I hate AI, but this is just sour grapes from an insurance company. Medical providers and insurance companies are in a constant battle over payment with insurance companies trying ever more creative ways to deny payment and services (which I think anyone who has been a patient in the US can vouch for). This article claims that the providers are using AI guidance to justify better compensation from the insurance companies. If the compensation to providers for the same medical procedure didn't keep dropping down every year, this arms race wouldn't need to exist. What we really need is a purge of non-clinical hospital administrators (whose numbers have exploded over the past 2 decades) and of insurance personel with multi-million dollar salaries.

In the US, difficulty in finding a place/surgeon will depend on the state you are in and perhaps your insurance. You can claim bilateral testicular pain as the reason that you want orchiectomy to try to game the system, but many urologists will counsel you towards cord denervation for pain if so.

Recovery is a few weeks. No bike riding or riding lawnmowers for 4 weeks. You may get 5-7 days of narcotic pain medications, but most are typically on Tylenol/ibuprofen before then. Ice packs can help as needed.

Incision is usually through the midline of the scrotum (the raphe), and surgery should leave the entirety of the scrotum in place for future vaginoplasty should you so desire. As others have said, given enough time the scrotum will atrophy/shrink without testicles to stretch it.

Most urologists will follow WPATH guidelines for pre-surgery evaluation, so check those out.

Good luck! This looks great so far.

I've also sterilized with a three part process of soap/water, then diluted bleach, then a quick spray of Star San before bottling. That process came from chilichump on YouTube, and I've had a lot of success with it.

1000% true. Makes it so much easier for unpopular, minority ideas to make a much bigger impact because it limits voting power of the majority. Without the current arbitrary limit, you'd set the number of congressmen each state gets by the least populous state divided by 3 (since each state gets 2 senators and at least 1 representative). That state is Wyoming and they have just under 600,000 people. With 1 congressman per 200,000 people, California alone would have 196 representatives and 2 senators.

The best option is to rewrite the constitution and put some population restrictions on state representation in Congress (because why does a state with less people in it that the unrepresented city of Washington DC have 3 congressmen?!). But as that seems very far away, the best thing that would be done is to get rid of the cap on representatives and let all Americans have an equal (representative) vote in Congress.

Plus with 1,555 representatives (plus 100 senators) we can loosen the two party stranglehold on this country.

Oh wow, ANOTHER pedophile rapist Republican. Does he also use too much spray tan? Release the trumpstein files.

Is it the gold price you paid, or the iron price?