Non-binary patient, 27, who underwent ‘Barbie doll’ surgery to remove all genitals, reveals how they navigate life without genitals

A transgender person has shared his experience after undergoing an experimental new surgery to remove the entire external genitalia.

Adrian, 27, from Florida, is non-binary – meaning they do not conform to male or female – and had surgery at a controversial gender clinic in Texas dubbed ‘Frankenstein’s lab’.

It is one of the few hospitals in the country that offer genital obliteration surgery – a procedure in which all external genitalia are removed to create a smooth transition from the stomach to the groin.

A small but hidden opening remains for urine to leave the body. Those who are biologically born female undergo a hysterectomy, which causes them to stop menstruating.

“I had to use a catheter for the first two weeks, but I am now urinating normally,” Adrian said two months after the operation.

They describe the procedure, which cost $10,000 upfront, as a “body transformation journey” that will transform them into a “non-normative human being.”

Genital obliteration involves removing all external genitalia, which Twitter user and musician Serena Patrick said was “Barbie-dolling your genitals” (left). In phallus-sparing vaginoplasty or vagina-sparing phalloplasty, the vaginal opening is located just below the base of the penis shaft (right)

Adrian, 27, from Florida, documented their experiences with the genital removal procedure, also known as Nullo or Eunuch procedures, on Reddit.

They said their motivation for undergoing the procedure, which was performed at the Crane Center last year, was “dysphoria” – defined as a feeling of discomfort or fear for those whose gender identity does not match their sex.

They opted for annulment because they could not afford phalloplasty (surgery to construct an artificial penis) or metoidioplasty, which uses a hormonally enlarged clitoris as the body of the penis.

Adrian said they “have a desire to look as alien as possible,” and also expressed interest in removing their belly buttons.

Adrian was born female and started taking testosterone hormones in August 2020 at the age of 23.

In 2021, they had top surgery and also had their nipples completely removed. Having their nipples removed “also played a role in my desire for destruction,” Adrian said.

“I came fully out as a queer binary trans man shortly after top surgery,” they wrote on Reddit.

In 2021, they underwent top surgery to remove their nipples to create a more non-binary look.

Dr. Curtis Crane, a plastic surgeon from the Crane Center with a patient – it is unknown what procedures the clinic’s aforementioned patient underwent

A less common genital procedure that Dr. Crane did not describe in detail is called penile splitting, a type of body modification in which the penis is split into two separate sections at several points. It is not known whether the clinic does this

Penis splitting is done because a person simply likes the look of it, or because he or she wants to increase sexual pleasure. It is not known whether the clinic does this

An illustration from Healthline demonstrates whole shaft splitting, which involves cutting the entire penis into two separate parts. It is not known whether the clinic does this

For those born female, the genital obliteration procedure may include removal of the vagina, vulva, and clitoris. However, some patients may choose to retain the clitoris to maintain sexual sensation.

Women also undergo a hysterectomy beforehand, an operation to remove all or part of the uterus. The procedure not only stops the menstrual cycle, but also puts the patient into immediate menopause, with patients potentially having to endure menopausal symptoms such as hot flashes and night sweats for several months or even years.

Testosterone is given in an attempt to relieve symptoms such as lack of libido and weak bones, but it is only partially effective, experts told DailyMail.com.

Dr. Crane said his practice is a leader in gender surgery because of his extensive training

For men, genital obliteration means the removal of the penis, scrotum and testicles. The urethra is usually shortened and a hole is made so that patients can still urinate.

Usually the prostate and sperm ducts are left behind.

Sometimes highly sensitive penile tissue (which is often used to form a clitoris in a typical female-to-male gender reassignment procedure) is kept above the urethra and ‘buried’, as a ‘hidden’ clitoris.

Patients who have their vagina completely removed as part of the surgery cannot have vaginal sex.

Some patients choose to have anal sex instead. Adrian’s procedure involved completely removing their vaginal canal, meaning the only opening is the urethra.

Recovery from the procedure would take approximately nine weeks. Symptoms after surgery are mainly limited to swelling around the area.

The patient says they were able to sleep because they were prescribed the sedative Ambien.

Sexual stimulation is still possible, but is ‘greatly reduced because only a clitoral nerve is present.’ But they said they have “no interest in sexual simulation.”

‘I’ve never had an orgasm in my life and I don’t want to. I have minimal feelings because I didn’t want to feel “dead” down there.

‘Some relief is possible, but a climax is not.’

It is believed that there are an estimated 10,000 to 15,000 voluntary ‘zeros’ worldwide, although the actual number is unknown.

Astonishingly, two-thirds never tell anyone they don’t have genitals, including their families, according to a 2014 academic study.

Some critics have raised concerns that the procedure bears disturbing similarities to female genital mutilation practices, which continue to affect more than 12,000 girls every day, mostly in African and Middle Eastern countries, as means of suppressing female sexuality.

In some of these cases, a girl will see her vagina narrowed or even closed with the help of stitches – although these procedures are usually performed outside of medical facilities, leaving them vulnerable to a variety of infections.

DailyMail.com recently revealed the extent of surgeries offered by clinics such as the Crane Center, which has come under fire for performing hundreds of unconventional genital surgeries that many experts describe as ‘dangerous’.

One of the other non-binary procedures performed by the center is known as phallus-preserving vaginoplasty, which is performed on biological men who want to keep their penis while adding a vagina.

Vagina-sparing phalloplasty is the opposite: a penis is constructed for the person without surgically removing the vagina.

In people who undergo one of these surgeries, the vaginal opening is located just below the base of the penis shaft.

A patient in Ontario, Canada recently won government funding for their phallus-retaining vaginoplasty procedure.

Not allowing the procedure would violate the Charter-protected right to security of the person, an Ontario court said in its ruling.

Jay Richards, a fellow at the Heritage Foundation, a conservative think tank, previously told DailyMail.com: ‘Non-binary and extermination operations reveal the sheer madness of gender ideology.

‘It started with surgeries to make men look like women, and vice versa. But it doesn’t stop there, because the ideology’s definition of “gender identity” is completely separate from our sexed bodies.

‘It reduces the human person to a mere internal sense of gender, which has no limiting principle and can therefore mean anything.’