Bigenital

[…] from which it also follows that masturbatory sexuality may effect a pragmatic abbreviation of the procedure, but not a structural simplification of the interpersonal bigenital operation.

With a Lord God who directs that man (Adam) be cloned out of dust in the image of bigenital gods; […]

Patients seeking bigenital surgery aren't the only trans people receiving less common forms of gender-affirming care.