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Doctor Biber's Letter

Here is a copy of the letter Doctor Biber sends out in response to an initial inquiry regarding Sex Reassignment surgery. The actual costs have gone up roughly 10% from the figures in this copy. Also, I believe the anesthesiologist named in the letter is no longer working with Doctor Biber. Finally, immediately after this letter, Doctor Biber added the requirement of a second HIV test to be done at the hospital before surgery, as several girls were faking their results in order to obtain surgery.

If you want the most accurate and up to date information, you should contact Doctor Biber yourself directly. If anyone has more current information, or information on other surgeons or procedures, please forward it to me for inclusion in The Subversive.

Stanley H. Biber, M.D., P.C. General Surgeon Office Phone 846-3301 406 First National Bank Bldg. Trinidad, Colorado 81082

09/03/91

Dear Melanie,

As per your letter asking for information Regarding the requirements for anatomically changing sexual characteristics in the transsexual.

We do not have a gender identity clinic here. We can do the surgery for you, which includes the genital surgery and breast implants, and other services like nose or chin surgery.

Our basic fee is $4,000.00 for the genital surgery and $1,200.00 for the breast implants. The hospital bill for the genital surgery will be $5,125.00. Any additional service above the average extended length of stay for any reason will be billed extra. WE AND THE HOSPITAL MUST RECEIVE CASH AT THE TIME THE SURGERY IS DONE. We do not work with any insurances, however we will fill out any insurance forms for you after surgery and you may collect directly from the insurance company or we will reimburse you if the insurance money is sent to us. If other procedures are done during the same hospitalization the hospital will require an additional $1,505.00 if you have the breast implant surgery: and additional $1,125.00 if you have the nose surgery, an additional $310.00 if you have the tracheal shave done. Our fee for the SMR with corrective Rhinoplasy (nose job) is $1,200.00: tracheal shave $850.00 providing they are performed during the same hospitalization with the above surgery.

There will also be a charge for out anesthesiologist, a separate check must be made out to Dr. Frank Polanco. His fee for the genital is $800.00 and additional $200.00 if you have the nose surgery: an additional $200.00 if you have the breast implant surgery: an additional $200.00 if you have the tracheal shave done. These fees are only if they are done at the same time the genital is done.

We require a social history from yourself. We have to know that you have lived in your chosen gender for a whole year, 100%. Are you working in the opposite sex, etc.? Also you must be on hormone therapy for a whole year before surgery. Have you had electrolysis? Have you had any other cosmetic Surgery? Remember you must live one year in your chosen gender role prior to surgery.

WE MUST HAVE TWO PSYCHIATRIC EVALUATIONS, preferably one by a psychiatrist and the other by another psychiatrist, psychologist, or a recognized licensed worker in the gender or sex oriented field. You must understand that the final evaluation which will determine your acceptance for surgery is done by ourselves immediately prior to your surgery. We would appreciate the evaluations at the earliest possible time.

Please send us a picture of yourself, that we may keep for our files. Once we set a surgical Date, we require a $500.00 deposit to reserve the date. No personal checks, please. We must have received the $500.00 deposit in our office no later than one week from the day that you scheduled your surgery.

It will be necessary for you to have an HTLV-III or an HIV (AIDS) test done at a certified laboratory as close to your surgery date as possible, no later than six weeks. you will be required to have the negative results with you when you arrive for surgery. Please be sure you have the test done where the will put your name on the results and not just a number, our hospital will not accept the results with just a number.

We will provide the necessary surgical consent forms on your arrival here.

We will be glad to help you if you can meet our requirements.

Sincerely, (His Signature) Stanley H. Biber, M.D.

Note: If your penis is so small as to warrant a skin graft procedure along with usual penile inversion technique, there will be an additional $500.00 fee.

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