By Dr. Harold Reed

While we have many appreciative patients, there are some over a 12 year experience who have had less than an optimal result cosmetically and might rue that. Our goal is to provide below the waist confirmation, both with appearance and functionality. In short, “we wish to make you a turn-on.” There is no surgical fee for a revision or touch-up if patients are compliant with post-op instructions such as using a ring pillow for 4 to 5 weeks.

On line, I look at work of other doctors and can certainly be critical if I raise the bar. Remember photos, posted by doctors will represent their best examples.

In our practice success is measured in many ways. Firstly lack of remorse that the operation was performed. Reportedly the incidence of remorse is 3%. Inseparable from the gratification process is did I choose the right doctor, was he/she there for me when I had questions or concerns every step of the way. Was the medical staff friendly or just perfunctory?

Over the years we have had 2 patients who have expressed remorse. One wrote me a letter, but a week later updated the letter and said she was fine with her decision and every anniversary of the operation has written me to confirm she is happy she had vaginoplasty. The second more recently lasted about 3 days, when the patient had received notice from her spouse, saying divorce papers were imminent. After a psychiatric admission for depression lasting 2 days and she flipped back to acceptance.

This explains why the World Professional Association for Transgender Health (WPATH) has said in their standard of care (latest version VII, 2015) that for irreversible genial surgery, 2 letters of therapy clearance are required. We go one step further. One letter needs to be written by a therapist with a doctoral degree, could be a psychologist or psychiatrist. Some come from ordained ministers or RN’s, but all are licensed clinical social workers if not a psychiatrist.

The next hallmark that most definitely would contribute to patient gratification is being orgasmic. I have gotten a call at 3 AM, “Dr. Reed, I just had my first orgasm.” The only 2 patients who have lost it were an inveterate smoker with clitoral necrosis and a diabetic in poor control.

Our procedures are to preserve the neurovascular bundle and fashion a clitoral body from the glans penis. We like to say, if you can play the piano before surgery, plan on playing the piano after surgery. As with all anatomical women, certain erotic areas are more prone to bring about orgasm. For each, this is a personal discovery. Having a sensate clitoris certainly helps as does massage along the path of the dorsal nerve.

See two such blogs http://srsmiami.com/testimonial-jennifer-edwards/ and http://srsmiami.com/testimonial-grace-bock-2/. 

A longer list appears at

http://srsmiami.com/dr-harold-reed-reviews-references.html.

Equally important is finding that special partner who loves you and is completely devoted.

Some of photographic examples posted on http://srsmiami.com/photographic-examples/.

50% of our patients have a boyfriend even prior to surgery and often they are at the office with the patient. I can tell by the way he views her he sees a woman, and sitting on the other side of the desk I see a woman also.

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