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Philadelphia health providers bring trans-affirming surgery to Argentina

Temple University Hospital doctors recently traveled to Buenos Aires

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Buenos Aires, Argentina (Bigstock photo)

Philadelphia Gay News published this article on July 18. The Washington Blade is publishing it with permission.

BY LAUREN ROWELLO | Argentina is known for implementing some of the most comprehensive federal laws to protect and affirm transgender people. In 2012, the country became the first to pass legislation that gives its trans citizens the right to be recognized and treated in accordance with their gender identities ā€” and the right to develop a sense of personhood associated with this experience.

This law gave Argentines the right to change their legal documents to display accurate gender markers and updated names ā€” something many trans people in the U.S. are still unable to pursue because of differences in state laws regarding the matter. Among various other rights ā€” including confidentiality ā€” the legislation also grants trans people in Argentina the right to access comprehensive hormone therapies and gender-affirming surgeries.

But the right to pursue authenticity doesnā€™t mean trans-competent care is readily available. Thatā€™s why Dr. Alireza Hamidian Jahromi, MD, director of the gender affirmation surgery program at Temple University Hospital, is passionate about collaborating with providers across borders.

He recently traveled to Buenos Aires with Dr. Michael Metro, MD, director of reconstructive urology at Temple University Hospital, to jointly perform the first-ever penile inversion vaginoplasty in Argentina.

ā€œA lot of teaching and training has to happen before you can perform a surgery,ā€ Hamidian Jahromi underlined, noting that resources ā€” including access to trans-specific training ā€” can be limited in some areas, especially for genital reconstructions or ā€œbottomā€ surgeries.

For instance, in 2012 ā€” the year Argentinaā€™s trans-affirming legislation was passed ā€” the U.S. had only six surgeons performing genital reconstruction surgeries. A lack of surgeons greatly limits a surgeryā€™s availability. Today, more doctors are starting to learn about and perform these procedures in the U.S. ā€” but insurance does not always cover them and some state laws are attempting to further limit peopleā€™s ability to pursue them.

To overcome the unique hurdles and barriers that each country faces, Hamidian Jahromi ā€” who is on the central committee for certification and mentorship at WPATH (World Professional Association for Transgender Health) ā€” urged advocates to not only raise awareness of trans people and their needs but also to push for stronger and more accessible training and education for healthcare providers.

ā€œ[Surgeons] specifically have to go through a special training in order to know how to bring their skills together to be able to align them with the patientā€™s specific need,ā€ Hamidian Jahromi said, adding that a specialization in gender-affirming surgery requires many years of training to develop expertise.

Exposure to and experience in a variety of related fields ā€” such studying and collaborating closely with both urology and plastics ā€” is necessary, and finding programs and professionals to study under can be an additional challenge.

The first trans-specific surgical fellowship in the U.S. didnā€™t open until 2017. It took more than nine years of education ā€” along with additional surgical experience completed in Europe ā€” for Hamidian Jahromi to become fellowship trained and specialized in trans-specific surgical interventions.

It takes a lot of time and intentional effort to build a comprehensive program that can competently and efficiently meet the needs of its patients. A lack of appropriate training can and has led to botched procedures, infections, and other disastrous outcomes.

Fortunately, there are more resources for learning and honing these skills across the United States than there were in the past. Hamidian Jahromi, who is the assistant professor of Plastic and Reconstructive and Gender Affirming Surgery at the Lewis Katz School of Medicine at Temple University, often trains surgeons, fellows and residents here in Philadelphia today.

Continued learning is not only key to the development of trans-specific programs and new providers. Trans-competent experts rely on information-sharing between professionals to constantly challenge themselves in new ways with the hope of improving their skills, advancing their understanding of best practices, and implementing new techniques in how to better care for trans people.

Because of this desire and ability to share and exchange skills, Hamidian Jahromi was able to observe the surgeries and study with colleagues at NYU ā€” who pioneered a robotics-assisted peritoneal flap vaginoplasty, which is more minimally invasive than traditional methods. Temple is now one of just a handful of programs to offer surgeries using this technique.

Itā€™s just one of various modalities used to help Hamidian Jahromiā€™s patients achieve their goals.

ā€œA lot of [needs] could be different in every patient,ā€ Hamidian Jahromi explained about the differing challenges, unique experiences and individual perspectives of each patient ā€” who all have a different idea about what a positive outcome will look like for them. ā€œAnd thatā€™s actually a welcome part of these kinds of surgeries for me ā€” because you have to see the patient, you have to see the world through their eyes, you have to try to understand.ā€

ā€œI also have to mention that a lot of these surgeries need more than one surgeon at the time of the surgery. Itā€™s multi-speciality,ā€ he added, explaining that teams of experts in those related fields often work together to achieve the best outcomes. ā€œSo when Iā€™m standing here in front of you, Iā€™m standing on a pillar of different members of my team that all work together very closely in order to create a success story for each individual patient. Itā€™s a whole teamā€™s work.ā€

Hamidian Jahromi, who is cisgender, was drawn to trans healthcare because he appreciated the opportunity to make such a positive difference in the lives of patients and to develop longer relationships with each person he supports.

ā€œWhen you put together the happiness and the help youā€™re providing for the patients, Iā€™m very well-rewarded every day,ā€ he added.

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Argentina

Gay, nonbinary parent fights for family in Argentinaā€™s courts

Leonardo Hatanaka alleges they were fired after requesting paternity leave

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From left: Leonardo Hatanaka with their son and partner. (Photo courtesy of Leonardo Hatanaka)

An unprecedented case could set an important legal precedent for the rights of labor rights for LGBTQ families in Latin America.

Leonardo Hatanaka, a Brazilian pharmaceutical professional, expects an imminent ruling from the Superior Court of Justice in the Autonomous City of Buenos Aires in a case that alleges discriminatory dismissal based on sexual orientation, gender identity, and xenophobia after their son Matteoā€™s birth in Argentina via ā€œsolidarity gestation.ā€ Human rights organizations and international agencies have followed the case closely.

Genzyme de Argentina S.A. and Sanofi in 2023 fired Hatanaka weeks after they notified them of their son’s paternity and requested 180-day parental leave.

ā€œMatteo’s birth was the realization of a dream and the right to form a family with love, dignity and equality, even if that means having to fight every day for our family to be recognized as such,ā€ Hatanaka told the Washington Blade in an exclusive interview.

The National Institute Against Discrimination, Xenophobia and Racism, a government agency known by the acronym INADI that President Javier Mileiā€™s administration has shut down, in November 2023 said Hatankaā€™s termination was motivated by discrimination based on sexual orientation and gender identity.

(Milei took office in December 2023.)

The General Directorate of Coexistence in Diversity in Buenos Airesā€™s government in 2024 said institutional xenophobia motivated the firing.

ā€œI am a gay man, foreign, nonbinary, and I had requested to exercise my right to parental leave,ā€ Hatanaka explained. ā€œThe company denied access to a basic right to care, which it does provide in other countries, and did not provide any medical coverage for our son, despite his legal registration with both parents’ names.ā€

Sanofi did not acknowledge responsibility, offer apologies or any kind of reparations, despite the two rulings.

ā€œIt was devastating. I was caring for a newborn, at a moment of enormous vulnerability, and the company chose just that moment to abandon us,ā€ said Hatanaka.

The National Labor Court overturned an initial injunction that ordered Hatanakaā€™s reinstatement. Hatanaka appealed the decision to the Superior Court of Justice in the Autonomous City of Buenos Aires.

ā€œI hope for justice; that the discrimination suffered is recognized, and that this ruling serves as a precedent for all diverse families and LGBTQ+ people who are seeing their rights violated,ā€ said Hatanaka.

The Argentine LGBT Federation, SOS Homophobie in France, and Mothers of Resistance in Brazil are among the organizations that have expressed their support. The latest U.N. report on anti-LGBTQ discrimination also notes the case.

ā€œCompanies must go beyond marketing,ā€ Hatanaka emphasized. ā€œReal inclusion requires concrete actions, consistency, and respect for their own policies.ā€

Hatanaka stressed that ā€œthere are instruments such as the UN Guiding Principles on Business and Human Rights. It is time for them to comply with them.ā€ The lawsuit has also become a symbol of the struggle for equality and protection of families with parents who are the same sex.

ā€œI feel I represent many LGBTQ+ families who live in fear of losing everything by exercising their rights,ā€ said Hatanaka. ā€œLGBTQ+ parenting is legitimate, real and deserves protection. No family should be punished for existing.ā€

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Myanmar

LGBTQ advocacy group joins Myanmar earthquake relief effort

March 28 quake killed thousands, devastated countryā€™s second-largest city

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(Screen capture via CNBC-TV18 YouTube)

A powerful earthquake that rocked Myanmar on March 28 unleashed devastation across the central part of the country.

The U.S. Geological Survey measured the quake at 7.7, and pinpointing its epicenter roughly 10 miles west of Mandalay, the countryā€™s second-largest city. A 6.4-magnitude aftershock jolted the area 12 minutes later, compounding the destruction and deepening the crisis for a nation already strained by conflict.

The earthquake struck with terrifying intensity near its epicenter, wreaking havoc on Mandalay and the nearby city of Sagaing. 

Mandalay, a bustling city of approximately 1.5 million residents, bore the brunt of the destruction. Among the most striking losses was the 12-story Sky Villa Condominium, which collapsed, leaving scores trapped beneath the wreckage. Rescue workers scrambled to pull survivors from the rubble, but the rising death toll underscored the tragedyā€™s magnitude.

In Sagaing, which is located closer to the epicenter, more than 70 percent of buildings sustained damage. The Ava Bridge, an essential artery spanning the Irrawaddy River, collapsed, cutting off a critical connection to Mandalay. The earthquakeā€™s shallow depth of less than seven miles amplified its power, reducing homes, temples, and schools to rubble.

The earthquakeā€™s death toll continues to climb, with at least 3,649 confirmed dead, more than 5,000 injured, and approximately 145 people missing. Amid the widespread devastation, questions loom about the impact on vulnerable populations. The Washington Blade reached out to Colors Rainbow, an organization advocating for LGBTQ rights in Myanmar, to understand how the crisis has affected one of the nationā€™s most marginalized communities.

Colors Rainbow Executive Director Hla Myat Tun spoke about how his organization is working to address the crisis faced by Myanmarā€™s LGBTQ community in the aftermath of the earthquake. 

Colors Rainbow has implemented a system of multipurpose cash transfers, directing funds to local LGBTQ partner organizations. These grassroots partners, in turn, provide essential support to affected individuals that includes emergency cash assistance, food, non-food items, clean water, and basic emotional support tailored to the immediate needs of their communities.

ā€œWe estimate that around 500ā€“800 LGBTQ individuals have been impacted in the affected areas, particularly in Mandalay Region, Sagaing Region, and southern Shan state,ā€ said Hla Myat Tun. ā€œSo far, we have been able to directly assist around 80ā€“100 LGBTQ individuals.ā€

Hla Myat Tun told the Blade that Colors Rainbow is actively gathering data to assess the specific challenges that LGBTQ people are facing in the aftermath of the earthquake.

Preliminary observations, he noted, point to heightened vulnerability among LGBTQ people, driven by social exclusion and limited access to mainstream humanitarian aid. Hla Myat Tun, however, emphasized more comprehensive information is necessary to fully understand the scope of their needs and vulnerabilities in this crisis.

ā€œWe are partnering with international LGBTQ and feminist organizations that focus on displaced communities,ā€ said Hla Myat Tun. ā€œThese partners provide emergency funds, and we coordinate with local LGBTQ groups to deliver aid directly to affected individuals on the ground.ā€

Addressing reports of military restrictions on humanitarian aid, Hla Myat Tun explained how Colors Rainbow is managing to reach LGBTQ people who are in conflict zones and areas the military junta controls. Hla Myat Tun highlighted the importance of the organizationā€™s trusted local LGBTQ partners, who are embedded in these regions. Their presence and established networks, he said, are vital in navigating restricted areas and ensuring that aid reaches the LGBTQ people who are most in need.

Hla Myat Tun also provided insight into how Colors Rainbow is tailoring its relief efforts to meet the LGBTQ communityā€™s specific needs. 

He said his organization is gathering information directly from LGBTQ people through close coordination with its local partners, relying on both formal and informal communication channels. Hla Myat Tun told the Blade his team conducts daily check-ins via quick telephone calls, ensuring a continuous flow of information to guide their response efforts despite limited internet access, electricity and other challenges.

ā€œOur approach is collaborative ā€” we set strategies and share responsibilities to respond flexibly and safely, based on the rapidly changing local context,ā€ he said. ā€œPersonal stories are being documented, but for security reasons, we are cautious about sharing them publicly.ā€

When asked whether staff or volunteers had harassment, discrimination, or violence while delivering aid ā€” a concern given the precarious legal and social climate for LGBTQ people in Myanmar ā€” Hla Myat Tun said there have been no reported incidents thus far. 

ā€œSo far, we havenā€™t received any reports from our staff or local partners about harassment or violence while delivering aid,ā€ he noted, emphasizing Colors Rainbow remains vigilant and has implemented robust safety protocols to protect all involved.

Colors Rainbow relies primarily on funding from international LGBTQ-focused partners. He noted, however, humanitarian funding specifically dedicated to LGBTQ communities remains vastly under-resourced, relative to the pressing needs on the ground. Hla Myat Tun said this shortfall severely limits the scale and reach of Colors Rainbowā€™s efforts.

ā€œWhile Myanmar’s legal framework remains outdated, societal attitudes ā€” especially during the civilian government ā€” have shown signs of progress,ā€ said Hla Myat Tun. ā€œWe have seen positive change thanks to the work of local LGBTQ organizations.ā€ 

ā€œIn the current crisis, many communities are working together despite legal barriers. However, in areas without LGBTQ-led organizations, inclusive humanitarian responses are still lacking,ā€ he added. ā€œThere’s an urgent need for international humanitarian actors to understand and implement LGBTQ-inclusive practices in Myanmar.ā€

When asked about long-term strategies to support the recovery and resilience of LGBTQ communities as Myanmar rebuilds, Hla Myat Tun affirmed Colors Rainbow is deeply committed to fostering resilience. The organizationā€™s initiatives include leadership development, community empowerment through training and workshops, sub-granting programs, and organizational development support. He also highlighted Colors Rainbowā€™s advocacy for LGBTQ-inclusive policies and collaboration with ethnic groups to promote an inclusive federal democracy, and specifically thanked Outright International, a global LGBTQ and intersex rights group, for ā€œamplifying our work.

ā€œThis kind of international attention shines a spotlight on the challenges LGBTQ communities in Myanmar are facing and helps open doors for more support,ā€ Hla Myat Tun told the Blade. ā€œIt also boosts visibility and solidarity, both locally and globally, which we deeply appreciate.ā€

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Hungary

Hungarian MPs amend constitution to ban public LGBTQ events

Viktor OrbĆ”n’s government spearheaded amendment

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The Hungarian parliament in Budapest, Hungary, on April 4, 2024. (Washington Blade photo by Michael K. Lavers)

Hungarian MPs on Monday voted to amend their country’s constitution to ban public LGBTQ events.

The vote took place less than a month after lawmakers banned Pride events and gave authorities the green light to use facial recognition technology to identify those who participate in them.

The Associated Press notes MPs approved the constitutional amendment ā€” which Prime Minister Viktor OrbĆ”n’s Fidesz-KDNP coalition government proposed ā€” by a 140-21 vote margin. Authorities before the vote removed a group of protesters who tried to block the entrance to a parliament parking garage.

OrbĆ”n’s government over the last decade has moved to curtail LGBTQ and intersex rights in Hungary.

A law that bans legal recognition of transgender and intersex people took effect in 2020. Hungarian MPs that year also effectively banned same-sex couples from adopting children and defined marriage in the constitution as between a man and a woman.

An anti-LGBTQ propaganda law took effect in 2021. The European Commission sued Hungary, which is a member of the European Union, over it.

MPs in 2023 approved the ā€œsnitch on your gay neighborā€ bill that would have allowed Hungarians to anonymously report same-sex couples who are raising children. The Budapest Metropolitan Government Office in 2023 fined Lira Konyv, the countryā€™s second-largest bookstore chain, 12 million forints ($33,115.76), for selling copies of British author Alice Osemanā€™s ā€œHeartstopper.ā€

Former U.S. Ambassador to Hungary David Pressman, who is gay, participated in the Budapest Pride march in 2024 and 2023. Pressman was also a vocal critic of Hungaryā€™s anti-LGBTQ crackdown.

The Washington Blade has reached out to Budapest Pride for comment on the constitutional amendment.

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