so he could keep a long-standing appointment to complete his sex change at a Colorado hospital I'd assume this is some kind of hormonal device implant. Last I'd heard, the "re-architecture" surgery itself was still banned in the USA and had to be done in Sweden. (Boo, hiss to Sweden)
Nope, HTR, there is actually a doctor in Colorado. Couple of years ago one of the newsmags did a show on it.