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It’s not “top surgery.” It’s not even a double mastectomy, which is an intervention for cancer. It should be called cosmetic elective double breast amputation.

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At one point in my life, I seriously considered getting a breast reduction to alleviate back pain. The cost is upwards of 10k and most insurance companies won’t cover anything. How bizarre that I could declare myself “trans” and could get elective breast amputation, probably with just a copay. What mental gymnastics are these surgeons doing to get past “first do no harm “?

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