Transness.org

Exploring Gender Identity

Medically Necessary?

on November 21, 2011

What exactly does this mean?  I posit that it is a very dangerous term being slung around, at, and by the transgender community.  I ask you to consider the ramifications of using this phrase.

In the transgender/transsexual world the treatment for Gender Incongruency or Gender Dysphoria is to transition from one gender role to the other including surgically altering both primary and secondary sexual characteristics.  This includes for MtoF, Facial Feminization Surgery (FFS), Breast Augmentation (Breast implants), and GRS/SRS (Genital Reassignment Surgery/Sexual Reassignment Surgery).  For FtoM, the surgeries include, Breast reduction/reconstruction, Hysterectomy, Metoidioplasty with urethral lengthening, Scrotoplasty with testicular implants, and Vaginectomy.  And this is list does not include all possible surgeries, for instance other cosmetic surgeries could also be included.

The question is… does the above surgery fall into the “Medically Necessary” box?  And I would have to say it depends on which model of medicine you follow.  It also depends on your Spiritual beliefs and understandings.  The body you were given at birth is a gift, plain and simple.  What you do with your gift is up to you; or your parents more realistically, at least to the age of 16 (18 in some locations).

Each person is perfect in the eyes of God!  If birth defects are present it means they are meant to be there for the benefit of the individual and the people involved – family, medical professionals, friends, etc.  It is an opportunity to express who you are, to learn and to grow (expand this self).

Would it be right to surgically change this body to conform to societal “norms”?  Do we really have to stay within the gender binary?  Is this not the point of being transgender in the first place?  Meaning there is no binary and in fact it is a gender spectrum.  How an individual expresses their gender and sexuality is a personal statement of either non-conformity or conformity.  There are many factors involved, however ultimately this is simply a fact of individuality.  There is no right or wrong!

“Medically Necessary” is a phrase used by the insurance and medical community to substantiate surgically altering the body or not.  Is it really medically necessary to surgically alter the body?  To whom is it necessary and for what purpose?  Is being Transgender or Transsexual a life threatening medical disease?  Based on past medical precedent surgery is used to correct the bodies function to maintain life.  It is also used for cosmetic reasons to make the body more attractive.

More on this topic tomorrow!

🙂 Sequoia Elisabeth

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2 responses to “Medically Necessary?

  1. Thanks Flo! I was asked last night if I would have surgery given money was not an issue, and my quick response was yes! However I am also happy without it, but that is the true challenge – make the most of what you have! I know you are doing your best and I send my Love ♥
    Sequoia Elisabeth

  2. flo cuellar says:

    I AM SO GLAD THAT YOU PUT THIS OUT THERE CUZ PEOPLE GET CAUGHT UP IN THERE OWN ILLUSIONS I KNOW THIS FIRST HAND BUT WHEN IT TO NEEDING MEDICAL HELP YOU NEED TO BE HONEST WITH YOURSELF AS WELL AS WITH THE STAFF SO THEY KNOW WHAT KIND OF HELP YOU NEED.AGAIN THANKS FOR BRINGING UP THE SUBJECT…

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