#not in like a trans way but in like a ‘I simply like my name because it’s all I’ve ever known but I don’t really have a kinship with it’ way

[ringneckedpheasant]

the shit I witnessed growing up in evangelical fundamentalism never stops being crazy to me. was reminded of a friend of my sister who married a guy that she met online & while they were dating she was in her early? 20s, still living at home, & she wasn’t allowed to have private phone conversations with her boyfriend before they got married. her parents read all their messages & all their calls were on a landline so her dad could listen in. & I know all of this because it was brought up and joked about at their wedding like it was Normal or even Behavior That Should Be Encouraged. I hope that guy dies soon

[honeysunchild]

Libraries are just about the punkest places in existence and ppl wanna be transphobic in them? Not on my watch fuck you very much

[the-old-man-has-the-phonebox]

People are like “bro I love TADC but it would suck to actually be in it. I’d hate forgetting my past and my name and everything”

Me, with a shitty enough life that I wouldn’t be opposed to losing my memories and life in the real world so I can reinvent my entire being in a fun circus world:

[neverendingford]

.

[dootznbootz]

There's something so specifically infuriating when someone uses one of your experiences or your demographic in an argument, especially if said argument is about spreading hatred or is just so wrong. They "speak on behalf of the ___" to say such fucked shit.

"You're not thinking of the ___!"

"I literally am ___. You saying that adds nothing as you do not speak for me or for other ___. Shut up."

[thateclecticbitch]

thoughts in tags oops

funniest possible response to getting my gender marker changed

[talkorsomething]

A lot of what i'm jealous of in other people's music is experience and other band members (=more instruments) but also i think a lot of it is my voice as well.

[rinielelrandir]

So a few weeks ago I found out that an old college friend (my Big Sister when I was in a sorority) has been going back and editing any posts she made that she tagged me in any time they come up in her Facebook memories to have my correct name instead of my deadname. I hadn't even noticed tbh, when I saw that some Facebook memories still had my deadname in tags and some didn't, I figured that it was something weird with how Facebook updates your name in old tags so that sometimes they changed and sometimes they didn't. But no, this person who I had barely spoken to since graduation still loves me enough that she spends time going through and updating old posts. And is probably not even the only old friend doing tbh, because I've definitely seen my name be correct in memories of other people's posts as well. And it just makes me feel so warm and gooey inside every time I think about it. Friends I basically stopped talking to because ADHD means out of sight = out of mind applies to people still love me and care about me enough to do this thing I didn't even ask them to do to try and ensure I don't experience discomfort on the off chance I see a Facebook post from 2012. That's true love right there.

[arolesbianism]

Thinks oh so hard abt spiraling upwards I need to get some songs for my girl stat

[tamaharu]

AUGH i love reading trans academic literature

[leeloooonfire]

based on this post about Steve's internalized bi-phobia:

Steve has known for years.

And how could he not when Tommy's freckles come back tenfold each spring like a flower peaking it's head through the last layer of snow? Or when Matthew Carver's hair have a reddish brown tone that turns blond after they spent the last days before summer break practising outside and remind Steve of liquid gold? Or when he watches Star Wars and Harrison Ford, rugged and witty, comes into view and twists his stomach in knots? How could he not know?!

Steve knows he finds guys as attractive as girls, known for many, many years. But.

But he can't. Not when Tommy sneers at that boy in their literature class who likes flamboyant clothes and wants to be an actor on Broadway. Not when the people they meet in Indi who are like Robin and Eddie 'fully queer' and talk about people like Steve as if they're traitors and scams. Not when he reads the newspaper and is assaulted by Reagan and his folk preaching about the 'fag pandemic' or how his father nods in approval and mutters 'another sinner gone for good' when the news play on TV and they occasionally mention the crisis that kills people like Robin and Eddie and him.

Like him....

It doesn't matter how much he loves sleeping with his nose pressed against Eddie's collarbone or that he thinks he'd like to kiss Eddie and hold his hands and wake up beside him until they're old and wrinkly and complain about bad knees.

He is, but he cannot be a queer, half a fairy '50% like me, 50% like Eddie' as Robin jokes.

He will not be a bisexual, he can keep it inside, keep it hidden, buried deep inside him no matter how much it pains him. He can be the straight friend who goes to pride and bakes rainbow cakes and marries a woman even though his heart screams in an ear ringing cacophony, 'Eddie, Eddie Eddie Eddie!'

This is how his 20s go: loud and hurting and yearning and hiding and more noticeably being disgusted and ashamed of himself for simply being able to love men the way he can love women.

He's 29 when his wife, Becky, leaves him. It's not just Eddie and this shameful secret that weights heavy on their relationship, but the scars and all the other secrets he is unable to explain to her that drive Becky finally away - back to Boston. She leaves him alone in that tiny house they bought three years ago with their Saint Bernard puppy they lovingly named Bernadette.

He's 30 when he goes to a coffee meeting of the bisexual group meeting in Chicago, nearly turning the car multiple times, hands and knees sweaty with fear that they won't want him there. They do want him there, welcome him with open arms, and talk about things Steve knows all too well: 'When I fell in love with the first girl, I ran. I like men just fine, so I hid my crush. It's just easier, when your parents hate gays, when the world is shaming our community, when we're dying.' He finds a second home there, and learns - learns about queerness and bisexuality, about trans and gender non conforming people and physical attraction versus emotional attraction. He learns about his past and present and about his future, about their history and where they want to go, how they want to mold their world to fit people like them into it without the pain and the hiding.

Steve is 33 when he finally comes out to everyone dear to him. To the kids who aren't kids anymore and to Joyce and Hopper, and then his parents. this does not go well, but Steve doesn't want, doesn't need their validation anymore. He has his family, his friends, his support system who love him not regardless of his sexuality but because of it, love him because it's part of him. He comes out to Becky, too and that goes much better. they want to be friends, in the future. She's also met Gary who works the the NY Times and wants her to follow him into the big city. So Steve is looking forward how that goes, their tentative friendship.

He is 34 when Eddie comes back from his latest world tour and wants to take a break to rekindle with his uncle, to write new songs, to take a breather. It's only natural that Eddie moves into Steve's guest room and takes over his space on the couch where he cuddles Bernadette while Steve is in the kitchen and makes them grilled cheese and tomato soup for dinner.

Its even more natural when their feet meet while watching a movie and they lean into each other in the kitchen, dawn barely there, while they wait for the coffee maker to finish.

Steve's 35 when Eddie finally kisses him and he kisses back. No hurt, no shame, no guilt gnawing on him, Steve finally allows himself to be with the person he truly wants - regardless of their gender.

[velvetvexations]

I'm a trans woman. You need to stop being weird about men.

The idea that trans women should be allowed in single sex spaces for cis women is completely contradicted by the man vs. bear discourse. Ignore that I keep going back to the meme - maybe it's still doing numbers, I don't know, but it's good shorthand either way. If you think men are inherently suspicious and dangerous, ask yourself: why does that not apply to trans women?

What, exactly, does a trans woman do to make herself different from cis men? How are you not advocating a belief in people being tainted by the way they were raised* which can only logically apply to trans women as much as it does cis men? It boggles the mind how, if that's a true concept, one could simply self-identify out it. Yet, the way transradfems talk, literally the only thing that distinguishes an AMAB better-than-bear from an AMAB worse-than-bear is that the former says they're totally better than a bear and you should take their word for it, which if men are really Like That should be of little comfort or security.

Some, even, will make impassioned defenses of butch trans women, which as a butch trans woman is great. But then they'll go on about how evil men are, and how innocent and victimized trans women are, and I wonder, what, exactly, differs an especially butch trans woman from a man to them? If, like me, a trans butch woman doesn't always wear clearly feminine clothes, has body hair, maybe even a shade of facial hair, and doesn't at all try to train her voice, are you going to be uncomfortable with her right up until she realizes she forgot to put their pin on and you see the she/her? Apparently that flips the switch from someone you desperately don't want to be alone with to someone you're totally fine undressing in front of?

All that sounds like TERFism, which is exactly the problem. The transradfem version of reality is one where TERF talking points are completely logical, because they're both based in the same radfem reality. That's not my reality, YOU have constructed a system perfect for them to operate in, that their ideology is fantastic for pointing out errors of reasoning in, as if it was deliberately crafted by them to be deconstructed. I would not at all be surprised if that's the origin of a lot of trans radical feminism, a psyop to make the trans community weaker with logic twists that TERFism can swing through like the Gordian Knot.

If you accept man vs. bear, TERFism is the only logical conclusion. If you don't, as I don't, then it isn't.

The only alternative is that you think being a woman is the only thing anyone should be and "choosing" to be a man is morally inferior. Which I shouldn't have to tell you is horrifying. It's also again incongruous with at least your defense of butch trans women - what exactly defines a "man" and a "woman" when a butch trans woman doesn't have to try to pass at all? You are literally saying all of this, gender, transmisogyny, misogyny, hinges entirely on pronouns and a difference of two letters in the name of what they call themselves, someone is dangerous or not depending on if they go by he/him.

TERFs will see this and be like "yeah! exactly!" BUT MY POINT IS USING THAT TO SHOW YOU SHARE THE SAME FOUNDATIONAL LOGIC AS THEM. If you don't want TERFs to have a point then you can stop accepting their worldview any day now! Come join me and frolic freely where we think TERFs are wrong!

*socialization is real and the idea pre-dates TERFs who incorrectly use the idea that to say that because a trans woman may or may not** have been pressured by external forces to play sportsball she must be hardcoded to be a sex offender, which is completely ridiculous

**no one can be said to have the same experiences, it's a generalization

[punkitt-is-here]

I went back, read the FAQ, figured out I was working with bad information, and would like to present an actually polite version of the previous ask.

The other women you were having the "AFAB trans woman" debate with haven't been able to let go of it,

because anons have been accusing them of gatekeeping and TERF politics for providing anecdotes of, basically, AFAB people identifying as trans women to mock or overthrow their social groups. Citations below:

https://strawberry-crocodile.tumblr.com/post/742523159739334656/aita-for-warning-new-transfem-friends-that-someone

https://necronatural.tumblr.com/post/754196456131428352/sorry-but-if-youre-afab-you-do-not-get-to-call

I understand that the brazen, all-caps-bold-text mockery of any ask on this topic is great for driving off hateful anons pointed at you,

but if you could lend some credit to @patricia-taxxon 's responses, for example, it'd help take some hate off her back and really hep build my respect for you as an artist.

This will be likely my last proper response on any of this so be chill about it

I really, genuinely do not care that much about this subject much at all. It is a passing thought to me. I made the original post, responded once or twice, and made a quesadilla. it was fucking delicious. I do not appreciate the way you have talked to me. If you're going to treat yourself like someone I have to earn the respect back of instead of a random stranger on the internet who was very brazen to me in a one-off inbox message, I am not going to care.

With that out of the way: I have read the citations you have listed. I do not care. I have read them, thoroughly considered their points, and I still do not give a shit. What you are pointing at here in the first one is an individual perpetrating shitty behavior. I am not saying that this is the case, but if there was an assigned-male-at-birth woman perpetrating the same information, it would become very apparent very quickly how obvious it is that the issue is not with their gender identity, it is with the information they are spreading. Anyone is capable of misinformation, and I am not going to shit on and belittle a completely niche gender identity because one woman on the internet fucked up one time. If I did that, I'd be a hypocrite and would not be practicing any sort of good faith towards people with gender identities I do not fully understand. This is a core tenant of how I approach queerness. I do not need to understand someone to respect them. I do not need to worry about how conservatives will see us. I do not need to worry about the larger queer community when one person is being off-putting. I am not a fucking square. I achieve a lot of inner peace by simply practicing what you have named "tits-and-beer gender liberalism".

The second post you have linked is also something that I have read. I have considered the points in said post. My stance has still not changed. I do not think ID'ing as a transfeminine person when you were assigned female at birth is an inherently transphobic concept. Plenty of people in my notes have described experiences that very clearly and understandably outline why they do or why others might identify with the concept. I fundamentally disagree with the response because I do not believe that it is a transphobic idea. I am a transgender woman and have been for about half a decade now. My relationship with femininity is complex, and I am a binary transgender woman. I think in the grand scheme of gender identities, switching from one binary to the other has been pretty easy for me mentally. I am not intersex, I have never detransitioned in any way, and my family has been incredibly supportive. I transitioned specifically for the euphoria I got from identifying as a woman. I still have a complicated relationship with womanhood. Someone who has gone through many more hardships than I have is probably going to have an even more complicated relationship with femininity, and that is why I have no trouble imagining why something like an AFAB trans woman would exist. Perhaps someone has a complicated relationship with gender in relation to their intersex status and feels that the journey that transgender women take more closely aligns with their own rather than cisgender womanhood. Perhaps they are non-binary and have still transitioned to a more feminine-leaning identity. Perhaps they have de-transitioned, but now they are irreversibly changed by that experience and they are, in a way of thinking, "trans-feminine" because they are transitioning back to femininity. It is not hard for me to think of reasons. It is not saying that trans women are not real women. I think it is very clear to me that "transfem" can easily describe an experience with femininity that differs from the cisgender experience. It is no less valid, it is simply different, as with all things.

"Transfem" can mean "a man transitioning into a woman", but it can also describe a complex approach towards self-identification. We can argue semantics all we want, but I do not care personally. I do not think transfem means transitioning from man to woman exclusively. I am a binary transgender woman, and I do not agree that that is all it is. My journey as a transgender individual has been very uncomplicated compared to others, but it is still an ocean deep. I do not want to reduce that journey and identification down to a simple "man become woman" because that betrays the inherent complexity of transitioning and figuring out yourself.

Ultimately, to me, it comes down to not giving a shit. I am rarely, if ever, going to meet an AFAB transfem person. You are rarely, if ever, going to meet an AFAB transfem person. It is an incredibly niche gender identity with a lot of baggage, as we have seen. It is never going to matter in the broad scheme of things that they exist because 99% of people are not going to bring them up in the wider conversation about transfemininity. I know that finding your identity can be a rough, arduous process. I am not going to deprive someone of the joy of self-discovery, even if it is a complex or contradictory idea. I do not fully understand neopronouns. I do not fully understand things like polyamory or he/him lesbians or AFAB transfems. I do not need to. In real life, you hang out with people and share food and good times together. None of this shit matters. If I am ever so lucky to meet someone with a contradictory or confusing identity, I am happy that my words may provide them comfort and that they won't live to hide themselves around me. Making someone feel like they have to hide parts of their self is the last thing I would ever want anyone to experience.

I have no beef with Patricia. I quite like her work. When I saw her response, I disagreed. I still do. I am not going to start agreeing with an idea I am expressly opposed to because someone asked. But it is not the end of the world. I would appreciate, if my followers are sending her harassment, that they fucking stop, because it's not that big a deal. If anyone from my post is sending anyone hate because of a public disagreement on that post, I ask you kindly to stop and go outside. I do not condone the behavior. It is not that big a deal.

I am going to go make myself a ham and egg sandwich and practice tits and beer gender liberalism now. I hope this satisfies your request in some way.

[genderqueerdykes]

is it entirely possible for me to want to, like, identify as cis AND trans ? for context I was born female, but I'm a transman .. To put it simply .. And I have an odd and confusing relationship with my womanhood, but it feels right in a way to say I'm a transman but also transfem ?? Buf like, cis trans man and transfem. Does this, work ?? I could probably ramble for hours about why I want to use both these labels. But I'm not sure if it'd be, disrespectful ?? misusing the terms ?? Just plain odd ??

Your blog is incredibly informative and your answers are as well so, yeah. can I use the labels transman and transfem.

yes! this absolutely works!!!!!

you are the type of person i've made a ton of posts about and i hope you don't mind if i'm kinda long winded here because i've been begging people to understand folks like you exist for weeks now and people just keep calling me transmisogynistic and it's absurd, i had no idea so many people didn't know your identity existed. here are some of the posts i've made about bigender cis men/transfems:

there is a long, long history of people who identify as cis men and a trans woman or transfem person. this is so common it's unreal. back in the 50's and 60's a lot of drag queens had this exact relationship with gender- sometimes presenting as cis men, or maybe still presenting as femme but being men. there were femme gays hanging out at the drag bars flirting with men and lesbians- identifying as femmes and men. there were drag balls held by people who had this exact relationship with gender going on around the time. you can read about a lot of these people in leslie feinberg's works actually!

the thing is is being cis doesn't cancel out being trans. bigenderism is complicated. if someone wants to consider both of their identities trans, they can. if someone wants to consider themselves cis and trans, they can! you are not in the wrong for being this gender! i've met so many people in your shoes! i lived with a lot of transfems for a while and a lot of them were cis men and trans women at the same time! a lot of trans women still feel like cis men, especially gay men. that's totally fine!

im really glad you took the time to send this ask because this is what i mean when i say that it's not okay to shit on cis men in the queer community or in general because cis men *can be queer*. you can be a cis man and a trans woman or any other number of genders at the same time and it doesn't not invalidate your transness! they don't have to cancel each other out, they exist at the same time independently of one another and it's a beautiful thing!

if you'd like to talk about it, please feel encouraged to do so! i've been trying to get people to understand people like you are out there and to not be shitty to people who are or read as cis men. it's okay to be a cis man and another queer identity! i think you rock! there are a ton of bigender cis men/transfems out there! you are not alone!

[doberbutts]

you don't actually get to cry "ally yourself with trans women" while actively talking over trans women whose traumatic experiences with transmisogyny are wildly ignored in favor of how hard transmisogyny is on the cis women. like why don't trans women get to say privilege plays into how much transmisogyny affects people?

do we not characterize white privilege as being what protects white americans from the systematic racism that permeates the US?

again, what is the preferred way you would have us refer to that privilege? because I am right here telling you that privilege is a part of the construct of tme/tma but you don't really care that trans women are more affected.

like it's crazy that you seem to think my problem is with the transvestigation playing out against a cis woman and not the way everyone pays attention when it happens to cis women but ignores the rampant transmisogyny when it happens to a trans woman. like you don't even pause to look at why there were no trans women at the olympics to transvestigate in the first place so they turned to the next marginalized option, intersex and women of color, when discussing how trans women deserve better.

Hi I'm the trans woman I deserve better from you specifically

To be completely honest this is looking less and less like a good faith discussion and more and more like you simply accusing me of stuff I didn't say.

You say I am actively talking over trans women. How so? How is "we need to address transmisogyny at its root if we want things to be better" ignoring the plight of trans women?

How is it that I have *repeatedly* acknowledged that there is privilege there, and yet apparently I am ignoring it?

if you want to use the race example: white privilege exists. Racism also affects white people. If white people want to stop being affected by racism (welfare regulations, the war on drugs, low income housing, social programs for community aid, to name a few) then maybe they should ally themselves with people of color because the root of what's causing issues with these things is racism. That doesn't mean white privilege doesn't exist just because a system of oppression affects everyone under said system. It doesn't even mean that the primary target has changed. It's just what makes this a system rather than an individual occurrence.

Never once have I said that cis women are more affected and, in fact, in followup posts I have stated that it *is* quite annoying that people have only been talking about this because this year's Olympics included approximately 0 out trans women. I have been saying that this was the clear end result, once they were rid of the trans women they'd go for whatever cis women they could feasibly get away with, and this time it seems they overplayed their hand.

Castor Semenya is a cis woman who only found out that she is intersex due to being transvestigated. She is, by definition, TME. Except she's not, is she, considering the same rules that apply to trans women apply to her. That's why I brought her up! And- correct me if I'm wrong- but out trans women still competed after she was forced to leave the Olympic running. That is why I'm saying that things maybe are not quite so clear cut as "have" and "have not", because I can point to an example of someone that the definition labels as "has privilege" that according to Olympic ruling bodies no longer counts as a woman either despite being afab TME cis.

If you want to continue to put words in my mouth, then we're out of things to say to each other, and it becomes clear that this was never intended to be a good faith discussion in the first place.

[religion-is-a-mental-illness]

By: Beth Bourne

Published: Feb 27, 2024

Kaiser gender specialists were eager to approve hormones and surgeries, which would all be covered by insurance as “medically necessary.”

On September 6, 2022, I received mail from my Kaiser Permanente Davis Ob-Gyn reminding me of a routine cervical screening. The language of the reminder stood out to me: “Recommended for people with a cervix ages 21 to 65.” When I asked my Ob-Gyn about this strange wording, she told me the wording was chosen to be “inclusive” of their “transgender” and “gender fluid” patients.

Based on this response, several thoughts occurred to me. Could I expose the medical scandal of “gender-affirming care” by saying and doing everything my daughter and other trans-identifying kids are taught to do? Would there be the type of medical safeguarding and differential diagnosis we would expect in other fields of medicine, or would I simply be allowed to self-diagnose and be offered the tools (i.e. hormones and surgeries) to choose my own gender adventure and become my true authentic self?

If I could demonstrate that anyone suffering from delusions of their sex, self-hatred, or identity issues could qualify for and easily obtain body-altering hormones and surgeries, all covered by insurance as “medically necessary” and potentially “life-saving” care, then maybe people would finally wake up. I certainly had.

I was prepared for failure. I wasn’t prepared for how easy success would be.

* * *

I am a 53-year-old mom from Davis, CA. My daughter began identifying as a transgender boy (social transition) and using he/him pronouns at school during 8th grade. Like several of her peers who also identified as trans at her school, my daughter was a gifted student and intellectually mature but socially immature. This shift coincided with her school’s sudden commitment to, and celebration of, a now widespread set of radical beliefs about the biology of sex and gender identity.

She “came out” as trans to her father (my ex-husband) and me through a standard coming-out letter, expressing her wish to start puberty blockers. She said she knew they were safe, citing information she had read from Planned Parenthood and the World Professional Association for Transgender Health (WPATH). To say I was shocked would be an understatement. I was also confused because this announcement was sudden and unexpected. While others quickly accepted and affirmed my daughter’s new identity, I was apprehensive and felt the need to learn more about what was going on.

Events began escalating quickly.

During a routine doctor’s visit scheduled for dizziness my daughter said that she was experiencing, the Kaiser pediatrician overheard her father using “he/him” pronouns for our daughter. The pediatrician seemed thrilled, quickly asking my daughter about her “preferred pronouns” and updating her medical records to denote that my daughter was now, in fact, my son. The pediatrician then recommended we consult the Kaiser Permanente Oakland Proud pediatric gender clinic, where she could get further information and (gender affirming) “treatment.” Now I was the one feeling dizzy.

As I began educating myself on this issue, I discovered that this phenomenon—minors, most often teen girls, suddenly adopting trans identities—was becoming increasingly widespread. It even had a name: rapid onset gender dysphoria, or ROGD. Thankfully, after learning about the potential side-effects of blockers and hormones, my ex-husband and I managed to agree not to consent to any medical interventions for our daughter until she turned 18 and would then be able to make such decisions as an adult.

Over the past five years, my daughter’s identity has slowly evolved in ways that I see as positive. Our bond, however, has become strained, particularly since I began publicly voicing my concerns about what many term as “gender ideology.” Following my daughter’s 17th birthday family celebration, she sent me an email that evening stating she would be cutting off contact with me.

While this estrangement brought me sorrow, with my daughter living full-time with her father, it also gave me the space to be an advocate/activist in pushing back on gender identity ideology in the schools and the medical industry.

I decided to go undercover as a nonbinary patient to show my daughter what danger she might be putting herself in—by people who purport to have her health as their interest, but whose main interest is in medically “affirming” (i.e., transitioning) whoever walks through their door. I am at heart a mother protecting her child.

* * *

My daughter’s sudden decision to become a boy was heavily on my mind in early September of 2022, when mail from my Kaiser Permanente Davis Ob-Gyn reminded me of a routine cervical screening with “Recommended for people with a cervix ages 21 to 65.” I was told that the wording was chosen to be “inclusive” of transgender and “gender fluid” patients.

Throughout the whole 231-day process of my feigned gender transition, the Kaiser gender specialists were eager to serve me and give me what I wanted, which would all be covered by insurance as “medically necessary.” My emails were returned quickly, my appointments scheduled efficiently, and I never fell through the cracks. I was helped along every step of the way.

Despite gender activists and clinicians constantly claiming that obtaining hormones and surgeries is a long and complex process with plenty of safety checks in place, I was in full control at every checkpoint. I was able to self-diagnose, determine how strong a dose of testosterone I received and which surgeries I wanted to pursue, no matter how extreme and no matter how many glaring red flags I purposefully dropped. The medical workers I met repeatedly reminded me that they were not there to act as “gatekeepers.”

I was able to instantly change my medical records to reflect my new gender identity and pronouns. Despite never being diagnosed with gender dysphoria, I was able to obtain a prescription for testosterone and approval for a “gender-affirming” double mastectomy from my doctor. It took only three more months (90 days) to be approved for surgery to remove my uterus and have a fake penis constructed from the skin of my thigh or forearm. Therapy was never recommended.

Critics might dismiss my story as insignificant on the grounds that I am a 53-year-old woman with ample life experience who should be free to alter her body. However, this argument for adult bodily autonomy is a standard we apply to purely cosmetic procedures like breast implants, liposuction, and facelifts, not “medically necessary” and “lifesaving” treatments covered by health insurance. Or interventions that compromise health and introduce illness into an otherwise healthy body. And especially not for children.

My story, which I outline in much more detail below, should convince any half-rational person that gender medicine is not operating like any other field of medicine. Based on a radical concept of “gender identity,” this medical anomaly preys upon the body-image insecurities common among pubescent minors to bill health insurance companies for permanent cosmetic procedures that often leave their patients with permanently altered bodies, damaged endocrine systems, sexual dysfunction, and infertility.

* * *

Detailed Timeline of Events

On October 6, 2022, I responded to my Ob-Gyn’s email to tell her that, after some thought, I’d decided that maybe the label “cis woman” didn’t truly reflect who I was. After all, I did have some tomboyish tendencies. I told her I would like my records to be changed to reflect my newly realized “nonbinary” identity, and that my new pronouns were they/them. I also voiced my desire to be put in touch with an endocrinologist to discuss starting testosterone treatment.

Fifteen minutes later I received an email from another Kaiser doctor informing me that my medical records had been changed, and that once my primary doctor returned to the office, I’d be able to speak with her about hormone therapy.

I responded the following day (October 7, 2022), thanking her for changing my records, and asking if she could connect me with someone who could help me make an appointment for “top surgery” (i.e., a cosmetic double mastectomy) because my chest binder was rather “uncomfortable after long days and playing tennis.”

She told me to contact my primary care MD to “get things rolling,” and that there were likely to be “preliminary evaluations.”

Six days after contacting my primary care MD for a referral, I received an email from one of Kaiser’s gender specialists asking me to schedule a phone appointment so she could better understand my goals for surgery, so that I could get “connected to care.” This call to review my “gender affirming treatment options and services” would take 15-20 minutes, after which I would be “booked for intake,” allowing me to proceed with medical transition.

This wasn’t an evaluation of whether surgical transition was appropriate, it was simply a meeting for me to tell them what I wanted so that they could provide it.

On October 18, I had my one and only in-person appointment in preparation for top surgery. I met in Davis with my primary care physician, Dr. Hong-wen Xue. The assessment was a 10-minute routine physical exam that included blood tests. Everything came back normal. Notably, there was not a single question about why I wanted top surgery or cross-sex hormones. Nor was there any discussion of the risks involved with these medical treatments.

The following week, on October 24, I had a phone appointment with Rachaell Wood, MFT, a gender specialist with Kaiser Sacramento. The call lasted 15 minutes and consisted of standard questions about potential drug use, domestic violence, guns in the house, and whether I experienced any suicidal thoughts. There were no questions from the gender specialist about my reasons for requesting a mastectomy or cross-sex hormones, or why I suddenly, at 52, decided I was “nonbinary.”

After the call, Kaiser emailed me instructions about how to prepare for my pre-surgery intake video appointment to evaluate my mental health, scheduled to take place on November 15. The email stated that prior to my appointment, I should research hormone risks on the WPATH website, and to “research bilateral mastectomy and chest reconstruction surgery risks and recovery” on Kaiser’s website.

I decided to request a “gender-affirming” double mastectomy and phalloplasty. Kaiser sent me a sample timeline for gender transition surgery preparation (see below) that you can use as a reference for the process. I also asked for a prescription for cross-sex hormones (testosterone) as needed and recommended by Kaiser.

[ Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

Pre-Surgery Mental Health Video Appointment, Part I

This “Mental Health Visit” assessment was conducted over Zoom. The Kaiser gender specialist started with questions addressing my marital status, race, gender identity, and other demographics. She asked whether I was “thinking of any other surgeries, treatments in the future.” The list she read included “gender-affirming” hysterectomies, bottom surgeries such as metoidioplasty and phalloplasty, vocal coaching, support groups, and body contouring. “Anything else you might be interested in doing?” she asked. I said that I’d perhaps be interested in body contouring. I was also assured that all the procedures would be covered by insurance because they were considered “medically necessary.”

I dropped in several red flags regarding my mental health to see the reaction, but all were ignored. For instance, I revealed that I had PTSD. When the therapist asked me about whether I had experienced any “childhood trauma,” I explained that I grew up in Mexico City and had been groped several times and had also witnessed men masturbating in public and had been grabbed by men in subways and buses. “I was a young girl, so [I had] lots of experiences of sexual harassments, sexual assault, just the kind of stuff that happens when you are a girl growing up in a big city.” “So, you know,” I finished, “just the general feeling that you are unsafe, you know, in a female body.”

The therapist did not respond to my disclosure that trauma could be the cause of my dysphoria. Instead of viewing this trauma as potentially driving my desire to escape my female body through hormones and surgery, she asked whether there is anything “important that the surgery team should be aware of” regarding my “history of trauma,” such as whether I’d be comfortable with the surgeon examining and marking my chest prior to surgery.

When asked about whether I had had any “psychotic symptoms,” I told her that while I had had no such symptoms, my mother had a delusional nervous breakdown in her 50s because she had body dysmorphia and became convinced she had a growth on her neck that needed to be removed. I told her that my mother was then admitted to an inpatient hospital for severe depression. I asked her whether she ever sees patients with body dysmorphia and whether I could have potentially inherited that from my mother. She told me that psychosis was hereditary, but that it was “highly unlikely” that there was any connection between body dysmorphia and gender dysphoria.

I enthusiastically waved more mental health red flags, waiting to see if she would pick up on any of them.

I’m just wondering if my feelings, or perseverating, or feeling like these breasts make me really unhappy and I just don’t want them anymore!...I’m just not sure if that’s a similar feeling to body dysmorphia? How do you decide which one is gender dysphoria and general body dysmorphia, and just not liking something about your body? Feeling uncomfortable with your body? And I did have an eating disorder all through college. I was a distance runner in college so I had bulimia and anorexia, you know. So I don’t know if that’s related to gender dysphoria?

The therapist replied, “I completely appreciate your concerns, but I am going to ask you questions about your chest, about your expectations. And then I’ll be able to give you an assessment.” She also said the main difference between my mom’s situation and mine was that my mom didn’t really have a growth on her neck, whereas it’s “confirmed” that I actually have “chest tissue.” Furthermore, she said that while “historically there has been all this pressure on patients to be like ‘Are you really, really sure you want hormones? Are you 100% sure?’ We are a little more relaxed.” She continued, “As long as you are aware of the risks and the side-effects, you can put your toe in the water. You can stop ‘T’ [testosterone], you can go back and do it again later! You can stop it! You can stop it! You know what I mean?”

Because we ran out of time, I scheduled a follow-up phone meeting on December 27, 2022 with a different gender specialist to complete my mental health assessment for top surgery.

Pre-Surgery Mental Health Video Appointment, Part II

During this meeting, Guneet Kaur, LCSW, another Kaiser gender specialist (she/her/they/them pronouns) told me that she regretted the “gatekeeping vibe” of the meeting but assured me that since I have been “doing the work,” her questions are essentially just a form of “emotional support” before talking with the medical providers.

She asked me about what I’d been “looking into as far as hormones.” I told her that I’d be interested in taking small doses of testosterone to counterbalance my female feelings to achieve “a feeling that’s kind of neutral.”

When she asked me about me “not feeling like I match on the outside what I feel on the inside,” I dropped more red flags, mentioning my aversion to wearing dresses and skirts.

I don’t own a single dress or a skirt and haven't in 20 years. I think for me it’s been just dressing the way that’s comfortable for me, which is just wearing, jeans and sweatshirts and I have a lot of flannel shirts and, and I wear boots all the time instead of other kinds of shoes. So I think it’s been nice being able to dress, especially because I work from home now most of the time that just a feeling of clothing being one of the ways that I can feel more non-binary in my everyday life.

She responded, “Like having control over what you wear and yeah. Kind of that feeling of just, yeah, this is who I am today. That’s awesome. Yeah.”

She then asked me to describe my dysphoria, and I told her that I didn’t like the “feeling of the female form and being chesty,” and that because I am going through menopause, I wanted to start taking testosterone to avoid “that feeling of being like this apple-shaped older woman.” “Good. Okay, great,” she responded, reminding me that only “top surgery,” not testosterone, would be able to solve my chest dysphoria. (Perhaps it was because all these meetings were online, they didn’t notice I’m actually fit and relatively slender at 5’-5” and 130 pounds, and not apple-shaped at all.)

She told me that we had to get through a few more questions related to my medical history before “we can move on to the fun stuff, which is testosterone and top surgery.”

The “fun stuff” consisted of a discussion about the physical and mood changes I could expect, and her asking me about the dose of testosterone I wanted to take and the kind of “top surgery” technique I’d prefer to achieve my “chest goals.” She told me that all or most of my consultations for surgeries and hormones would be virtual.

The gender specialist told me after the appointment, she would submit my referral to the Multi-Specialty Transitions Clinic (MST) team that oversees “gender expansive care.” They would follow up to schedule a “nursing call” with me to review my medical history, after which they’d schedule my appointment with a surgeon for a consultation. Her instructions for this consultation were to “tell them what you’re wanting for surgery and then they share with you their game plan.”

[ Decision-making slide to help me identify my goals for top surgery–flat chest, nipple sensation, or minimal scarring. Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

She told me that Kaiser has a team of plastic surgeons who “only work with trans and nonbinary patients because there’s just so much need for them.” She asked about my priorities for chest surgery, such as whether I value flatness over nipple sensation. I learned about double incision top surgery with nipple grafts, as well as “keyhole,” “donut,” “buttonhole,” and “Inverted-T” top surgeries.

By the end of the hour-long appointment, I had my surgery referral and was ready for my “nursing call” appointment.

Nursing call with Nurse Coordinator from the Transgender Surgery and Gender Pathways Clinic at Kaiser San Francisco

On January 19, 2023, I had my nursing call with the Nurse Coordinator. He first said that “the purpose of this call is just for us to go through your chart together and make sure everything’s as accurate as possible.” Once that was done, my referral would be sent to the surgeon for a consultation.

He asked me about potential allergies and recreational drug use, and verified that I was up to date on mammograms, pap smears, and colon cancer screenings, as well as vaccines for flu and COVID. I verified my surgical history as well as my current medications and dietary supplements.

He told me about a “top surgery class” available for patients where one of the Kaiser surgeons “presents and talks about surgical techniques and options within top surgery,” and includes a panel of patients who have had top surgery. I signed up for the February 8th class.

Within 10 minutes he told me that he had “sent a referral to the plastic surgery department at Kaiser Sacramento,” and that I should be hearing from them in the next week or two to schedule a consultation.

Appointment for Testosterone

On January 27, I had a 13-minute online appointment with a primary care doctor at Kaiser Davis to discuss testosterone. The doctor verified my name and preferred pronouns, and then directly asked: “So, what would you like to do? What kind of physical things are you looking for?”

I told her I wanted facial hair, a more muscular and less “curvy” physique, and to feel stronger and androgynous. She asked me when I wanted to start, and I told her in the next few months. She asked me if I was menopausal, whether I had ovaries and a uterus, although that information should have been on my chart.

The doctor said she wanted me to come in to get some labs so she could check my current estrogen, testosterone, and hemoglobin levels before starting hormones. Then “we'll set the ball in motion and you'll be going. We’ll see you full steam ahead in the direction you wanna go.”

That was it. I made an appointment and had my lab tests done on February 12. My labs came back on February 14, and the following day, after paying a $5 copay at the Kaiser pharmacy, I picked up my testosterone pump. That was easy!

Top Surgery Consultation

On the same day I received my labs, I had a Zoom surgery consultation with Karly Autumn-Kaplan, MD, Kaiser Sacramento plastic surgeon. This consultation was all about discussing my “goals” for surgery, not about whether surgery was needed or appropriate.

I told the surgeon that I wanted a “flatter, more androgynous appearance.” She asked me some questions to get a better idea of what that meant for me. She said that some patients want a “male chest,” but that others “want to look like nothing, like just straight up and down, sometimes not even nipples.” Others still wanted their chest to appear slightly feminine and only “slightly rounded.” I told her that I’d like my chest to have a “male appearance.”

“What are your thoughts about keeping your nipples?” she asked. “Are you interested in having nipples or would you like them removed?” I told her that I’d like to keep my nipples, but to make them “smaller in size.” She asked me if I’d like them moved to “the edge of the peck muscle” to achieve “a more male appearance.” I said yes.

I was asked to show my bare chest from the front and side, which I did. Then she asked me how important it was for me to keep my nipple sensation. I replied that it was important unless it would make recovery more difficult or there were other associated risks. She highlighted the problem with the free nipple graft, saying that removing the nipple to relocate it means “you're not gonna have sensation in that nipple and areola anymore.” However, some nipple sensation could be preserved by keeping it attached to “a little stalk of tissue” with “real nerves going to it,” but that would require leaving more tissue behind. I told her I’d go for the free nipple graft to achieve a flatter appearance. It was also suggested I could skip nipple reconstruction entirely and just get nipples “tattooed” directly onto my chest.

She told me I was “a good candidate for surgery,” and put me on the surgery wait list. She said that the wait time was between three and five months, but a cancellation could move me up to a sooner date. Also, if I wanted surgery as soon as possible, I could tell the surgery scheduler that I’d be willing to have any of the other three surgeons perform my mastectomy. Outpatient top surgery would cost me a copay of $100.

They contacted twice, in February and March, notifying me of cancellations. If I had accepted and shown up on those dates, they would have removed my breasts. This would have been less than five months from the time I first contacted Kaiser to inform them of my new “nonbinary” gender identity.

How Far Can I Go?

I decided to see how easy it would be for me to get approved for a phalloplasty. Known euphemistically as “bottom surgery,” phalloplasty is the surgical creation of an artificial penis, generally using tissue from the thigh or arm.

I sent an email on March 1, 2023, requesting to have a phalloplasty and concurrent hysterectomy scheduled alongside my mastectomy.

Two weeks later, on March 16th, I had a 16-minute phone call with a gender specialist to discuss my goals for bottom surgery and obtain my referral.

During the call, I explained to the specialist that I wasn’t sure about taking testosterone anymore because I was already quite athletic and muscular, and that taking testosterone didn’t make much sense to me. Instead, I wanted bottom surgery so that I wouldn’t feel like my “top” didn’t match my “bottom.” I told her:

But what I really wanted was to have bottom surgery. So this way when I have my top surgery, which sounds like it could be very soon, that I’ll be aligned, that I won’t have this sense of dysphoria with one part of my body and the other part feeling like it matched who I am. So yeah. So I just did a little bit more research into that. And I looked at the resources on the Kaiser page for the MST clinic and I think I know what I want, which is the hysterectomy and then at the same time or soon after to be able to have a phalloplasty.

I told her that I wanted to schedule the top and bottom surgery concurrently so that I wouldn’t have to take more time off work and it would save me trips to San Francisco or Oakland, or wherever I had to go for surgery.

None of this gave the gender specialist pause. After a brief conversation about some online resources to look over, she told me that she would “submit the referral now and we’ll get this ball rolling.”

Bottom surgery would cost me a copay of $200, which included a couple of days in the hospital for recovery.

Phalloplasty Surgical Consultation with Nurse Coordinator

On May 16, 2023, I had a short surgical consultation with a nurse coordinator to go through my medical history. This was similar to the consultation for top surgery but included information about hair removal procedures for the skin on my “donor site” that would be fashioned into a makeshift penis. They also went over the procedures for determining which donor site—forearm or thigh—was more viable.

After only 15 minutes, she submitted my referral to the surgeon for another surgical consultation.

On May 25 I received an email from my phalloplasty surgeon’s scheduler, informing me that they have received my referral and are actively working on scheduling, but that they are experiencing delays.

I ended my investigation here once I had the referral for the top and bottom surgery. I never used my testosterone pump.

Final Thoughts

In fewer than 300 days, based on a set of superficial and shifting thoughts about my gender and my “embodiment goals” triggered by the mere mention of “gender” in a form letter from my primary care physician, and driven by what could only be described as minor discomforts, Kaiser Permanente’s esteemed “multi-disciplinary team” of “gender specialists” was willing, with enthusiasm—while ignoring mental health concerns, history of sexual trauma, and rapidly escalating surgical requests—to prescribe life-altering medications and perform surgeries to remove my breasts, uterus, and vagina, close my vaginal opening, and attempt a complex surgery with high failure and complication rates to create a functionless representation of a penis that destroys the integrity of my arm or thigh in the process.

This describes the supposedly meticulous, lengthy, and safety-focused process that a Kaiser patient must undergo to embark on a journey to medically alter their body. No clinician questioned my motivations. No one showed concern that I might be addressing a mental health issue through radical and irreversible interventions that wouldn’t address my amorphous problems. There were no discussions about how these treatments would impact my long-term health, romantic relationships, family, or sex life. I charted the course. The clinicians followed my lead without question. The guiding issue was what I wanted to look like.

No other medical field operates with this level of carelessness and disregard for patient health and welfare. No other medical field addresses issues of self-perception with surgery and labels it “medically necessary.” No other medical field is this disconnected from the reality of the patients it serves.

Kaiser has traded medicine for ideology. It’s far beyond time we stop the ruse of considering “gender-affirming” interventions as anything approaching medical care.

This isn’t the first time Kaiser Permanente has been in the news for completely disregarding medical safeguards in the name of “gender-affirming care.” As girls, Chloe Cole and Layla Jane became convinced that they were born in the wrong body and were actually boys on the inside. Doctors at Kaiser ignored their underlying conditions and instead prescribed testosterone and removed their breasts. Both Cole and Jane have since detransitioned and are currently suing Kaiser.

The fact that children and vulnerable adults are being exploited in this massive ideological experiment is not just tragic; it’s deeply disturbing, especially considering it has evolved into a billion-dollar industry.

I hope that by sharing my story, I can bring more focused scrutiny to the medical scandal unfolding not just at Kaiser but also at medical centers and hospitals across the Western world. These institutions have completely abandoned medical safeguards for patients who claim to be confused about their “gender,” and I aim to awaken more parents and assist them in protecting their children.

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This is completely insane.

Apologists online are running around saying, but she didn't mean it, she was lying, she was pretending...

It doesn't matter.

Any kind of security, penetration or integrity test is insincere too. When security researchers compromise Microsoft's operating system or Google's browser or whatever, "but they didn't mean it" is not a defence to a discovered security flaw. It doesn't matter that the security researchers didn't plan to steal data or money or identities. The flaw in the system is there regardless.

It doesn't matter that it was insincere. Because the workers didn't know that. They never checked, never asked questions, never tested. They had been taught and instructed to never ask any questions. They did what they were supposed to. And the system failed spectacularly. Because that's what "gender affirming care" means.

Additionally, the claim that Beth Bourne committed fraud is an outright lie. A patient cannot bill. They do not have the authority. The medical clinic is the only one that can bill, and they must supply a diagnosis and a medical necessity.

If they didn't diagnose her and just wrote down what she said, then they committed fraud. If they claim they did diagnose her, then they committed fraud, because the diagnosis they concocted was bogus. This, by the way, is actually going on. Clinics are reporting fake endocrine and other disorders to get blockers, hormones and other interventions. Jamie Reed and other whistleblowers have documented evidence of this. Beth Bourne is not responsible for what the clinic does. They have medical licenses and legal responsibility. Not her.

Additionally, anyone who actually read the article would know how she tested the system. She said things like, "I've always been not that feminine. So, maybe I get my boobs removed." And they said, "sure." Instead of saying, "wait, why do you think that?" Framing it as her lying is itself a lie. They violated their ethical obligations. That much is incontrovertible. And it's directly the result of "gender affirming care," where clinics and clinicians rubber-stamp anything deemed "trans" based entirely on ideological, not medical, grounds.