Trans identified man can't get general anesthesia anymore due to voice feminization surgery preventing intubation, but the anesthesiologist does not want to do a local for his upcoming insurance-funded BBL.

The endotracheal tube must pass through the vocal cords. Vocal feminization surgery narrows that opening. It's not a matter of practitioners being mean to people, it's a matter of "if you can't breathe, you die". IV sedation is pretty much a part of every anesthesia, but IV sedation by itself doesn't specify how the airway is secured. Spinal (and epidural, same thing for these concerns) anesthesia is not appropriate for people who don't have sufficient chill. You're awake but tied down for the entire operation. If they're using electrocautery--which they undoubtedly will--you will smell bits of your own flesh cooking. I've seen dozens of cases of spinal anesthesia successfully used in austere environments where general anesthesia is not readily available, but only on prone surgeries, such as inguinal or femoral hernia repairs or vaginal hysterectomies. LMA is not as secure as an endotracheal tube, and I'm guessing BBL surgery would have to have the patient positioned prone, and I wouldn't want an LMA if I was under general unless I was supine the entire time. Also, anesthesiology preop is not usually more than 2w in advance, so it's not like this was an unreasonably short window for this situation to be discovered. I'm sure an anesthesiologist or CRNA can correct me, but these are the broad strokes as I understand them of why the limitation makes medical sense.

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This is absolute madness and not ethical in any way. This is unfair to this man and the tax payer

Based anesthesiologist. He knows that this will be a nightmare patient. Good for him.

I'd like the name of ther insurance company that is inevitably hiking premiums to pay for the crap. Or is his 'insurance' Medicaid???

Emmm that’s the MD’s prerogative based on his clinical knowledge. This is an elective surgery ffs not a life saving situation.

Does he not understand the anesthesiologist does not want to assume risk? The risk could affect his medical malpractice insurance, the surgery Center or hospital insurance and RATING plus accreditation and also personal liability when the family comes for them. And what about anesthesiologist conscience? I remember my first mistake and that patient haunts me 15 years later. I missed an arrhythmia. 🫀 Anesthesiologist go through how to get where they are. I’m sorry but I’m glad this person is not going to have anesthesia and the surgery because that is one life that could be saved. Maybe go overseas where they don’t have standards? Make sure you get the death insurance so your casket is repatriated and not at the cost to the tax payer.

How do TIMS get approval for cosmetic surgery? I have read about women undergoing a mastectomy not getting approved for reconstructive surgery because it is considered ‘cosmetic’. This seems incredibly unfair.

No way I'm going to believe an entire team of doctors have agreed to do a 6 hour surgery cutting his 🍆 off only with an epidural & him being conscious. Any med prof who agreed to this should immediately have their license suspended & be investigated. Outrageous.

There are NO “trans” people!!! There are people who don’t “feel comfortable in the bodies they were born with” BUT that is not the rest of the World’s issue to solve.

Holy smoke. So if dude 100% needs intubation like for a heart bypass, he's just gonna die? Was he informed of that before consenting?