Thursday, July 21, 2016 / Labels: , , , , , , ,

Grant available: Advocating for Human and Civil Rights for the LGBT Community

July 21, 2016 /LGBT News/ The U.S. Embassy Public Affairs Section in Dublin, Ireland in collaboration with the U.S. Consulate in Belfast is seeking proposals from eligible organisations for a program entitled “Advocating for Human and Civil Rights for the LGBT Community” with an aim to implement a U.S. exchange program for current and emerging leaders from both the Republic of Ireland and Northern Ireland in support of a core tenant of U.S. foreign policy—the protection of universal human rights.

The project is designed primarily for civil society activists and legal experts involved in LGBT advocacy work, as well as developing human and civil rights laws, policies and programs.

This U.S. exchange program will focus on addressing some of the human and civil rights challenges for members of the LGBT community, while also building cross-border relationships and collaborations between participants from the Republic of Ireland and Northern Ireland. Specifically, it will explore U.S. advocacy efforts, at the local, state, national, and international levels, to support the equality and dignity of the LGBT community.

Participants will examine the legislative framework surrounding LGBT issues and political, societal and judicial perspectives on LGBT rights. The project will also highlight the impact of the increasingly visible, open and active role of the LGBT community in political, economic and cultural life.

Deadline: 19 August 2016 

Program Objectives:

  • Examine U.S. and international initiatives to promote and protect the human rights of the LGBT community;
  • Discuss social and cultural approaches to gender and sexual orientation identities in a diverse society;
  • Examine efforts to protect LGBT youth and explore equal access to educational, economic and healthcare opportunities for citizens with diverse gender identities and sexual orientations;
  • Analyze the legislative framework and political perspectives on current and pending efforts to ensure equal human and civil rights in the United States;
  • Observe how organizations monitor, influence, and advocate for human and civil rights policy at the local, state, national, and international levels;
  • Gain insight into how LGBT rights groups work effectively across regions and across borders.

Funding Information:

  • The grants for this call for proposals range between $30,000.00 to $60,000.00.
  • Grant project should be completed in one year or less.


  • The history of the movement
  • The contemporary debate on LGBT rights and same sex marriage
  • Workplace rights
  • The support needs of LGBT youth and families, as well as general social inclusion and diversity in the United States.
  • Participants will learn how LGBT advocacy groups counter discrimination and defamation and how they engage religious leaders to create wider social acceptance and understanding.
  • Particular emphasis should be placed on challenges regarding access to health care, adoption issues, bullying in schools and workplace diversity.

Eligibility Criteria:

  • Eligibility is open to all U.S. non-profit, non-governmental organizations.
  • Individuals are not eligible for an award under this Notice of Funding Opportunity (NOFO).
  • Organizations may sub-contract with other entities, but only one, non-profit, non-governmental entity can be the prime recipient of the award. When sub-contracting with other entities, the responsibilities of each entity must be clearly defined in the proposal.
  • Cost-sharing or matching is not required for this funding opportunity.
  • This award does not allow for construction activities or costs.
  • U.S. Embassy Dublin grants/cooperative agreements cannot be used to fund religious or partisan political activity; fundraising campaigns; commercial projects; scientific research; projects whose primary aim is the institutional development of the organization, or illegal activities.
  • Academics and government officials working in the area of LGBT advocacy may also be considered.
  • Participants must be fluent in English.
  • Half of the participants will be nominated by the U.S. Embassy in Dublin, while the other half will be nominated by the U.S. Consulate in Belfast.

How to Apply:

Interested applicants can apply via website.
For more information, please visit

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Sunday, June 12, 2016 / Labels: , , , , , , , ,

The Orlando Massacre: 49 killed in Florida gay nightclub, shooter pledged ISIS allegiance

June, 12, 2016 /LGBT News/ A gay nightclub in orlando, Florida, was the scene of the worst terror attack in U.S. history since 9/11. 49 people were killed inside the Pulse club and at least 53 were injured, police say.
The gunman, Omar Mateen, 29, of Ft. Pierce, Florida, called 911 around the time of the attack to pledge allegiance to ISIS and mention the Boston bombers, according to a U.S. official.

"It appears he was organized and well-prepared," Orlando Police Chief John Mina said early Sunday. The shooter had an assault-type weapon, a handgun and "some type of (other) device on him."

Mateen was killed after a shootout with Orlando police.

President Barack Obama in a news conference said the shooting is "a sobering reminder that attacks on any American - regardless of race, ethnicity, religion or sexual orientation - is an attack on all of us and on the fundamental values of equality and dignity that define us as a country."

"We know enough to say this was an act of terror and act of hate," President Obama said. While the violence could have hit any American community, "this is an especially heartbreaking day for our friends who are lesbian, gay, bisexual or transgender," he added.

While we still know very little about this morning’s brutal massacre at Pulse in Orlando, this terrible tragedy is a reminder of the threat of violence against LGBT every day, and that we must always remain vigilant.

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Monday, March 14, 2016 / Labels: , , , , , , ,

Rainbow jello recipe

March 14, 2016 /LGBT News/ Here is a fun and gay easy recipe for you to try at home.


  • One small box of jello for each color (red, orange, yellow, green, blue, and purple)
  • One large tub of cool whip
  • Sprinkles


  • Pour jello purple into glasses, reserving about 1/3 of the liquid jello. Put glasses in the refrigerator and chill for 15-30 minutes, or until slightly set. Mix about 1/3 cup of cool whip into the remaining purple jello. Pour the jello/cool whip mix on top of the purple jello in the glasses.
  • Repeat process for each color.
  • Top with some additional cool whip and sprinkles.


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Tuesday, February 9, 2016 / Labels: , , , ,

European Commission: Supporting National and Transnational Projects on Non- Discrimination (LGBT included)

February 9, 2016 /LGBT News

Deadline: 12 April 2016

European Commission is inviting applicants for Action Grants aims to co-fund national or transnational projects on non-discrimination and Roma integration in line with the specific objective to promote the effective implementation of the principle of non-discrimination on the grounds of sex, racial or ethnic origin, religion or belief, disability, age or sexual orientation, and to respect the principle of non-discrimination on the grounds.

The Commission wishes to support activities which tackle at least one of the following groups at risk of discrimination: racial or ethnic minorities, persons with disabilities, older/younger people, religious minorities and LGBTI people.

Priority Areas
  • Discrimination on the ground of sexual orientation in order to improve social acceptance of LGBTI people. The activities may aim to raise awareness about and combat harmful stereotypes towards LGBTI people, organise training, mutual learning and exchange of god practices. The activities may cover specifically non-discrimination in the field of education, employment, health and/or mainstreaming social acceptance of LGBTI in other areas.
  • Diversity management in the public and private sector: identification of existing practices, research work, measurement of diversity management benefits, and awareness-raising. The proposed activities may be linked to the launch and implementation of Diversity Charters.
  • Roma: activities aiming to raise awareness about and combat harmful stereotypes of Roma and supporting thereby their integration into mainstream society. Identification and exchange of good practices across fields of access to education, employment, healthcare or to housing as well as anti-discrimination, protection of Roma children and women and empowerment related to Roma integration.
  • Multiple discrimination: research work on the phenomenon, awareness-raising of its existence and consequences, identification and exchange of good practices in combating multiple discrimination.

Size of Grants
Any grant requested under this call for proposal must fall between EUR 150.000 to EUR 500.000.

The initial duration of the projects should not exceed 24 months

Eligible Countries: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom, Iceland and Liechtenstein

Eligibility Criteria
1. In order to be eligible for a grant, the lead applicant must:
  • be a legal person, and;
  • be non-profit-making,
  • be legally established in European Union memeber States, Iceland or Liechtenstein and
  • be directly responsible for the preparation and management of the action with the co-applicant(s) and affiliated entity(ies), not acting as an intermediary

2. The lead applicant must act with co-applicant(s) as specified hereafter. Co-applicants participate in designing and implementing the action, and the costs they incur are eligible in the same way as those incurred by the lead applicant.

How to Apply
Applicants first need to register and obtain a login and password to access the system.
Applications must be submitted, in their entirety, through PRIAMOS.
For more information, please visit European Commission.

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Friday, January 22, 2016 / Labels: , , , , , ,

Transgender Surgery – More Questions Answered

By Dr. Harold Reed 

1. How to Get the Longest Metoidioplasty

It takes one to 2 years to max out testosterone effects and also testosterone precursor effects when used as a topical cream.  

There is a cream favored by European doctors that can be applied daily, and if possible you may wished to place over than a strip of Saran-wrap or Glad-wrap.

This is called an occlusive dressing and keeps the cream more on the clitoris than allowing it be rubbed off in your night wear.

There are also vacuum erection devices designed just for your purpose.  You may wish to visit our web-site

2. Sex Change for Individuals Serving in the Military

The military has now one VAH center which proclaims it will follow transgender patients, but as to the logistics of changing while you are on duty, this could be best answered by (perhaps) the commanding officer of your post or the Department of Defense.  

If you do have surgery while in the service, would think that reassignment to a new post where you are not known would make more sense. 

The Department of Veterans Affairs opened its first health care clinic dedicated to transgender service members.  

Housed within the Louis Stokes Cleveland VA Medical Center in Ohio, the clinic will offer primary care services alongside hormonal therapy and mental health care. The VA center, which provides care to more than 112,000 people, is currently treating around two dozen transgender patients.

For more information, please visit our website at

3. Scrotectomy Only

When it comes to scrotectomy, the removal of the scrotum, there are many questions that patients have ahead of time.  The following are some of the most common inquiries about this process and the answers we provide our patients.

Q. How long will I need to stay off work?
A. You could return to an office environment in 10 days after scrotal removal.  You will need a ring pillow for 3 weeks when you sit down.
Q. What should I expect in terms of costs and fees?
A. Our fees as posted on our web-site which includes surgery, local anesthesia with or without IV conscious sedation, use of the operating and recovery room and any follow-up care we provide $2,500.
⦁ Q. Where should I stay on the day of and the days following the procedure, while I’m still being monitored by Dr. Reed?
 A. I recommend you consider the Daddy O Hotel which is one block from our office and ask for a ground floor room, easier to get to the breakfast bar (included with your room).

4. MTF Hormones – Best Practices?

The National Institute of Health has come out with an advisory: estrogens are not recommended for women over 55 without due caution.

That said, we do hormones in a careful and monitored fashion.  This will provide considerable assistance in the development of breasts.  The majority of people are around one cup size smaller than other immediate family members such as a mother or sister, following two years of hormone therapy. Of course, estrogens also provide feminizing effects to your skin and tend to shift body fat from your belly to your buttocks. 

A letter of therapy clearance is required by a licensed therapist with a doctoral degree.  Our fee is $250 for consultation and $600 per year to follow you with needed lab tests, office visits, prescriptions, counselling, numerous telephone calls, and medical records documentation. The $600 fee is payable whenever you wish to start on hormones.

Lab tests are an out-of-pocket expense, as is the medication.  We may recommend a laboratory, but you can have them done at a nationally recognized laboratory of your choice.

5. Electrolysis Requirement for Male to Female Sex Reassignment

Before undergoing male to female surgery, it is important to visit the official website for the Reed Center and to review the electrolysis diagram which is posted on our site. 

The reason for this is that the scraping at the time of surgery is not always successful and the outcome can be that, over time, pubic hair can grow out of the newly created vagina. This is neither aesthetically pleasing nor is it fun during sex.   

Therefore, electrolysis is nearly always recommended over the months that precede a male to female surgery. 

Find in-depth answers to these questions and more at The Reed Centre.

Harold M. Reed, M.D. FICS 
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine

This is a sponsored post. 
If you’re looking to sponsor a post please contact us at info [at]

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Thursday, January 14, 2016 / Labels: , , , ,

Apply for a Scholarship to Attend AIDS Conference 2016

AIDS 2014 scholarship recipients © IAS/James Braund
January 14, 2016 /LGBT News/ The AIDS Conference 2016 organizers are seeking applications in order to provide scholarships to applicants to attend the AIDS Conference 2016.

The conference organizers are committed to doubling the number of scholarships for AIDS 2016 to make the conference even more accessible to people from resource-limited settings, researchers, young people, community activists and civil society representatives.

Priority will be given to those whose participation will help enhance their work in their own communities, to those who are able to assist in the transfer of skills and knowledge acquired at the conference, and to those who’s abstract, workshop or programme activity submission has been selected.

Deadline: 12 February 2016

Where and when:

Durban, South Africa | July 18-22, 2016
Durban International Convention Centre (ICC)


A full scholarship may include:

  • Registration fee for the conference (include access to all sessions and exhibitions);
  • Travel (pre-paid airfare at the lowest fare available, from the nearest international airport);
  • Accommodation (shared in a budget hotel or dorm for the days of the conference);
  • Modest daily living allowance for the duration of the conference (18-22 July 2016).

Eligibility Criteria:

The Scholarship Programme is open to everyone around the world working or volunteering in the field of HIV and AIDS.

For more information, please visit Scholarship for AIDS 2016

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Tuesday, January 12, 2016 / Labels: , , , ,

Same-sex wedding photo wins 2016 Hasselblad Masters Awards

January 12, 2016 /LGBT News/ Hasselblad just announced the winners of their prestigious Masters Awards.

Selected by a combination of a public vote and a professional Masters Jury - comprising internationally renowned photographers and imaging experts, photographer John Paul Evans won the ‘Wedding’ category with his  same-sex wedding photograph from the series "Till death us do part" that challenges the paradigm of the wedding portrait. 

Wedding: John Paul Evans, UK
For the winning photo Evans posed with his partner, Peter. 

"Till death us do part" is a series of absurd permutations of the wedding portrait. These performative responses to ideas of marriage and domesticity evoke a sense of the uncanny — Freud's idea of the 'homely and un-homely.'

To view all Hasselblad Masters Awards winning images, go to Photos: Hasselblad Masters 2016 Winners gallery. 

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Sunday, January 10, 2016 / Labels: , , , , , ,

Jeweler's commercial features same-sex couple

Jeweler's commercial features same-sex couple

January 10, 2016 /LGBT News/ Reno local jeweler BVW Jewelers' new commercial depicting two women getting engaged has been playing on local TV stations and in movie theaters and drawing great attention.

The commercial shows a same-sex couple riding through Reno in a Mercedes-Benz. Then one woman proposes to another on the Crystal Peak Toll Bridge overlooking the Truckee River.

The ad mostly airs during commercial breaks during broadcasts of Ellen DeGeneres' talk show.

BVW Jewelers owner Britten Van Wolf said that he’s proud to support LGBT causes and said that his company believes in equal rights for all. 

"If anything, it was a risk on me being a small business in Nevada," BVW owner Britten Wolf said. "I love our state but you don't know how that's going to hit people here. Being a small business, it takes a few people here and there and you could have some adverse effects."

The jeweler was ranked fourth nationally as one of America’s coolest jewelry stores. It also sells the work of local artists with a percentage of proceeds going to the Food Bank.

A National Gay & Lesbian Chamber of Commerce report released in June 2015 estimates the combined buying power of the LGBT population to be worth more than $880 billion. According to the Pew Research Center, 35 percent of Americans opposed same-sex marriage in 2001. Today, 55 percent support it.

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Thursday, December 31, 2015 / Labels: , , , , , ,

Sarah Pettit Doctoral Fellowship Workshop for LGBT Studies

December 31, 2015 /LGBT News/ Yale LGBT Studies is currently inviting applications for its Sarah Pettit Doctoral Fellowship 2016 in Lesbian Studies at Yale University. The Fellowship welcome applicants from the humanities, social sciences, performing and fine arts, and beyond, within the field of lesbian studies (read broadly), to engage with the concept of freaks, conceived expansively as problem, provocation, subjectivity, ethic, and/or aesthetic. The 2016 Yale Pettit Doctoral Fellowship Workshop will take place May 16-20th, 2016 in New Haven, CT and will be organized around the theme “Freaks.”

Deadline: 15 February 2016
Open to: international enrolled doctoral candidates
Venue: May 16-20th, 2016 in New Haven, Connecticut, USA

Research Topics:
  • Female masculinities, trans-femininities, and other queer subjects in freak shows, carnivals, and international exhibits;
  • Lesbianized subjectivities and histories;
  • “Savages” and “Freaks of Nature”;
  • Disability and the cripped female body;
  • Policed bodies and sexualities;
  • Freaks in pop culture and media;
  • Performances of the freaky and/or freak lifestyles;
  • Transgender and transfeminist lesbian culture, politics and desire;
  • Spectacles and the spectacular.


  • Students studying or located in all geographical regions are welcome;
  • Applicants must be enrolled doctoral candidates who have completed coursework, qualifying exams, and submitted their dissertation prospectus;
  • Students who are working on projects within the thematic and within the scope of lesbian studies are encouraged apply;
  • The committee interprets “Lesbian Studies” in this context as being able to encompass the study of a broad range of genders, gender identities, and sexualities within multiple disciplines.


Following the workshop, fellows will stay in New Haven for an additional three days to take advantage of Yale University libraries and resources.  Selected fellows will receive small stipends and travel funding in addition to room and board for the week of the workshop.  It is also envisioned a follow-up meeting in 2017 of the fellows and mentors as part of a longer-term mentoring relationship.

How to apply?

Applicants must fill the online application form which should include:
  • Cover letter
  • Dissertation abstract
  • One-page chapter or topic proposal for presentation and discussion at the workshop
  • Curriculum vitae
  • Letter of support from the dissertation advisor and the name of two additional references

For more information, please visit official website.

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Wednesday, December 23, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 4

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the last of a four-part series on the procedure.

23. Any special post-operative instructions?
(These instructions may be individualized, as patient needs vary.)

1.  DIET. Regular Diet, avoid spices and alcohol for 1 week.  Increase fluid intake to 3 quarts per day for the next 3 days.  Anything in the fluid family counts.

2.  ACTIVITIES. Convalesce for one week. Out of bed by the 2nd post-op day in graduated amounts and ambulate.  Wiggle toes and move feet up and down and bend knees 20 to 100 times a day.  Avoid strenuous  activity, possibility for pelvic injury, and contact sports for 4 weeks.  No running, or extensive walking for 4 weeks.  No sexual activity until you have been medically cleared.
3.  MEDICATIONS. Cipro 500 mg, #14 1 twice a day for 7 Days.   (as a rule diabetic patients will be prescribed Keflex unless allergic) Try Tylenol, 2 tablets as needed for moderate pain.  Ultram, 1 tablet every 6 hours as needed for severe pain (#10).
Resume hormones on your 12th post-op day usually reducing estrogens by 1/3rd and discontinue spironolactone (if taken previously).  After being in estrogens for one month have a serum estradiol level drawn and you may wish to confer with Dr. Reed.

4.  FOLLOW-UP.   Surgery is the zero day. You may shower on the 7th day post-op
and also consider tub baths with cup of either table salt or Epsom salt for 15 to 20 minutes, 1 to 2 times a day to promote wound healing and reduce swelling.
Sutures to be removed on the 14th day. Your healthcare professional may choose to leave them in longer if there is not sufficient closure.  Catheter to be removed on the 12th  day by cutting the side arm and wait 30 seconds for 2 teaspoons of water to drip out;  gently tug and out it comes. Wear a sanitary pad to protect the incisional site and apply a dab of betadine ointment if any open areas or raw tissue. Do not pack the vagina.

5. DRIVING.  You may resume driving when you feel capable, not during the 1st week after surgery.  Have a friend or loved one stay with you for the first few days after surgery.

6.  STENT USAGE:  15 to 20 minutes, lying down on your back, 3 to 5 times daily beginning on the 7th post-operative day (always start with the narrowest stent).  Once inside the vagina, do not push down or up or you may perforate the rectum or urethra (very serious complications).  Push towards your head parallel to the floor with sustained gentle pressure, not enough to produce pain.

7.  DOUCHE afterwards with equal parts of peroxide and Betadine solution  not Betadine scrub or shampoo (povodine iodine is the generic name)  to which you add 4 parts warm water. Use the red catheter and piston syringe as instructed daily from post-op day 7 to 14 and for the next week  every other day and thereafter every 3rd day to remove jelly and cleanse but remember this does not have to be done frequently as you dilate.

8.   DILATE:  Always use a water soluble lubricant.  Dilation with a stent should be done when you are lying flat in bed over a protective underpad.  Using the narrowest of stents that goes in easily, drop (place) that stent (hand held) into the pocket preceding your vagina.  The outer web will be removed during your second stage labiaplasty.  Do not push downwards as you will soon be inside your rectum (a very serious complication).  Do not push upwards as you will be inside your urethra (urinary tube).

Using you hand,  guide the hand held end of the stent in an arc downwards while pushing the inside end towards your head, but parallel to the floor.  The stent must be advanced parallel to the floor.  Never force.  Use gentle sustained pressure for 15 to 20 minutes, 5 times a day.  Doing this patients report gains of 1 to 2 inches in a few months.

This exercise will be demonstrated to you by Dr. Reed or his staff before you leave.
If you have any questions about techniques, please ask while you are on the table in the exam room.

9.   CIRCULAR PILLOW.  Yes, please bring a circular or donut pillow (not self inflatable, pre-inflatable ok) with you so you do not sit directly on your suture line for at least 3 weeks.  Very important especially if traveling by car or plane.  Then remember to bring this back with you for your labiaplasty.  Labiaplasty sutures especially are very delicate and are not designed to withstand the pressure of your torso.

MTF SURGICAL CHECK OUT LIST (abbreviated for simplicity)

1. 2 Therapy Letters
2. Medical clearance
3. Blood work, Stress EKG, Chest X-ray
4. STOP all Estrogens and Spironolactone as mentioned above, for all MTF surgical procedures including primary vaginoplasty, revisions, orchiectomy, etc. as mentioned in # 20. "special pre-operative instructions"
5. No aspirin/products
6. Bromelain and Arnica Montana and vitamin C
7. Ted Hose (thigh high anti embolism stockings) and  underpads (CVS)
8. Must stay at one of these 2 hotels.... We recommend Daddy O Hotel, 3 stars. 305-868-4141 one block from our office, or Beach Place Miami. (305-866-3313) Ask for a room on the ground floor.
9. A female friend or loved one to stay with patient and be there on the 7th post op day when we show you have to properly use dilators (vaginal stents).
10. A physician to follow you when you return home
11. Bowel prep
12. Fax or mail Rx's
13. Stents (dilators)
14. Electrolysis
15. Ring (circular) pillow
16. Cotton gown that buttons or snaps in the front

We would consider it a great honor to be looking after you and be assured we will show you every courtesy.

If our office may be of further service, please feel free to call.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the last of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 3
This is a sponsored post. 

If you’re looking to sponsor a post please contact us at info [at]

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Tuesday, December 22, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 3

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the third of a four-part series on the procedure.

17. Even though I am overweight, may I still schedule surgery?

While individual consideration is given in every case, we are disinclined to operate on obese people in an outpatient - 24 hour hold setting, as they pose a greater risk for complications. For your information, smoking and obesity are the two most preventable causes of early death in the United States. If you would call the office and give us your height and weight, we'll tell you where you stand on the charts. You may wish to review the "ideal weight charts" for women and men

Clearly the first recourse for obese patients is weight reduction. For those patients who have not responded well to dieting, please consider a hospital environment for the benefits of supportive nursing care and respiratory therapy.

Occasionally we had experienced some misrepresentation when arriving patients are weighed here in our office. Please do not tell me you gained weight unexpectedly because you were told to stop smoking, or that you are 5' 2" and weigh 180 pounds but "you can't see it," or have big bones, or had silicone injections or breast implants, or don't have a scale at home, or do not weigh yourself regularly, or "my scale must be broken," or "your scale is broken," etc. There is no shortage of scales in our medical community.

There's not a line we haven't heard. After spending your hard earned money to travel here perhaps with a friend or loved one, arrange to take a leave of absence from your job, making a reservation at the nearby motel, you will find your case has been cancelled only to be rescheduled when you are at the suggested weight.

There is an acceptable range and yes we can cut you some slack if you are a few pounds over, that's not 10 or 20 pounds over.

Overweight people are more difficult to manage pulmonary wise, have heavier legs with the threat of neural or circulatory compression, and are technically more difficult to operate on. Beyond that you are giving their poor heart an extra work assignment to pump blood into tissues which are not needed for appearance or function.

Most importantly, do not take Ephedra (or like drugs). It's a killer. You will have a tachycardia (fast heart rate) on the operating room table and your case will be cancelled. 

18. Even though I am thin may I still schedule surgery?   

How thin is thin would be the next question.   Your BMI, a relation of weight to height will give us some idea.  Please see to obtain your BMI.  Here is a BMI table for reference.
Underweight = 18.5 or less
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = 30 or greater
Vaginoplasty is a more stressful procedure than a breast implant or facial surgery and the incision lines are a lot longer.  Your torso weight, which could be 80 pounds or more, on your perineal incisions contributes to wound separation.   For this reason I propose for optimal wound healing, your BMI be 22 or higher.  If your BMI is below 22, please consider a medical evaluation, and consume more calories preoperatively.   Many patients will lose 10 pounds after surgery for a while, and which places them in a underweight category.

19. Alternate centers?

During Thanksgiving week 2003, I visited with Dr. Sanguan Kunaporn of Phuket, Thailand who operates at the Phuket International Hospital. Dr. Kunaporn is a very versatile plastic surgeon who has trained in the United States. His fees are comparable to ours and his technique and facility are first class. The nurses are exceedingly attentive, the rooms are spotless, the food is more hotel quality than hospital fare, the operating room environment is very quiet and well organized, and every staff member knows exactly what to do, blood loss is minimal. More than that I can assure you he is completely focused on what he is doing and fusses over every stitch. The eye contact with patients is very good. In all, a very high class ethical operation.

20. Will I need a medical grade vaginal dilator or dildo post operatively?

Yes, you certainly will.  We will provide the standard set of medical grade stents for 350, but recommend that you purchase an additional smaller set for 150 as well in that many patients are too tender to use the standard size set one week after surgery..  You may be able to purchase stents less expensively, but the vendor will not be there for you if your misapply and traumatize yourself.  Please avoid stent with grooves as on withdrawal they tend to pull the vagina outwards (vaginal prolapse).  Avoid nesting hollow stent sets with one interchangeable handle, as the narrowest sizes are way too short.

21. Are any of your patients amenable to speaking with me? 

As you may know the new HIPAA laws are very strict about patient confidentiality. However a recent patient of ours has chronicled her personal experiences on the web at
I am given to understand that upon completion of her second stage labiaplasty, she'll release some photos.  Best to let her do the talking.

22. Any special pre-operative instructions? 

A CBC should be performed 2 months before your scheduled procedure. If your blood count is low normal or below normal values, a hematology consult may be needed.
Better to learn of this well in advance.

Within 10 days before surgery, all patients are required to have these blood tests: a CBC (again), PT, PTT, and platelet count. Our lab fee is $100, but you could have this done in your home town perhaps more reasonably.

All patients require a letter of medical clearance with reference to an EKG and chest  X-ray to be obtained within 7 to 10 days  before your scheduled procedure.  If you have cardiovascular risk factors or are over 40, you may also require a thallium stress EKG.

REGARDLESS if you are having a first stage vaginoplasty, a touch up or revision (2nd stage vaginoplasty), or even an orchiectomy, STOP  estrogens a good month before surgery, as this may predispose to thromboses or emboli (unwanted clotting including the potential for fatal pulmonary emboli, coronary events, and/or stroke) .  If you do not do this, your case may very well be cancelled.  You may resume 10 days after surgery.

Also stop spironolactone within 2 weeks of your procedure as this medicine may interfere with the response of certain drugs administered during anesthesia called vasopressors.

No aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery. No Vitamin E, fish oil, or excessive alcohol or spices for a week before surgery as this may promote bruising.

Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let's discuss it beforehand.

If for any reason, despite tight scheduling arrangements and eager anticipation of being converted, you have contracted an illness such as a flu like syndrome with coughing, sore throat, fever, or diarrhea, please reschedule allowing a good two weeks for recovery. These things happen and we are very sympathetic. Surely we do not want any patient with a very recent cold to have general anesthesia. If you have gained weight, please advise as we may have to postpone surgery.

If you are a smoker, you must stop completely for 2 months before surgery and please never smoke again. Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and enhances anesthetic risk.

This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke. Again not for 8 weeks before and not for 8 weeks afterwards. Hopefully never again.

If you have a history of inflammatory bowel disease, such as Crohn's or regional enteritis, please get clearance from your GI doctor, as rectal inflammation can be an inciting factor for the post-operative complication: rectal-vaginal fistula.

A medical study relating to wound healing and diet classified patients into 3 groups, pure vegetarians, those that also ate chicken and fish, and those that ate all common foods including red meats

Those who eat red meats heal the best and quite honestly probably have the best iron reserves to assist with making more red blood cells to replace a loss.

Personally, I do not believe irregular bowel movements and constipation should ever be accepted as a way of life. Such patients are prone to ano-rectal disease including diverticulosis (-itis), hemorrhoids, fissures and fistulas.

We use the technique of pull up sutures to prevent prolapse. These sutures are removed on the 7th post-operative day. Usually what you see at the end of the operation is pretty much what you get, but not always.

Obtain one pair of anti-embolism thigh high stockings. T.E.D. (by Futuro) or Jobst are common brand names.  Yes, do try these on before you come here to be sure they fit comfortably. If you wash or dry them in a hot cycle, they may never fit properly again. So best not to wash them at all until after surgery.

As a courtesy to the hotel, please obtain and bring with you a bundle of "chucks" or disposable superabsorbent pads with plastic liner on underside (typically 24 by 36 inches) to conserve hotel laundry and bedding.

Please be sure both left and right index finger nails are not covered with nail polish or artificial fingernails. We need to see a pink nail bed for an accurate pulse oxymetry (oxygen level monitoring during anesthesia).

A bowel prep should be started 24 hours before surgery which will include clear liquids only, a half a bottle of citrate of magnesia at 8 AM and the other half at 4 PM, a Fleet's enema at 10 AM, 3 PM and on the morning of surgery. Also on the day before surgery, neomycin sulfate 1 gram and Flagyl 1 gram, to be taken by mouth at 1 PM, 2 PM and 11 PM.

Please keep up with a good fluid intake the day before surgery.

Nothing by mouth after midnight unless otherwise instructed.  Do not shave yourself as we will do that for you.

Please remove all piercings and body jewelry (especially tongue, belly, lip, etc.) before anesthesia along with jewelry and store them ideally at your hotel.

Ring pillows should not be of the inflatable variety as they may deflate unexpectedly.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the third of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4

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Thursday, December 17, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 2

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the second of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4

6. How long does it take to heal?

You can leave Bay Harbor Islands as a rule on your 7th post-operative day, and return to an office environment in about 1 to 2 weeks after that.

Please no penetrating sex for a good eight weeks following surgery or until delayed wound healing is complete.

Premature sex can be very traumatic and may open up incision lines and can incite inflammation and infection, so exercise all due caution and gentility.

7. Establishing a physician contact to follow you… 

In your home town is very important, although usually small problems can be sorted out with E-mail photos.  You should do this before you come to Miami and provide us their name and contact number before you have surgery.   Phone service to me is available virtually 24/7.

8. Do you require prior hair removal? 

Definitely yes. Please confer with us about the areas that need to be done. Essentially you will require complete removal of any hairs on the shaft, and a ring or path around the base of the penis 1 inch wide. If you wish to be pretty, then also have removed any hairs on the scrotum under the "shadow" of the penis down to and around the anal verge. This is optional. Removal of any other pubic hair is also purely optional.

Ideally electrolysis to include all above mentioned areas should be "first pass" completed 3 months before surgery. This allows enough time for a secondary pass 1 month later as some hair follicles may regenerate.

Laser hair removal is OK also. The skill of your licensed technician is more important than the method is used.

For those with blond or light hairs, please mention Meladyne, an FDA approved cream which is reputed to darken hairs. Regretfully the experience has been mixed, so confer with your technician.

Try to get your electrolysis completed a good month before surgery so your tissues have a chance to recover.

9. Also would like to know what your scheduling backlog is like?

Presuming you have fulfilled the WPATH criteria, we are available every month for the balance of this year.

10. How soon may I have penetrating sex?

Although you could have penetrating sex within 6 to 8 weeks following vaginoplasty, as you understand, a refinement labiaplasty will be offered about 3 months later.

Your rites of passage include the obligation to insert a vaginal stent or tutor 3 times a day for 20 minutes for 6 months. You'll be amazed how in most cases you can pick up an extra inch and a half of depth.  (See FAQ # 13). Safe sex is course an alternative way.

Douching is encouraged starting a week after your vaginoplasty.

11. Will I need a PAPS test and pelvic exams annually following my surgery?

Perhaps this question has been answered best by Dr. Anne Lawrence (see her full paper)

Essentially she concludes "cytology examinations (Pap smears) probably have limited value following vaginoplasty. MTF transsexuals should receive annual pelvic examinations following vaginoplasty, but there no evidence to suggest that they would benefit from vaginal cytological screening in most cases. However, if the glans penis has been retained as a neo-cervix, cytological examination of the neo-cervix is a reasonable practice."

12. Will I be able to feel the pleasure of intercourse as a woman does when I have had the operation?

Yes, if there has been a careful preservation of the neurovascular bundle and creation of a clitoris from glanular tissue, orgasm will most likely continue. We are very fussy about this aspect of surgery. Appearance, function, and pleasure are all interrelated.

13. Is there some way that my vagina can always be moist like 100% ...all day long?

Yes, this may be accomplished by inversion of a urethral strip as a part of the vaginal vault or extension of an opened urethra to the base of the clitoris. This provides a natural way to achieve moisture as well as lubrication during sex. Please see "photographic examples" on our web-site.   Patients who simply have penile skin inversion fare quite well also, and we are starting to re-think whether the extra time and somewhat enhanced potential for complications makes urethral strip inclusion really worthwhile.

14. Do you also provide a surgery in which I will obtain breasts? 

Yes, our all inclusive fee is $5,000 for saline implants.
Silicones are $6000. Please see our photographic examples on our web-site.

While some doctors do both procedures at the same time, I think that may be a little too adventuresome and would caution you to stage that either as an independent procedure or reserve breast augmentation for the time of your labiaplasty.  As you know, estrogen therapy will feminize your breasts.

For some MTF patients, that end point is a good resting place.
It has been recommended that you be on hormone therapy for at least 24 months before insertion of breast implants.

We use the Tebbetts' formula to determine the appropriate size. That is large breast prostheses can only be put in if there is enough home grown breast tissue to cover.  Also please keep in mind, very large breasts, natural or prosthetic, are prone to droop in 6 years or so, and you'll be back on the table for a lift.  These incision lines as contrasted with a small initial incision are not all that pretty.

15. Do you perform tracheal shaves?

Tracheal shave surgery is performed by others.

16. Can you make a man have sex organs that can reproduce offspring and go through a period every month?

Perhaps in the future.

Uterine transplants have been done in New York Downtown Hospital on natal women and in Gothenburg, Sweden
Tap in to research this subject or view

When or how soon this exciting, new technology will be applied to transsexual patients is uncertain.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the second of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 3
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4


This is a sponsored post. 

If you’re looking to sponsor a post please contact us at info [at]

comments (8) / Read More