An open letter to the Prime Minister

From: Dr. Joseph Chrysostom MBBS, MS(Gen Surg), FRCSEd, United Kingdom

To: The Rt Hon Sir Keir Starmer MP

Prime Minister of the United Kingdom

10 Downing Street

London SW1A 2AA

Respected Prime Minister,

Subject: Deception and Harm in Gender Surgeries – Urgent Need for Government Action-Please save a Welsh mother from intense grief and distress.

I am writing to you as a medical professional with more than 35 years of experience to raise the gravest possible alarm about the continuation of so-called “gender-affirming surgeries” in the United Kingdom. These operations are being performed on otherwise healthy bodies, and they are being described to patients in terms that are false, misleading, and unethical. When money is paid from public purse or privately, this needs investigation for serious fraud by the agencies concerned.

Recently, a mother from a Welsh town wrote to me in great distress. She has a son who now claims to be a woman. Despite her best efforts, she has been unable to convince him otherwise. As any mother knows, she was present at his birth, cared for him throughout infancy and childhood, and knows the sex of the child she bore. She shared her anguish with me via WhatsApp. I reproduce her words here exactly as she wrote them:

“Thank you joseph, I believe my fight is over for ****** (her son’s first name), he had reached the top of the surgery list. I have been in the darkest place and can’t find my way out, my prayers are baron as I can’t think straight. I truly hope and pray that something will stop the NHS carrying out their evil very soon, before it is all too late." (Tearful Emoji)

The distressed Welsh mother says she has been in a darkest place and can’t find her way out, even posted a tearful emoji alongside her message. Her spelling and grammatical slips are entirely understandable, given the level of upset she was experiencing while typing.

Her beloved son is now getting prepared to enter the operating theatre, where surgeons are preparing to castrate him, de-glove the skin of his penis, and then amputate his penis. This mother can only watch in despair, powerless to intervene, as these surgeons prepare to exploit and mislead her son—brainwashed by the new millennial gender ideology aided by some council run British schools. There is no rescue for the young, as zealots within this ideology and within the medical profession march him toward irreversible harm.

Respected Prime Minister, you are the Prime Minister for this mother as well. I plead with you to take immediate steps to ban these deceptive and, in my view, fraudulent operations, and to save her son - who is still a young adult, barely out of innocent adolescence. Even if an individual claims to consent, when that consent is secured through deliberate deception (such as the false promise of creating a vagina or vulva), it cannot be valid consent in law or ethics.

This mother has no access to legal help to stop or delay her son’s impending mutilating surgery due to financial difficulties. She is crying out for help. The Welsh Government appears unable, and/or unwilling to close gender clinics or halt these procedures despite my repeated letters to the health care inspectorate of Wales (HCIW) and the cabinet health secretary of the Welsh government.

I ask you, Prime Minister: will your government in Westminster act decisively to prevent this young man’s surgery and bring relief to his heartbroken Welsh mother? Or will your cabinet ministers as well as those in the Welsh government continue to look the other way, as though it does not matter so long as it is not their own adolescent child, (age 18 to 25)/young adult (age 26 to 32) or relative? I know of many families and mothers across the country who are suffering deeply because of these unethical surgical malpractices. They are looking to your leadership to put an end to these operations and protect their children who are now young adults from irreversible harm.

I will explain below as to why I feel these types of treatments are deceptive and I believe they amount to medical fraud.

Vaginoplasty is presented as the creation of a vagina, but the procedure is very different. A perfectly healthy penis with no disease, is first stripped of its skin, then trisected longitudinally and dissected—an act reminiscent of quartering in medieval times—before being severed at its base with a surgical blade. Attention is then turned to the equally healthy testicles (which have no escape now), which are cut, detached, and removed without hesitation. Surgeons then cut between the urethra and rectum to fashion a cavity where no natural anatomical space exists in the android male Pelvis. The degloved penile skin is then pushed into this artificially created slit. The body obviously recognises this slit as a wound and quite correctly not as a vagina and tries to narrow it and heal it from all sides. The detached normal Penis and Testicles are mercilessly incinerated without even a chance for the well-deserved histopathological examination. (The last chance for these organs to prove that they were normal, innocent and should not have been mistreated and obliterated).

What results is not a vagina, but a surgically constructed wound, lined with skin rather than vaginal mucosa or true vaginal structures. This man-made slit requires constant, often painful dilatation; it produces no natural secretions; and it carries lifelong risks of infection, foul odour, narrowing, and even urinary or faecal fistulas. Anatomically, physiologically, biochemically, and microbiologically, it is not a vagina. Any knowledgeable unbiased anatomist, physiologist, biochemist, or microbiologist will confirm this fact. The pseudo structure these surgeons create can be more accurately described as a “deep surgical wound,” and the procedure itself should rightly be termed “Perineal Woundoplasty,” which are far more appropriate and truthful descriptions.

All of this is carried out on perfectly healthy young men, often adolescents, who should be focusing on education or apprenticeships. Instead, they are subjected to a surgery for which the preparation, outcomes, and complications have the potential to derail their training, destroy their careers, and jeopardise their future economic well-being. Even more alarming, they may face lifelong morbidity - or even mortality - because of this dangerous procedure. Prime Minister, is it truly civilised to perform such operations on healthy human beings, or are we reverting to the brutality of medieval times?

Similarly, in phalloplasty, normal young women are told that a penis will be constructed. What is made is a “skin and fat flap mound” - usually taken from the forearm or thigh—which is tubed and attached in the groin. There is no erectile tissue, no capacity to secrete nitric oxide and dilate the blood vessels for natural erection, no possibility of physiological emission or ejaculation. Anatomically, Physiologically and Biochemically this mound-like structure they attempt to create is certainly NOT a Penis. Hence This is a falsehood operation and misleading to the point of fraud.

The situation is equally troubling with bilateral mastectomies being performed on young women diagnosed with so-called gender dysphoria, a condition classified in the DSM-5 Psychiatry Manual. These are otherwise healthy individuals undergoing the removal of normal breasts. Surgeons claim they can “masculinise” the female chest, yet this is biologically impossible given human genetics. In my opinion, never in the history of medicine such a medical fraud has been committed by medical professionals on patients with mental health conditions.

The prescription of cross-sex hormones without scientific evidence, promising that they can bring about an actual sex change is reckless in my view. These powerful drugs carry unpredictable, and yet poorly understood, long-term metabolic risks, including the potential development of metabolic syndrome. I fear that within the next decade or two we may face a surge of individuals, castrated in their youth, starved of androgens in male bodies, presenting in their thirties and forties with strokes and heart attacks. Such an eventuality would place an enormous burden on the acute medical services of NHS hospitals, compounded further by the surgical complications and consequences of these entirely unnecessary interventions.

No other area of medicine would tolerate such a breach of trust. Were a cardiac surgeon to tell a patient that a scar was a new heart, or an oncologist to promise a cure where none existed, they would rightly be condemned and struck off. Yet here, under the banner of “gender-affirming care,” such deception is being endorsed and even funded.

None of the professional bodies - whether the Royal College of Surgeons of Edinburgh or of England and Wales - have either endorsed these procedures or denied that deceptive practices are occurring. The GMC, whose role is to protect patients and regulate doctors, has deferred to other organisations such as NHS England instead of investigating the alleged deception itself. In my correspondence, each professional body including the Parliamentary and Health Service Ombudsman has passed responsibility to the next, creating a circle of deflection. That silence and finger-pointing suggest they are aware that something is seriously wrong.

I therefore urge you to take immediate action:

1. Suspend all gender-related surgeries in the UK without any more delay.

2. Initiate an independent inquiry into how these procedures came to be approved and whether patients were knowingly misled.

3. Hold accountable those responsible for promoting or performing/participating in these operations under false pretences. This includes anaesthetists, scrub nurses, surgical assistants and theatre managers.

4. Intervene to prevent further harm by regulating the actions of these surgeons, anaesthetists, health boards, and private clinics involved in carrying out these damaging experimental procedures on vulnerable young people.

Prime Minister, this is not a matter of politics or ideology. It is a matter of truth, medical integrity, and patient protection. I implore you to intervene decisively before further lives are ruined.

Yours sincerely,

Dr. Joseph Chrysostom MBBS, MS(Gen Surg), FRCSEd

ATLS Instructor, Royal College of Surgeons, London

GMC 5199143.