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 *****), 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.