Treating penile dysmorphophobia with augmentation phalloplasty is highly controversial; patient selection criteria, surgical procedures and outcome assessment methods are still evolving.

That meant that his phalloplasty — a procedure where the surgeon builds a penis out of skin and a vein from the patient’s arm — had to include the extra step of lengthening of the urethra.

The organization reports that of those, there were 4,160 breast removal procedures on minors and 660 phalloplasty procedures. Do No Harm Director of Programs Michelle Havrilla said in a statement ...