Heavy increase in the suicide rate a few years after this surgery. “Exceptionally high” according to an LA Times article.
Most of them around here hang out in the low-price prostitute district.
I had a student last year, female, who was undergoing treatment to appear to be a male. I didn't discuss it with her, just had to keep in mind she wanted to have male pronouns used of herself. I can't say I understand it. It seems like taking lesbianism to an extreme.