A prominent surgeon stated that complications from vaginoplastic surgery that aims at removing male genitals and creating a vagina “can be pretty bad” and noted that there was “a growing number of programs throughout the world of gender affirmation, probably with a lack of training and not proper training,” according to the video of a presentation that the Daily Caller News Foundation obtained through a public records request.

“Complications can be pretty bad for vaginoplasty, and the most-dreaded complication is to perforate the rectum while you are dissecting the vaginal cavity,” Dr. Alex Laungani, a Canadian surgeon, who has “expertise in trans surgical care,” said at an event sponsored by the World Professional Association for Transgender Health (WPATH).

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