Janet Macbeth, seen here, was the first patient in Canada to receive a vaginoplasty at Toronto’s Women’s College Hospital.When Janet Macbeth underwent surgery in Toronto on Monday, it was a milestone not just for her, but for Canada.
But until now, transgender Canadians have had to travel to the United States or to a private clinic in Montreal to receive any kind of bottom surgery, as procedures replacing a penis with a vagina, or vice-versa, are known. Toronto’s Women’s College Hospital is the only public hospital in the country to offer the complex surgery.Before Ontario’s former Liberal government made a regulatory change in 2016, the Ontario Health Insurance Plan paid only for gender-reassignment surgeries for patients who had first received approval from one overburdened clinic at the Centre for Addiction and Mental Health in Toronto.
Other provinces have also seen an increase in demand for genital surgeries, including British Columbia, which is planning to offer bottom surgeries soon at Vancouver General Hospital. “Many of them consider this life-saving,” Dr. Bowers said. “They’ve battled this for most of their lives. The concept of gender identity is just now coming to light as being a core element of your soul, if you will.”
Nonetheless, Ms. Macbeth said she partly came out of the closet as a student at the University of California, Santa Cruz, declaring herself queer and trans to some close friends, including the Canadian woman she would go on to marry in 2005.
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