Who are the doctors, again?

[Mounds_dont (imported)]

I know about Kimmel in Philly, but some people said there are two other doctors in the US. one in Denver and one in California.

Who are these doctors, and do they require a psych work up, beforehand?

[mrt (imported)]

I know about Kimmel in Philly, but some people said there are two other doctors in the US. one in Denver and one in California.

Who are these doctors, and do they require a psych work up, beforehand?

Off the top of my head here are a few.

Dr Marci Bowers in Trinidad Colorado. She responds to email and has a lot of experience with genital surgery and is a post op transexual herself. *And quite a dish if you ask me.

Dr Reed in Florida. You can email him and ask questions.

Dr Gary Alter in La and New York City. *note he is a urologist AND a cosmetic surgeon. I understand he also teaches at UCLA. I've spoken to him by email VERY smart.

I can't speak for them but I "think" they all want to insure that you are mentaly "ok" before they go forward with any kind of surgery. And I think they would expect a referal from your MD but I'm not as sure about that. Check with their offices for sure.

The "shrink" test is not a big deal. Surgeons are asking for this type of thing for a lot of procedures. The issue is patients who later change their mind and sue the surgeon saying there were not mentally capable of signing the consent form.

Its of value (my opinion) to sit down with an unbiased professional and talk out your reasons. You may find it worthwhile in and of itself. Ditto talking to your MD about it.

[Hash (imported)]

Lots of doctors in Thailand and even Mexico. Apparently the cost of surgery is cheap, off setting the cost of the trip. A lot of these transsexual surgeons will also do castrations.

Dr. Preecha Tiewtranon (Preecha Aesthetic Institute, Thailand)

Cosmetic and Sex-Reassignment Surgery (Chonburi, Thailand)

Phuket Plastic Surgery Center, Thailand

Dr. Bhumsak Saksri MD - Neo Plastic Surgery Center (Bangkok THAILAND)

Dr. Choomchoke Janwimaluang MD - Samui Gender Reassignment Clinic (Koh Samui THAILAND)

Dr. Greechart Pornsinsirirak MD - Yan Hee General Hospital (Bangkok THAILAND)

Dr. Kamol Pansritum MD - Gender Reassignment Surgery Center (Bangkok THAILAND)

Dr. Paiboon Chitprapai MD - Sex Change Clinic at Bangkok Hospital (Bangkok THAILAND)

Dr. Pichet Rodchareon MD - Aesthetic Plastic Surgery (Bangkok THAILAND)

Dr. Sirachai Jindarak MD - Deja SRS Center at Deja General Hospital (Bangkok THAILAND)

[asphaltscry (imported)]

i was asking myself the same question and thought the only way was to travel across the globe. but i found an experienced urological MD only 45 minutes away. and for 2100 i got rid of them

Please pass such information in Private Message. Until the physician has consented or engages regular practice with our community, his position is being potentially compromised by posting his information.

Kristoff

and as far as psychological examination.... i just had a therapist write me a letter after seeing me once and that's it

good luck,

jami

[mrt (imported)]

I know about Kimmel in Philly, but some people said there are two other doctors in the US. one in Denver and one in California.

Who are these doctors, and do they require a psych work up, beforehand?

You know I think my (and other answers) are not specific enough. There are doctors that do the surgery for different reasons.

#1 For example those seeking GRS (SRS) surgery and can't afford it but want to do away with taking antiandrogens. Some of them consider others (GID, etc) based on them having seen mental health folks first.

#2 There are Doctors who don't do GRS but do it for medical reasons such as Orchialgia.

#3 There are Doctors who will do anyone on demand (Dr Kimmel and?) no shrinks etc.

This is I think the mainstream approaches.

[plix (imported)]

This is a difficult issue because you have to balance out one's right to do as he chooses with his own body versus the harm one can do to himself by going too far. For me I generally support people's right to alter their bodies as they so desire, but when it comes to changes that can create serious psychological harm if they turn out to be a mistake (like castration), I have now come to support the requirement of a letter from a mental health professional before undergoing castration.

I've also come to support a minimum age requirement for castration (both surgical and chemical since chemical can do irreversible damage over time) of 25, mainly due to research now showing that the brain does not complete its development until around that age, especially the parts involving long-term decision making. Plus, as someone under 25, I know from my own experiences and those of my peers that most of us just do not think long-term when we make decisions.

Now, I am not saying there would not be exceptions to the 25 rule, and of course GID cases would be exempt. But for those few under 25 who are mature enough to make the permanent decision of being castrated, they should have to undergo a rigorous process to demonstrate that maturity before being allowed to proceed, more rigorous than someone who is older.

I get especially wary of young people who want castration due only to a high libido. What many of them do not realize is that a high libido is normal for a young male, and it almost always tapers off as you get older. I now realize that my supposedly excessive libido was no higher than the average 20 year-old's, and I am almost 100% certain it would have cooled off with time.

[JesusA (imported)]

One goal of the research that Dr. Richard Wassersug and I have been conducting on the voluntary eunuch population is that our publications will help counseling and psychiatric professionals to take those who wish to be castrated much more seriously. (Most of the existing literature states that over two-thirds of those seeking voluntary castration are psychotic! We know better.)

As anyone who has been reading the Eunuch Archive for very long will recognize, there are many who arrive here wanting to be castrated IMMEDIATELY. Instead, they are listened to and given (mostly) solid advice. They are pushed to think through their reasons carefully. They are asked to study the consequences carefully, understanding that their individual experience may be different from that of anyone else here.

Some go away grateful that they have not made an irreversible mistake that they would regret for the rest of their lives. Some decide that castration is just a fantasy – and one that they will continue to enjoy. Some decide that they are no longer interested at all in the subject. Some decide, based on VALID information and CAREFUL consideration of their own situation, and after a “test drive” of chemical castration, that they really do want to go through with it.

For someone who has gone through all of the necessary background researching and soul searching, it should not take very much face-to-face time with a good counseling professional to get the letter(s) that a surgeon would need.

Surgeons are, of course, very concerned about being sued by someone who changes his mind. There is a case right now in England of an MtF transsexual who has changed her mind FIFTEEN years after the surgery and is suing. She claims that the psychiatrist who wrote the letter approving her surgery should have known somehow that she would later regret her transition! Both the surgeon and the counselor will want assurance that you have done your homework and that you are highly unlikely to regret your decision. No one can ever be 100% certain, but they want 99%, at least.

We, of course, need surgeons who are willing to perform a castration with proper documentation from a psychologist or psychiatrist, and that is also part of our intent with the research. There are more out there than most people here are aware of, but there still need to be many more.

This is a long-term project, but progress is clearly being made. It requires that YOU take an active role in getting the word out that only a few of those seeking castration are mentally unstable. Others have perfectly rational reasons and the medical profession needs to help.

If you have any suggestions, please either post them here or send me a Private Message about them.

[kristoff]

One goal of the research that Dr. Richard Wassersug and I have been conducting on the voluntary eunuch population is that our publications will help counseling and psychiatric professionals to take those who wish to be castrated much more seriously. (Most of the existing literature states that over two-thirds of those seeking voluntary castration are psychotic! We know better.)

As anyone who has been reading the Eunuch Archive for very long will recognize, there are many who arrive here wanting to be castrated IMMEDIATELY. Instead, they are listened to and given (mostly) solid advice. They are pushed to think through their reasons carefully. They are asked to study the consequences carefully, understanding that their individual experience may be different from that of anyone else here.

Some go away grateful that they have not made an irreversible mistake that they would regret for the rest of their lives. Some decide that castration is just a fantasy – and one that they will continue to enjoy. Some decide that they are no longer interested at all in the subject. Some decide, based on VALID information and CAREFUL consideration of their own situation, and after a “test drive” of chemical castration, that they really do want to go through with it.

For someone who has gone through all of the necessary background researching and soul searching, it should not take very much face-to-face time with a good counseling professional to get the letter(s) that a surgeon would need.

Surgeons are, of course, very concerned about being sued by someone who changes his mind. There is a case right now in England of an MtF transsexual who has changed her mind FIFTEEN years after the surgery and is suing. She claims that the psychiatrist who wrote the letter approving her surgery should have known somehow that she would later regret her transition! Both the surgeon and the counselor will want assurance that you have done your homework and that you are highly unlikely to regret your decision. No one can ever be 100% certain, but they want 99%, at least.

We, of course, need surgeons who are willing to perform a castration with proper documentation from a psychologist or psychiatrist, and that is also part of our intent with the research. There are more out there than most people here are aware of, but there still need to be many more.

This is a long-term project, but progress is clearly being made. It requires that YOU take an active role in getting the word out that only a few of those seeking castration are mentally unstable. Others have perfectly rational reasons and the medical profession needs to help.

If you have any suggestions, please either post them here or send me a Private Message about them.

As an individual service to your own benefit and that of every other member here, every member ought to make copies of the articles referenced here:

http://www.eunuch.org/vbulletin/showthread.php?t=11449

and send them to every urologist, psychiatrist and psychologist, and sexologist as you can in your areas; perhaps GPs too.

It may or may not do some good. I have already made about 50 unauthorized copies and mailed them, together with my name and phone for contact purposes. No contacts yet....

[Francis (imported)]

I think the psychologic assessment is largely ass-covering by the doctors in case the candidate has some later change of heart about whether he really wanted it. It is a legal defense not good medicine. If the "independant" assessment indicates that the desire is genuine and the doctor goes ahead, he is covered no matter how crazy the candidate really is.

In days gone by I think things were a lot looser and not a lot of such analyses were done. I have never heard of any voluntary castratee coming over the hill and actually filing suit which would have happened if there had been genuine issues of concern, even in those more liberal days (pre WWII).

There always have been the occasional case where the victim wasn't given a choice, mental institutions etc, but often nothing was done about it other than to say how deplorable it was. It was also often part of the lynchings that went on in the deep South likewise generally left unpunished. Makes you wonder how voluntary castration became a crime.

[smoothie36 (imported)]

Not sure where to post this but let's try here. If you are going to Dr. K in Philly, check this satellite picture. The hotel is the Y shaped building and the Dr. is one block up and to the left , a V shaped building on the corner.

http://maps.google.com/maps?f=q&hl=en&q ... hia%2C%20P ennsylvania&sll=37.0625,-95.677068&sspn=32.252269,65.302734&layer=&ie=ISO-8859-1&z=17&ll=39.963751,-75.175356&spn=0.003807,0.007972&t=k&om=1&oe=ISO-8859-1&sa=N&tab=il