I have emailed complication no:8 of Vaginoplasty operation and its details to the professional bodies in the UK and the medical directors in Wales. The email is as follows: Dear Sir/Madam, Reg: My request to ban deceptive Vaginoplasty surgery being done by some surgeons for the NHS and in private. I am forwarding the details of complication no:8 of Vaginoplasty operation in this email. I am also attaching links to other complications that I have published for public view associated with this deceptive surgery. If public money is being paid for this deception and malpractice, I believe this needs investigation by the serious fraud office. Complication number 8 following Vaginoplasty surgery: Mucorrhoea What is Mucorrhoea? Mucorrhoea is excessive secretion of mucus from the Vaginoplasty wound. This happens in patients who have undergone the very major abdominal surgery of bowel transposition into the deep perineal wound. These surgeons transplant a large bowel segment into the deep perineal wound they create. They do this by first cutting open the abdomen, then cut the large intestine (where normally faeces is present) at two places transversely, so that they can isolate a segment of bowel with its blood supply. They then bring this segment of bowel into the deep perineal wound (the so called vagina) they create between the lower limbs (perineum). What is the inner lining of this isolated segment of large intestine made of? The inner lining of large intestine has a very high proportion of goblet cells in its tubular glands. Goblet cells are specialised mucin (viscous similar to nasal secretion) producing cells present in large numbers in the tubular glands of large intestine. These goblet cells are provided in abundance by nature in the large intestine to provide effective mucinous barrier against the bacteria from coming into direct contact with the large intestinal epithelial cells. Several different extensively glycosylated proteins (carbohydrate containing proteins) called mucins are secreted by goblet cells and forms a viscous physical barrier that prevents microbes from contacting the epithelial lining of the gastrointestinal tract. Mucins are constantly produced by the human gut which line the surface cells of the large intestine in two layers. The outer layer may contain some trapped bacteria, and the inner layer of mucus is thick and is free from bacteria. In other words, the two layers of mucosa in the large intestine forms an effective barrier. The mucus barrier of the intestine undergoes turnover and chemical changes in response to various environmental and immune signals, which allows rapid increase in mucosal barrier function. Mucins are constitutively produced by the goblet cells in the gastrointestinal epithelium and by the submucosal glands. They are replaced by newly synthesized mucin molecules every 6 to 12 hours and many litres of mucus are secreted in the adult gut each day. Several different environmental and immune stimuli can induce dramatic increase in mucus production. I believe repeated trauma due to attempted dilatations will induce and aggravate excessive mucin production In contrast nature has not provided the normal human Vagina with such specialised goblet cells to produce litres of mucus (glycoproteins plus water). The reason is female Vagina does not have trillions of commensal bacteria of more than 500 to 1000 species as in the colon. So how does this excessive mucus in the bottom affect the individual who has undergone this surgery? The bottom will constantly have an outflow of sticky viscous mucus which will need sanitary pads worn all the time to collect them and regularly visit the toilets to dispose them off. Otherwise, the area can become messy, moist and prone for bacterial multiplication and malodour. This can be bothersome and can worsen the mental health of the deceived patient/victim who already is suffering from a mental health condition described in DSM-5 psychiatry manual. So, why did the surgeons choose such an organ (colon) and claim it is a Vagina? I believe every surgeon is knowledgeable of human anatomy and histology of colon. They should have clearly anticipated this complication and avoided choosing bowel as a lining for the deep surgical wound that they create in the bottom and deceptively call it a Vagina. Surgeons should have known better and should have avoided putting some (those who underwent bowel Vaginoplasty) of their patients who were hitherto normal young men with no physical illness through this plight. The plight is continuous discharge of large amounts of slimy mucus between their legs for the rest of their lives. Way Forward: 1.The GMC, Surgical Royal Colleges, DHSC and the Royal College of Anaesthetists should urgently convene a meeting and ban their members from doing/participating in such surgeries. 2.The Medical Directors and Chief Executives of various health boards in the UK should refrain from referring patients for such deceptive surgeries. I believe the medical directors of various health boards in the UK are vicariously responsible for the deception involved in such referrals. References: 1.Vaginoplasty complications and revisions: by Augustus Parker, MD; Gaines Blasdel, BS; Rachel Bluebond-Langner, MD; Lee Zhao, MD Clinics in Plastic Surgery, October 01, 2025, Volume 52, Issue 4, Pages 485-493, Copyright © 2025 Elsevier Inc. 2.Cellular and Molecular Immunology 10th edition. Elsevier publications 3.Gray’s Anatomy: Anatomical basis of clinical practice 43rd edition. Elsevier publications. Copy to: 1. Medical Directors of Health Boards in Wales 2. JCC Wales 3. DHSC 4. GMC 5. RCSEd 6. RCS London 7. RCoA