One of them, cited by Milrod and Karasic in a footnote, is Dr. Some also cited the perceived вЂњtabooвЂќ or outright stigma in performing the surgery and therefore a certain reluctance to share results or specific techniques.Д«utВ there are aВ few surgeons (whether they are part of the group surveyed for this article, we donвЂ™t know) who have been featured in news articles about genital surgeries on males under the age of 18.

вЂ¦When asked about the lack of published data on surgery in minors, most participants asserted that GCS in all age groups had been a very small part of surgical medicine until very recently and that data on large volumes of procedures were not yet available. The surgeons who perform the procedure on transgender minors have, without exception, refrained from publishing any peer-reviewed outcome data or technical articles on this small but increasingly important populationвЂ¦. Who are these 11 surgeons? Not even one has ever published on the issue: And they are not alone lowering the age for genital surgery is a very popular topic among top gender clinicians like Johanna Olson-Kennedy and others. But itвЂ™s evident from this and other writings that Milrod and Karasic вЂ“both proponents of вЂњaffirmative gender careвЂќ for minors-are interested in changing those standards for the next version (SOC 8).

Unless Jazz seeks the procedure overseas, itвЂ™s highly likely it will be one of these surgeons who will do JazzвЂ™s вЂњbottom surgery,вЂќ should it take place before age 18.ДЇrom the get-go, co-authors Christine Milrod and Dan Karasic make clear that the growing trend of operating on minors is out of compliance with the current WPATH Standards of Care (SOC 7). Of the 20 (anonymous) surgeons surveyed in the Milrod-Karasic article, 11 admitted to operating on boys under the age of 18. The prior post emphasized some surgeonsвЂ™ belief that minors should have the procedure done while still in high school so that their parents can ensure compliance even be вЂњactiveвЂќ in the dilation routine required to keep the neovagina open to вЂњmaintain the vaginal depth involvedвЂќ before the teen becomes distracted by college.Д«ut there is much more to say about not only the surgeons who operate on minors, but also thoseВ who recommend SRS for puberty-blocked preadolescents. The most commonly performed procedure in the United States to create a facsimile of female genitalia, called вЂњone-stage penile inversionвЂќ is more complicated and requires more steps when the male genitalia are the size of a prepubescent child.ДЄ prior 4thWaveNow post, вЂњAge is Just a Number,вЂќ touched on a few points from an April 2017 article in the Journal of Sexual Medicine co-authored by gender therapist Christine Milrod and USPATH head and UCSF gender psychiatrist Dan Karasic, which discussed exactly JazzвЂ™s situation: вЂњbottom surgeryвЂќ for minor boys. The вЂњraw materialsвЂќ down there are, of course,В the child-like male genitals Jazz would have, having been on puberty blockers (since age 10) and estrogen (since at least age 12), according to the first episode of вЂњI Am JazzвЂќ in Season 1. The benefits & drawbacks of blocking testosterone

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