also see people who still are autogynephile.â
Cohen-Kettenis thinks that patient care will not be influenced by this theory. TSs do not have to fear that Cohen would see autogynophilia as a disqualification for treatment. The decisive factor is the suffering of the client, and whether treatment can indeed help to relieve the pain. In this, Blanchard and Bailey agree and mention that autogynophiliacs do not have a higher rate of post-treatment regrets.
Vermij, Peter (September 27, 2003). Een man gevangen in een mannenlichaam.NRC https://www.nrc.nl/nieuws/2003/09/27/een-man-gevangen-in-een-mannenlichaam-7655797-a1162822 Translation: Arianne van der Ven.
Selected publications by Cohen-Kettenis
Dan J. Stein, Peter Szatmari, Wolfgang Gaebel, Michael Berk, Eduard Vieta, Mario Maj, Ymkje Anna de Vries, Annelieke M. Roest, Peter de Jonge, Andreas Maercker, Chris R. Brewin, Kathleen M. Pike, Carlos M. Grilo, Naomi A. Fineberg, Peer Briken, Peggy T. Cohen-Kettenis & Geoffrey M. Reed (2020). Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC Med18, 21 (2020). https://doi.org/10.1186/s12916-020-1495-2
The community of sex and gender minorities covers the full political spectrum. The size and inclusiveness of the community is debated, but this project takes a very broad definition of who is included.
This project also covers some topics that overlap with sexual minorities as well, including:
Gay
Lesbian
Bisexual
Asexual
Polyamorous
Pansexual
Kink and unusual erotic interests
While all of these communities and identities have overlapping interests and political goals, it’s difficult to generalize. The majority of the community seeks legal protections from harm and discrimination:
This site also covers people who are connected to our community, including those who do not consider themselves part of it.
It includes people who support the community, as well as people who hold a wide range of views that many in the community consider oppositional to one or more aspects of our community’s political goals.
Use the search feature to look for a specific person. If you don’t find a profile, please send a suggestion!
Milton Thomas “Milt” Edgerton, Jr. was an American plastic surgeon who served our community. Edgerton is widely considered one of the most important American plastic surgeons of the 20th century.
Background
Edgerton was born in Atlanta on July 14, 1921 and earned a bachelor’s degree in chemistry from Emory University in 1941. Edgerton earned a medical degree from Johns Hopkins University in 1944. Following a surgical residency, Edgerton joined the United States Army and operated on injured World War II veterans.
Edgerton joined the Johns Hopkins faculty in 1951 and got tenure in 1962. In 1970 Edgerton was recruited to the University of Virginia to found the Department of Plastic Surgery, working and teaching there until retiring in 1994.
Edgerton had many students and colleagues who served our community as well, including Howard W. Jones, Jr. and John Gale Kenney. Edgerton was author of four books and over 500 scientific papers on plastic surgery. As shown in the selected bibliography below, Edgerton’s articles when read from earliest to latest read like an unfolding of the history of our community.
Edgerton died at age 96 on March 17, 2018. The Milton T. Edgerton, M.D. Professorship in Plastic & Reconstructive Surgery at Johns Hopkins is named in Edgerton’s honor.
This paper reviews the senior author’s long-term experience with the surgical-psychiatric treatment of 100 aesthetic surgery patients with significant psychological disturbances. Patients with psychological disturbances of a magnitude generally considered an “absolute contraindication” for surgery were operated on and later assessed to determine the psychological impact of surgery. Patient follow-up averaged 6.2 years (maximum follow-up 25.7 years). Of the 87 patients who underwent operation (7 patients were refused surgery and 6 voluntarily deferred surgery), 82.8 percent had a positive psychological outcome, 13.8 percent experienced “minimal” improvement from surgery, and 3.4 percent were negatively affected by surgery. There were no lawsuits, suicides, or psychotic decompensations. Patients with severe psychological disturbances frequently benefited from combined surgical-psychiatric treatment designed to address the patient’s profound sense of deformity. This study suggests that plastic surgeons are “passing up” a significant number of patients who may be helped by combined surgical-psychological intervention. Comment in: * Plast Reconstr Surg. 1992 Aug;90(2):333-5.* Plast Reconstr Surg. 1992 Jun;89(6):1173-5.
This article describes plastic surgery patients who sought symmetrical recontouring of the width of the face and skull. The basic demographic and personality characteristics of these facial width deformity (FWD) patients and the surgical procedures performed on them are discussed. Details of the surgical and psychological management of three representative cases are given. Speculative conclusions regarding the general characteristics of the FWD population are offered. Suggestions are proposed for a combined surgical-medical psychotherapeutic collaboration in managing these patients.Comment in: * Aesthetic Plast Surg. 1990 Fall;14(4):299-300.
The evaluation and treatment of individuals with gender identity problems has resulted in an interesting and productive collaboration between several specialties of medicine. In particular, the psychiatrist and surgeon have joined hands in the management of these fascinating patients who feel they are trapped in the wrong body and insist upon correcting this cruel mistake of nature by undergoing sex reassignment surgery. Over the last two decades, some 40 centers have emerged in which interdisciplinary teams cooperate in the evaluation and treatment of these gender dysphoric patients. The model for this collaboration began at The Johns Hopkins Hospital, where the Gender Identity Clinic began its operation in 1965 (Edgerton, 1983; Pauly, 1983). This “gender identity movement” has brought together such unlikely collaborators as surgeons, endocrinologists, psychologists, psychiatrists, gynecologists, and research specialists into a mutually rewarding arena. This paper deals with the background and modern era of research into gender identity disorders and their evaluation and treatment. Finally, some data are presented on the outcome of sex reassignment surgery. This interdisciplinary collaboration has resulted in the birth of a new medical subspecialty, which deals with the study of gender identification and its disorders.
The increasing use of surgery for sex reassignment in the treatment of transsexualism is described. The author’s early experience over a twenty-year period with the Gender Identity teams at The Johns Hopkins University and The University of Virginia is summarized. Many of the reasons for slow acceptance of this type of surgery by many members of the medical profession are analyzed. The satisfactory subjective results described by patients who have received sex reassignment continue to exceed the results obtained by other methods. The author concludes that further study of surgical treatment is justified, but that it should be limited to established multidisciplinary teams working in academic settings. Physicians are urged to withhold judgment on the role of surgery in gender disorders until they have had significant personal experience with these desperate and complex patients.
Transsexualism is a poorly understood, uncommon, and controversial entity of recent interest to the lay public and medical profession. Important features of the condition are discussed, surgical procedures for genital conversion in male transsexuals are compared, and our experience at the University of Virginia where 53 patients have been treated surgically is presented. All patients have made satisfactory postoperative psychosocial adjustment despite a surgical complication rate approaching 50 per cent. It is concluded that alternative (better) surgical procedures for male transsexuals should be explored.
A 49-year-old male-to-female transsexual was administered voice therapy following surgery. Tape recordings were made of her speech prior to and each week during therapy. Selected sentences from these reocrdings were analyzed. Results indicate that changes in both fundamental frequency and perceptual judgments of femininity were statistically significant and supportive to the client. The voice of the client was still discernible from that of a female speaker, although less so than before therapy. It is suggested that a composite treatment program combined with laryngeal modification through surgical intervention may be necessary.
Turner, Edlich & Edgerton, 1978 Dept. of Obstetrics, Gynecology and Plastic Surgery, University of Virginia Medical Center, Charlottville, VA, USA In structure and representation this publication is closely related to the one of Edgerton & Meyer (1973), that is, it is no follow-up study with reliable data. Related are mostly surgical techniques for MFTs and surgical complications. Under historical viewpoints it is an interesting statement that Edgerton was already in 1963 the director of the Johns Hopkins Gender Identity Clinic in Baltimore, MD, while everywhere else the founding of this institution is generally dated two years later. Also it is interesting that a psychologist is given a key role or a veto right to the indication to surgery. For the rest, the necessity for a successful one-year-long “Real-Life-Test” as it was already in Edgerton & Meyer (1973), the experimental surgical breast enlargement is recommended as a step if the patient and treatment provider are insecure regarding the stability of the female identity of the patient. In how far the statement: “The only justification for the ongoing evaluation of surgery as a definite treatment entity is that patients with this condition have proved resistant to psychotherapy and drug therapy” (p. 121) is a general postulate or if the corresponding possibility has been tested with those who underwent surgery is not to be discerned by the publication. It is reported about 53 gender reassignment surgeries of MFTs that Edgerton made after changing from Baltimore to Virginia. Forty seven females came to the follow-up study in the first year after surgery. Globally it is said that all were subjectively happy and self-secure and socially better adjusted. “Psychological testing has substantiated these subjective claims” (p. 128). Suicide attempts after surgery or desires to role re-reversal were not observed. Eighteen females had gotten married and six had adopted children. In the series of the first 20 surgically treated, 14 females required corrective surgery; in the series of the second 20, only eight. The most frequent complication was the stenosis of the vagina. Injuries of the urethra or rectum with corresponding fistulae did not occur.
Morgan RF, Morgan EA (2019). Milton T Edgerton, MD: A Pioneer of Surgery of the Hand. Journal of Craniofacial Surgery: March/April 2019 – Volume 30 – Issue 2 – p 303â305 https://doi.org/10.1097/SCS.0000000000005063
Resources
Archival contact information:
University of Virginia Medical Center, Gender Identity Clinic, P. O. Box 376 Charlottesville, VA 22908 USA
Phone: (434) 924-5068
The previous version of this site had occasional essays and news posts between 2003 and 2014. This is an archive of those notes, shown in reverse chronological order.
Items in bold have been ported to this site. Other links go to archive.org for now.
I wrote a few essays in 2003, outlining philosophical and theoretical issues that have an effect on our community and beyond. They were intended to correct misunderstandings which arise in the course of debates.
This addresses accusations that I am “anti-science” and gives an overview of some ethical issues raised by first-wave sexologists like Bailey-Blanchard-Lawrence.