A report of a young adult, transgender male patient who underwent removal of both ovaries and fallopian tubes, medically known as bilateral salpingo-oophorectomy. The procedure was effectively performed without the use of a uterine manipulator or urinary catheter using laparoscopic surgical techniques. These invasive and often humiliating instruments were easily avoided without impacting the risk of complication. Both the skill of the surgeon and intent preparation of the patient made this a successful procedure. 

TBA!!!