I bring forth this cheeky and lighthearted title to mask my immense disappointment.
If I may, I’d like to talk about my top surgery consultation from this afternoon. I’m mostly writing this because I am having a hard time articulating what went wrong exactly. A friend even went with me and I wonder if she saw anything go wrong. What I do know is that I felt like shit after this appointment. It seems rather hopeless, even though it probably isn’t.
I will start with one thing I’ve figured out so far. The surgeon was not gentle when it came to my body and my body image. When it came to physical examination, she didn’t really tell or ask me if she could touch my chest–she just kind of did. And then she went on and on about how I really need to lose weight or she will have to leave a bunch of breast tissue so I don’t look “dented.” She explained the process and it makes logical sense but there was nothing kind or gentle about it. It felt judged for being fat.
And like, I have gained weight. My driver’s license says one thing and the scale says another. She was pinching the slight fat rolls that have accumulated near the front of my arm pit and she said, “You’ll want to get as close to your goal weight as possible so I have something to work with.” And it was just devastating. Maybe everything she said was true but I felt like a walrus. She went on and on about it. I felt disgusting. She was going back and forth about how she could do the equivalent of a tummy tuck for certain parts of my chest while she’s doing the breast removal–something I never asked for. It’s hard enough being vulnerable with an open medical gown and having a stranger touch your unwanted breast tissue, poking it, pinching it, squeezing it. That’s bad enough. But then receiving a bunch of evidence that you are indeed fat and you need to get your life together–well, my heart can’t take it.
So that was the first thing I can articulate.
Secondly, I have some advice for anyone who’s seeking top surgery: do not break up with your therapist the day before your top surgery consultation. You need a letter from a therapist saying you indeed should proceed with top surgery because being transgender has become medicalized to be a disorder and you apparently need ~proof~ from NOT ONLY a doctor BUT ALSO a therapist.
I see a number of things that are problematic about this, one of which is that not every trans person needs to see a therapist. I, for example, see a therapist because I’m depressed. We do talk about gender, but hardly more than anyone else? It’s not like an irrelevant part of my life, but it’s by no means the focal point. Why do people need a letter from a therapist AND a doctor?
And this process is not this particular surgeon’s fault, it’s just the way it works to get covered by insurance. I should be over the moon that it’s even possible. I feel like I should be grateful it’s something I can move forward with. But I do not feel that way right now.
The surgeon did talk about how removal of breast tissue is a very important decision, how it’s very rare but some people do change their minds, how this [problematic] process is in place to protect me because what if I want boobs again someday?
Hella barf. I’m sorry, but I would not have dragged my ass to that plastic surgeon office if I didn’t know this was good for me. People can do all sorts of plastic surgery without needing permission from two health providers. But because it’s boobs, a highly sexualized body part, we gotta protect them and make it harder.
Also the first words this surgeon said to me when she walked into the exam room were “You didn’t bring your paperwork!” Like, nice to meet you too? Jesus Christ. It wasn’t a good start and I felt pretty much increasingly worse as the appointment went on. Even the nurse ahead of time asked me, “So when did you start ~going as male~?” To someone not particularly well-versed in queer careful language, this may seem innocent. But really it implies that I’m not male, and I’m just putting on a costume each morning and playing a boy all day.
I am sorry this post is so negative. But I’m truly disappointed. I was nervous for the appointment but I thought it would go WELL. I thought it would generate hope. Now it just feels like this process is way too hard and maybe I just shouldn’t do it. I’m apparently too fat to get good results anyway.