The other concept concerns any surgical procedures that change a masculine appearance to a feminine appearance on non-genital and non-breast sites. Nose, throat, chin, hips, and cheek surgery are examples of this concept. Our normal standards allow us to follow the patients wishes when there have been facial injuries, such as yours. If you want your face changed to present a feminine appearance, that is your right. Look at Michael Jackson and how much he changed his face to look like his sister's face. The issue that we have to address and apply our standard to, is the issue of your genitalia surgery. Mrs. Crilla, is acknowledged as having the appropriate training, education, and experience to evaluate your mental status and to recommend or disapprove the SRS for you. She has special training in general psychotherapy, sex therapy, and gender counseling/therapy."As he sat down, she stepped forward and took my hand in her hand. She recited softly "Please understand that this is not a. We found out that in order to get a fire hydrant, you have to pay off the permitting people, the fire marshal, and the local city commissioner. Without the fire hydrant, you have to tear down the building. Parking lots are the same way, but that is a real scam. We have had to sign a year contract for snow removal for the parking lot. They don't push the snow aside, you have to have it picked up and hauled out of town. It just so happens that the commissioner has a snow removal company."Henry said, "The reason everything up there costs so much isn't because of the cost of shipping it up there. It's because it costs so much to do business up there and to sell it."I asked, "Maybe we shouldn't be up there. Perhaps opening dealerships up there isn't a good idea."Tiny offered, "Oh, it's a good idea and it will be profitable, especially selling to the oil companies. The more we get our feet in the door with the oil companies, the more they will come to us in the lower forty-eight and to.
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