Nashville Man Speaks On The Furor Over Transgender Care

By Dulce Torres Guzman, Tennessee Lookout

October 13, 2022

In 2015, Henry Seaton was 17 years old when he first inquired about gender-affirming surgery at Vanderbilt University Medical Center but was turned away due to his age.

So when right-wing political commentator Matt Walsh posted videos on social media attacking Vanderbilt’s reputation as a leader in transgender healthcare and Republican lawmakers followed suit. Democratic leaders and the American Civil Liberties Union of Tennessee pushed back on allegations that were “vastly false,” said Seaton, an ACLU trans-justice activist.

The result of the recent furor is that VUMC announced Friday it is halting gender affirming surgeries on minors — none of which have been genital surgeries, the hospital says.

As a transgender man, Seaton began receiving care at Vanderbilt shortly after he turned 18, because even with the support of his mother, Seaton was told minors couldn’t receive gender-affirming surgery.

After turning 18, Seaton again asked about receiving surgery from Vanderbilt. This time, he was told that they required letters of recommendation from therapists and primary-care providers. Seaton also had to live as a man for six months prior to receiving hormones.

“There are a lot of hoops and checks along the way,” he said.

After six months, Seaton and his mother returned to Vanderbilt and spent two hours listening to their doctor discuss testosterone, what would or would not change permanently and what was and wasn’t guaranteed to happen.

“We had to sit and go through this long list and my mom and I had to sign documents together, and before I could even get my first injection, we had to meet all of those requirements,” said Seaton. “So we were able to make that safe and informed medical decision together from a wealth of knowledge from our doctor and our therapists.”

Vanderbilt required Seaton to live as a man for another year, as well as being on a months-long wait list, before he was able to get a double mastectomy — what is known as “top surgery” — at 19.

“From what I’ve lived through, it’s safe to say that the standards of care were and remain very strict and very thorough,” he said.

Along with the need to meet Vanderbilt’s requirements, patients also face several other obstacles. For Seaton, his insurance also required extensive documentation, and even then, his medical expenses were only partially covered.

“I don’t know a single person who was able to get gender-affirming surgery fully covered by their surgery,” said Seaton, of insurance. He raised money to cover his procedures, a process that added delays.

The videos Walsh posted on social media featured Vanderbilt physician Dr. Shayne Taylor calling gender transition surgery a “big money maker,” comments Seaton believes were taken out of context.

“I would say the money conversation only comes up to make sure that hospitals can sustain and take proper care of those patients,” he said.

As lawmakers seek to restrict transgender healthcare, Seaton fears the consequences could be deadly. Apart from a 2021 law that already restricts transgender drug therapy and surgery for prepubescent children, studies have shown that transgender person who are unable to access gender-affirming care are at risk for depression and suicidal ideation.

“We are robbing children of the opportunity to grow into who they are and be able to function in society and get those social building blocks to thrive in the world around them,” said Seaton.

The ACLU of Tennesse, which in March launched a transgender education initiative called TRANScend Tennessee, has condemned calls for an investigation into VUMC and attempts to limit transgender health care.

Now more than ever, tough and fair journalism is important. The Tennessee Lookout is your watchdog, telling the stories of politics and policy that affect the people of the Volunteer State.