Gender-affirming surgery disappeared from the U.S. for decades. Now the field is fighting to keep its gains

For patients who receive gender-affirming surgery, the experience can feel like a rebirth.

“I decided that the old me would die on the table and then the new me would come up from it,” said Wendy Grogan, 48, a trans woman who recently pursued vocal and facial procedures, top surgery, and a vaginoplasty — the creation of a vagina from a penis, scrotum, and other tissue. 

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