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for bigenital or gender nullification surgeries. Bigenital operations include androgynoplasty, a vaginoplasty procedure that retains the penis, or vagina-preserving phalloplasty. These procedures tend to be rarely performed. In 2017, one of the leading UK trans surgeons, James Bellringer, commented that he had never received a request for such procedures.

Other considerations

Genital surgery may also involve other medically necessary procedures, such as orchiectomy,

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