What do surgical interventions on people with sexual identity disorder actually do to the human body and are any of them reversible? In this episode of Bioethics Babe, host Arina Grossu Agnew sits down with Dr. Patrick Lappert, a twice board-certified plastic and reconstructive surgeon, former U.S. Navy Captain, and former Chief of Plastic and Reconstructive Surgery at Portsmouth Naval Hospital. Dr. Lappert spent more than 30 years in the operating room, including decades rebuilding bodies damaged by trauma, cancer, congenital deformities, and combat injuries. In this conversation, he explains in precise medical detail why surgical interventions on people with sexual identity disorder are cosmetic, irreversible, and ethically incompatible with basic principles of surgery, especially when performed on minors. In this episode, you’ll learn: Why surgical interventions on people with sexual identity disorder are not reconstructive medicineWhat actually happens during “top surgery,” hysterectomy, phalloplasty, vaginoplasty, and orchiectomyWhy these procedures permanently destroy fertility, sexual function, and normal anatomyWhy no surgery that sacrifices function for appearance is ethicalWhy minors cannot actually give informed consentWhat surgeons mean by “irreversible” (and why appearance does not equal restoration)The medical reality faced by detransitioners seeking reversal or reconstructionThe complications doctors don’t discuss: fistulas, strictures, chronic wounds, infections, and loss of sensationWhy calling these surgeries “life-saving” contradicts surgical ethicsHow ideology replaced evidence in modern medicine surrounding sexual identity disorderDr. Lappert also shares what he has learned from speaking with detransitioners, including common themes of regret, betrayal, grief, and eventual relief and why the rush to surgical interventions ultimately harms patients physically and psychologically. This is a medical, ethical, and human conversation about the body, consent, and the duty of physicians to heal and not mutilate. Trigger Warning: This episode includes discussion of medical trauma and irreversible surgical procedures that may be difficult for some listeners. Please use discretion and take care while listening. 📚For Episode Resources, please visit the episode page: https://bioethicsbabe.com/a-surgeon-speaks-out-why-surgical-interventions-for-sexual-identity-disorder-are-irreversible-and-unethical-with-dr-patrick-lappert-sexual-identity-disorder-series-part-4-ep-14/ For more information, the latest episodes, and additional resources, visit www.bioethicsbabe.com. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe