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I don't know how true all the stories were back then. Of back alley veterinarians doing orchis. Of girls doing surgeries on themselves or each other. I've encountered trans women online who claimed to have removed their own balls and can explain what they did in some detail.

Half the girls I know import dodgy vials compounded by some rando on the internet in exchange for cryptocurrency.

We were hard to stamp out before the internet, I imagine they'll have trouble now