Transgender hair removal before bottom surgery

Some vaginoplasty patients found that unremoved hair in and around their new vaginas caused problems during sex. Anyone who wants bottom surgery may want any donor skin to have any hair permanently removed well before surgery. Ask your surgeon about what areas they want you to clear of hair prior to surgery. Each surgeon has different ideas. […]

Vaginoplasty: my shopping list (1998)

I had vaginoplasty on June 16, 1998 with Toby Meltzer. As time goes on, this list may become less applicable as procedures and policies change. Check with recent patients for the most up-to-date information. Explanations follow this summary. Items in red are especially important. What Meltzer supplies Obstetrical maxi pads Incentive spirometer Mesh underwear Hospital gowns […]

Vaginoplasty with Toby Meltzer: my journal (1998)

This was written in 1998 and is presented without revisions for historical purposes. — Andrea James Introduction This is one of the most well-documented topics for women in our community, especially among those who feel that primary and secondary sex characteristics are the essence of being a woman. Most of the information in this section […]

The Meltzer Clinic: Toby Meltzer

Toby Roger Meltzer (born September 19, 1957) is an American plastic and reconstructive surgeon. Background Meltzer earned his medical degree from Louisiana State University School of Medicine. He completed his plastic surgery residency at the University of Michigan. He was appointed clinical professor of plastic surgery at Oregon Health Sciences University (OHSU). In 1993 he began […]

Categorically wrong?

This archival page covers 2003 to 2008. A Bailey-Blanchard-Lawrence clearinghouse This clearinghouse explores varying viewpoints about The Man Who Would Be Queen and the ideology that informs the work of J. Michael Bailey, Ray Blanchard, and Anne Lawrence. This clearinghouse was created in April 2003 to document materials in this controversy as they became available. Though much of it remains […]

Website notes (2003-2014)

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 for now. 2014 July Casting notice: THE THIRD SEX staged reading 14 July […]

Medicine and transgender people

Some transgender and gender diverse people choose medical options as part of a gender transition. The following medical specialties can be involved in trans and gender diverse healthcare. Related specialties Anesthesiology Dermatology Endocrinology Infectious disease Neurology Obstetrics and gynecology Pediatrics Psychiatry Reproductive medicine Surgery General surgery Craniofacial Surgery Oral and maxillofacial surgery Plastic surgery Urology […]

Donald R. Laub, Jr.

Donald Rudolph Laub, Jr. is an American plastic surgeon who has served the transgender community. Background Laub got his medical degree at Medical College of Wisconsin, then did residencies at Oregon Health & Science University and Dartmouth-Hitchcock Medical Center. Laub ran Green Mountain Gender Clinic in Williston, Vermont from 1999 until around 2007. William B. “Bill” Nash […]

“Autogynephilia” critics

Since the creation of the diagnosis “autogynephilia” in 1989, it has been widely criticized. Most experts and lay people understand that the term “autogynephilia” is not scientific because it is not value-neutral. It is a diagnosis of a mental illness. Using value-neutral terminology is a key to good science. Many have proposed value-neutral terms and […]

Douglas Ousterhout: my overview (1998)

Below are additional materials I had published online in the 1990s about pioneering surgeon Douglas Ousterhout. Preserved here for historic interest. Information and patient experiences with Douglas Ousterhout Background In summer 1996, I began researching the possibilities available for facial surgery I sought. I wrote to Dallas Denny at AEGIS for recommendations, and she sent […]