The gender surgery program at Oregon Health & Science University, a public teaching hospital in downtown Portland, provides a productive tableau for analysis. The program is led by Blair Peters, a self-described “queer surgeon” who sports neon-pink hair, uses “he/they” pronouns, and specializes in vaginoplasty (the creation of an artificial vagina), phalloplasty (the creation of an artificial penis), and “non-binary” surgeries, which nullify the genitals altogether. Peters and his colleagues have pioneered the use of a vaginoplasty robot, which helps efficiently castrate male patients and turn their flesh into a “neo-vagina.”

Business is booming. According to Peters, OHSU’s gender surgery clinic has “the highest volume on the West Coast,” and his robot-assisted vaginoplasty program can accommodate two patients per day. His colleague Jens Berli, who specializes in phalloplasty, boasts a 12- to-18-month waiting list for a consultation and an additional three- to six-month waiting list for a surgical appointment.

This openness marks a revolution in manners and morals.

[That this has become a big business for the American medical industry is indisputable. To sell this, the AMA and its members have bought completely into “queer theory,” as Rufo notes, to eliminate the idea of “normative” sex and to push “performativity” instead. The financial incentives are obviously driving this movement, but those tables will turn quickly when more and more detransitioners sue over this cult-like belief system. When insurers bail out of underwriting clinics and hospitals that perform these mutilations, the robot castrator will quietly disappear. — Ed]