1 files changed, 234 insertions, 0 deletions

diff --git a/site/surgery.md b/site/surgery.md
new file mode 100644
index 0000000..da26532
--- /dev/null
+++ b/site/surgery.md
@@ -0,0 +1,234 @@
+---
+title: Surgery
+x-toc-enable: true
+...
+
+**TODO: add information about intersex people.**
+
+For facial feminization surgery, [we have a separate page](ffs.md).
+
+Table of contents
+=================
+
+-   [We oppose penile inversion technique](#penile-inversion)
+-   [Recovery](#recovery)
+-   [Stimulation](#stimulation)
+-   [New Zealand](#nz)
+-   [Trans women](#mtf)
+-   [Trans men](#ftm)
+-   [Non-binary trans people](#nonbinary)
+-   [Trans Bucket](#trans-bucket)
+
+We oppose penile inversion technique (MtF vaginoplasty) {#penile-inversion}
+=======================================================
+
+TransChat recommends **not** having surgery done using the *penile
+inversion* technique, for these reasons:
+
+-   Requires expensive genital hair removal, which can damage the
+    genital area (the skin is much more sensitive). This also makes
+    penile inversion more cost prohibitive for trans people, who are
+    more likely to be poor than other groups of people
+-   Does not result in self-lubrication (you need to use lube when
+    having sex)
+-   Inferior in terms of depth, sensation, etc, and doesn't look as
+    good in terms of cosmetic appearance
+
+There are other, superior methods
+
+Recovery {#recovery}
+========
+
+No matter where you get your surgery, make sure that you have decent
+care after surgery, to help you recover. If you're doing it overseas,
+you might need to stay in that foreign country for a few weeks before
+returning home (in some cases, it could be just 1 week or a few days
+before being able to continue recovery at home). After surgery (any
+surgery) you need time for your body to heal, and you will be in pain
+for a while.
+
+Stimulation (trans people with penises) {#stimulation}
+====================================
+
+Some people say that, prior to surgery, you should flex/stimulate your
+penis regularly. This means making it become erect, and stretching it
+when it's not erect. Some people believe that this is necessary,
+otherwise the penis would eventually become not as flexible and would
+make surgery less effective. Basically pull your penis and stretch it as
+much as possible, and make it erect a few times each week at minimum.
+
+If this is true, it's important to mention, because a lot of people
+with penises (trans women and non-binary) don't like touching
+their genitals. This is especially important while on HRT,
+which makes it less easy to get erect (it's common for trans women on
+HRT for even a few months, to stop getting spontaneous erections, where
+they go days or even a whole week or more without becoming erect).
+
+**We're not sure about this, it's just word of mouth. We need to
+research this, to confirm.**
+
+New Zealand {#nz}
+===========
+
+Read [this
+article](https://www.theguardian.com/world/2016/apr/22/new-zealand-transgender-waitlist-surgery-30-years).
+New Zealand has no surgeons at all at the moment, for MtF, FtM on
+non-binary surgeries. If you live in New Zealand, you will have to
+travel overseas and use a foreign surgeon. We're adding more surgeons
+to this page, as and when we find good ones.
+
+You \*can\* get surgery done in Australia or Thailand. These countries
+are within easy travel distance to you. **TODO: add information about
+surgery in Thailand and Australia. Thailand in particular has good
+services, some of the best in the world.**
+
+**New Zealand needs surgeons for transgender surgeries! It is
+unacceptable that it does not have any qualified surgeons! If you are
+studying to be a surgeon, you should definitely consider studying this
+and becoming qualified. You will literally be saving lives.**
+
+Surgery for trans women {#mtf}
+=======================
+
+List of surgeries available:
+
+-   Bottom surgery (vaginoplasty. Construction of a vagina. Also
+    labiaplasty and clitoroplasty)
+-   Facial reconstruction surgery
+-   Adams apple removal/trimming (trachea shave)
+-   Breast augmentation (don't do this until after a few years HRT when
+    your breasts are fully grown)
+-   orchiectomy (removal of testicles. Done during GRS or can be done
+    before)
+-   Voice feminization surgery
+-   TODO: research other surgeries, if they exist.
+-   TODO: medical/scientific names of each surgery
+
+www.ftmguide.org/grs.html this link has a very indepth list of surgeries available to trans men
+
+TODO: incorporate info on that link to TransChat
+
+List of surgeons
+----------------
+
+Note for trans women: none of these surgeons perform penile inversion
+technique, for vaginoplasty. They use other, superior methods which
+result in better depth, sensation and, most importantly, ability to
+self-lubricate, without the need for external lubricant liquids. **You
+also don't need genital hair removal, for the surgeries that these
+surgeons perform.**
+
+This is why we don't list any UK surgeons, or indeed most European
+surgeons, because we are not currently aware of any that use non-penile
+inversion techniques. See [\#penile-inversion](#penile-inversion) for an
+explanation of why we are against the penile inversion technique.
+
+### TSSurgeryGuide.com
+
+[TSSurgeryGuide.com has their own lists of surgeons, including other
+advice like how to afford surgery,
+etc](http://www.tssurgeryguide.com/Welcome.html) - they might recommend
+surgeons that perform penile inversion there, so do beware. **Integrate
+info from that site, onto the TransChat site**
+
+### Brazil
+
+-   [Marcio Littleton](http://www.marciolittleton.com/)
+
+### Portugal
+
+-   [Joao Decio
+    Ferreira](http://www.joaodecioferreira.com/pt/transexualidade/cirurgia-m-para-f/57-cirurgia-m-f.html)
+-   [Marcio Littleton](http://www.marciolittleton.com/)
+
+### Thailand (Bangkok)
+
+-   [The Suporn Clinic](http://supornclinic.com/) - one of the best
+    surgeons on earth, basically. Highly recommended for Male to Female
+    vaginoplasty surgery. Also provides decent aftercare, for recovery
+    after surgery. Also offers other surgeries.
+-   [Chettawut Plastic Surgery
+    Center](http://www.chet-plasticsurgery.com/) - also very good
+
+Trachea shave (adams apple size reduction)
+------------------------------------------
+
+Cis women also have adams apples, but they're usually not as large.
+Some people who transition decide to have their trachea reduced in
+size. Not all people need this.
+
+**TODO: add more information about this, including information about
+surgeons.**
+
+Orchiectomy
+-----------
+
+The testicles are what product testosterone. People born with testicles
+take *antiandrogens* before GRS. It's possible to have the testicles
+removed, even before GRS. It's advisable to use a surgeon who will
+remove the testicles themselves but leave the scrotum skin intact so
+that it can be used for surgery.
+
+With testicles removed, someone who was born with them will stop taking
+antiandrogens, since their body is no longer naturally producing high
+levels of testosterone.
+
+This type of surgery should be available at most hospitals, but do do
+your research before having it done. **TODO: add information about
+surgeons here.**
+
+**You need to maintain a minimal level of estradiol after orchi, to
+prevent oesteoporosis. Make sure to take estradiol (as HRT) but without
+an antiandrogen (avoid spiro, cypro, GnRH, etc) after having an orchi.
+Estradiol (as HRT) is also required for preventing menopause symptoms.**
+
+Voice feminization surgery
+--------------------------
+
+The larynx (voice box) increases in size during androgen puberty and
+vibrates at a much lower pitch (when your voice breaks during puberty).
+Voice feminization surgery aims to increase natural voice pitch by
+reversing some of this. **[Voice training is still required, even with
+voice surgery, and voice surgery is optional. You can still get to a
+high, typically female pitch in every day conversations, without surgery. Some
+people get surgery anyway, and it can benefit some people.](voice.md)**
+
+Stories of trans women who have had bottom surgery
+--------------------------------------------------
+
+<https://laurakbuzz.com/2017/04/12/transition-vagina-ownership-and-post-lower-surgery-life/>
+
+Surgery for trans men {#ftm}
+=====================
+
+List of surgeries available:
+
+-   Top surgery (remove breasts)
+-   Bottom surgery (construction of a penis)
+-   TODO: research other surgeries, if they exist.
+-   TODO: medical/scientific names of each surgery
+
+Bottom surgery
+--------
+
+For construction of a penis.
+
+-   [Joao Decio
+    Ferreira](http://www.joaodecioferreira.com/pt/transexualidade/cirurgia-m-para-f/57-cirurgia-m-f.html)
+    
+-   [Meoidioplasty](http://www.metoidioplasty.net/procedures/)
+
+TODO: add info about top surgeons, for removing breasts
+
+Surgery for non-binary trans people {#nonbinary}
+===================================
+Trans Bucket {trans-bucket}
+===================================
+-    Website where you can see results of surgery from other trans people
+<http://www.transbucket.com/> (it requires registration of an account to view the page for no good reason)
+
+TODO: research
+
+Some people have *gender nullification surgery* to make their genitals
+genderless.
+