Cid Isbell hadn’t been nervous about the seven-hour operation until the day before he went into the hospital. But once he made it to his San Francisco hotel room, he began burning sage for good vibes.

“Advanced surgery for female-to-males has been way behind male-to-female until now,” Isbell said. “The surgeons always told me, ‘it’s easier to make a hole than a pole’ but now we’re catching up.” And catch up he did.

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