Fourth in our series featuring Dr. Curtis Crane, phalloplasty surgeon. Part 1 is here. Part 2 is here. Part 3 is here.

4thWaveNow contributor Worriedmom has practiced civil litigation for many years in federal and state courts.

by Worriedmom

These days, the world (or at least the media) certainly does not seem in short supply of telegenic, winsome, and appealing “transgender children.” One recent example is Jacob LeMay, pictured here, who as a nine-year old prompted Presidential candidate Elizabeth Warren to commit to seeking Jacob’s input and guidance on her choice for Secretary of Education.

This wasn’t Jacob’s first time in the spotlight, either. As a transgender five-year-old, Jacob’s story was featured on NBC Nightly News and the Today Show. Because at the age of four, sensitive to what they interpreted as gender distress on his part, Jacob’s parents offered “a number of choices,” one of which was whether to start life anew as a boy.

Jacob’s parents have been generous with their transgender parenting expertise, sharing insights with Harvard’s Graduate School of Education,  Good Morning America, New Hampshire Public Radio, “Here and Now” on Boston’s WBUR, and MSNBC, among others. Jacob’s mother, Mimi, has already written her memoir chronicling the family’s journey.

Some might find the idea of a memoir just a bit premature given that Jacob’s transgender journey is, at this point, only five years in duration, but honestly, you’d have to be a real meanie to object. Jacob is an undeniably cute kid, the entire family is good-looking, relatable, and well-educated, and they certainly seem to care a great deal about Jacob, as well as Jacob’s future well-being.

And while one might envision a series of memoirs, detailing Jacob’s life of fulfillment, it’s also entirely possible that this will be the first and only installment.

Even in the few short years since the “transgender child” became the media’s go-to story, several stars have skyrocketed to prominence, only to disappear. Remember Coy Mathis’ brave fight to use the little girls’ room at age six? No word on Coy’s doings since Coy was featured in a 2016 documentary film, “Growing Up Coy.” Similarly, Willa Naylor, the transgender eight year old and author whose sympathetic story motivated the entire country of Malta to change its laws, has been radio silent since 2016.

Lila Perry, the Missouri high school student whose quest to use the girls’ bathrooms and locker rooms triggered a student walk-out, similarly has not been heard from since 2015.  Where do they all go?

It may be that Jacob’s transgender story will, at some point, go dark. We may never know whether Jacob, who like the others has been frequently lauded as “brave” and “inspirational,” will have the happy ending that early childhood transition, we are told, is guaranteed to produce.

Stories are important, but unfinished stories can be deceptive. Before we can confidently predict that Jacob, and peers will live “happily ever after,” we should take a look at another story.

This story received no media attention. There are no soft-focus interviews, picture books, or product tie-ins.

This is the story of M.

The only reason we know about M’s story at all is because M was one of at least nine former patients of Dr. Curtis Crane, late of San Francisco and currently of Austin, Texas, who filed medical malpractice or other personal injury cases against Dr. Crane. M’s case (CGC-17-560690) was, like the others, filed in the civil division of the San Francisco Superior Court under the pseudonym “John Doe.” (Note: Although M was repeatedly “doxxed” in the court records by the attorneys on all sides, we retain his privacy here, as we have no interest in shaming or causing further sadness to M [we use M’s preferred pronouns for the same reason].)

The court file reveals M’s journey to manhood, which, in his own words, entailed “many surgeries.” M’s transition journey is detailed below and all of the information is taken directly from the court file:

• According to his attestation, M’s efforts to become a man began in late 2003 with a “social transition.” According to medical records, M was born in 1977, which made him 26 years old at the commencement of the transformation process.
• In 2004, about six months after his social transition, M began treatment with male hormones.
• In 2005, M received a bilateral mastectomy.
• In 2006 M received a total abdominal hysterectomy with bilateral salpingo-oophorectomy (which meant that M’s uterus, cervix, fallopian tubes and ovaries were all surgically removed).
• In 2009, M received a metoidioplasty, an operation that uses tissue from the clitoris, which has typically been enlarged from testosterone use, to form a “neo-penis.” This operation was performed by the famous Dr. Miroslav Djordjević of Serbia, which was in the process of becoming an international hub of transgender surgery.

Alas, M’s gender journey was far from over.

• In 2011, M underwent his first phalloplasty or surgical construction of a penis, with Dr. Toby Meltzer. This operation was not planned to, and did not, include construction of a functioning urethra. (We note that Dr. Meltzer has also been widely panned by at least some of his SRS patients.) The tissue to form the neophallus in the 2011 surgery was apparently taken from M’s back, and left behind a “dog ear.” During the 2011 surgery with Dr. Meltzer, M also received a vaginectomy (surgical removal of the vagina) and a scrotoplasty (construction of an artificial scrotum).

After all of this, M continued to suffer from gender dysphoria. In 2014, M came under the care of Dr. Curtis Crane. The surgical consent form indicates that M was to receive:

The plan for this surgery was to remove the “old” phallus from 2011, and to re-construct a new one, this time with tissue from M’s left forearm (M underwent electrolysis and laser hair removal on the forearm area for six months prior to the surgery to prepare the skin for transplant). The new penis would have a functioning urethra. The lawsuit against Dr. Crane arose because, while M alleged that he repeatedly told Dr. Crane and his staff that he did not need a vaginectomy and a scrotoplasty, those having already been performed by Dr. Meltzer in 2011, M stated that Dr. Crane over-rode his instructions and both cut into the area where M’s vagina had previously been, and damaged and dis-placed M’s scrotum (as discussed more fully below).

The legal papers contain another interesting and tantalizing suggestion that is never developed in the record. Specifically, M alleges that when M complained to Dr. Crane that vaginectomy and scrotoplasty were listed on M’s informed consent document, when those operations were not supposed to be performed, Dr. Crane reassured M that they were listed on the document either as a typo or for billing purposes [emphasis added]. A curious fact, if true.

According to court records, M’s lawsuit against Dr. Crane was dismissed on March 15, 2019. As is customary, there is no indication whether Dr. Crane, or his insurer, paid any damages to M.

Following the 2015 phalloplasty and other procedures with Dr. Crane, incredibly, M required at least three additional surgeries. In April 2016, M underwent a “phallus shortening” procedure, which involved “telescoping entire phallus into suprapubic area.” In November 2017 M went to Cedars-Sinai Hospital in Los Angeles and received a urethroplasty in a two-stage procedure, to close the neourethra which was placed by Dr. Crane. Then, in March 2018, Dr. Garcia and another surgeon again performed surgery on M, this time to “re-place” the existing penis (which was also displaced), and to re-orient M’s scrotum. In his lawsuit against Dr. Crane, M alleged that during the 2015 surgery, Dr. Crane had “displaced” his scrotum by three centimeters, leaving it immediately adjacent to his anus. Moreover, M claimed, Dr. Crane had moved M’s testicles from their customary “side by side” position and re-placed them one in front of the other.

In March 2019 (following the three post-Crane surgeries), M stated that he still had an abscess in his pelvis where his vagina had been. Moreover,

At this point, words cannot really begin to describe M’s ordeal.

M was forced to take off work from September 2015 through February 2016 (5 months), then returned to work in March of 2016, but had to stop working again in November 2017. It’s unknown whether he ever returned to full-time work (in a court filing dated March 2019, M stated that he had been out of work for “the majority” of the past three years). The filing also stated that, because of the surgeries he had undergone, M had to assume a new job for which he was paid 50% less, and was then living “paycheck to paycheck.”

M alleged that his out of pocket expenses for the September 2015 surgery with Dr. Crane were approximately $6,500, while his out of pocket expenses for the November 2017 surgery with Dr. Garcia were approximately $4,000, and he expected to spend about $4,000 more for the “last” surgery in the spring of 2018.

M’s out of pocket expenses pale in comparison to the price tag for the surgery performed by Dr. Crane, however, which was approved by the Ontario Ministry of Health and Long-term Care in the amount of $126,508.  Given that fact, the total financial cost of M’s gender journey is no doubt somewhere north of a million; the personal cost is, of course, incalculable. And yet M’s gender dysphoria endures.

So returning to the celebrity trans kids at the beginning of this article: What do you suppose young Jacob, and Jacob’s transgender peers, are hearing about their likely futures? Do you think that, being young children after all, they expect that one day the Gender Fairy will pay a visit? Or do they believe that, as Diane Ehrensaft claims, “God got it wrong,” and someday they will return to the womb and re-emerge as their correct gender? After all, nobody is better at magical thinking than young children, and raising a girl as a boy, or vice-versa, is implicitly, if not explicitly, affirming the child in the belief that one day her wish will come true.

M’s phalloplasty story isn’t suitable bed-time fare, at least not for Jacob. But for Jacob’s parents, and their many peers, perhaps it should be. After all, the Gender Fairy could someday deliver a real-life nightmare.