A Harley Street doctor has been suspended after he removed a transgender man's vagina without his consent.
Renowned penis consultant Dr Giulio Garaffa mistakenly carried out the irreversible gender reassignment surgery on the man known as Patient A, despite him repeatedly saying he did not want his vagina removed.
A disciplinary hearing was told that Dr Garaffa performed the surgery for Harley Street-based St Peter's Andrology Centre (SPA) at Highgate Private Hospital in October 2016.
Patient A had agreed to have a hysterectomy and a metoidioplasty, which would have given him a penis, but had refused a vaginectomy which removes all or part of the vagina.
But Dr Garaffa performed the vaginectomy anyway.
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His colleague Dr Marco Capece then "in a moment of panic… dishonestly" altered a consent form to say that Patient A had agreed to the surgery, adding the words "+vaginectomy" to give the impression it had been planned from the start.
The tribunal heard Patient A, who began a formal gender transition in around 2013, only discovered his vagina was gone a week after the operation.
He was left "distraught" by the realisation.
The Medical Practitioners Tribunal Service heard that the "unwanted surgery" has had a "profound impact in all aspects of his life including his mental well-being".
He has since undergone hormone therapy and reconstructive chest surgery.
Dr Garaffa is well-known in Europe for specialising in penis enlargement and reconstruction surgery. The tribunal heard that he is one of only two doctors in the world capable of performing specific procedures.
He was criticised by the panel for failing to confirm that the patient had consented to the vaginectomy.
Speaking at the tribunal, MPTS Chair Tim Bradbury said: "He relinquished his responsibility as the operating surgeon to ensure that his patient had consented to the operation he intended to perform.
"His failures were serious and numerous… The consequences of these failures were grave, Patient A underwent life changing and irreversible surgery which [they] did not want.
"Fundamentally and self-evidently, Mr Garaffa should have reviewed Patient A's medical notes before commencing surgery."
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Mr Bradbury said Dr Capece maintained a "false narrative" by not admitting his own wrongdoing and insisting that he had not altering the consent form.
Dr Garaffa was found guilty of four charges of misconduct and was given a five month suspension.
Dr Capece was found guilty of three misconduct charges and was suspended for 12 months.
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