Van de Grift 2019 is an example of positive spin that makes me wonder about the data they didn't publish. FtM phalloplasty patients only 28% strongly satisfied with post-op sexual function. tandfonline.com/doi/full/10.10… 
The rather cheery introduction: "Use and enjoyment of both chest and genitals during sexual activity increased after surgery. Other areas of improvement included arousability, sexual interest, and pleasure. In conclusion, genital GAS positively impacts transmen's sexuality..."
For some categories there were far more positive reports than negative. However, in almost all categories, most reported "similar". In two categories there was more diminishment than improvement. Check the table. Is this what success looks like?
n=38 with loss to follow up of almost 20% for a relatively short follow-up study. Any guess as to how the 20% are faring? Studies show that those lost to follow up are far more likely to have negative experiences or complications.
My view is that in 10 years everyone and their dog will realize that the signs of medical malpractice were always there, but that bias and positive spin in the name of justice and activism blinded doctors to the truth.
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