Portrait of me with long dark hair and glasses, wearing a black blazer against a deep red background
Intersex and trans woman · South Africa

Born intersex. Prescribed surgery. Refused funding.

Doctors assessed me, reviewed my case and called this care medically necessary. Every funding route in South Africa closed anyway.

$45,000
Full cost of care
100%
To medical costs
0
Funders who said yes
Healthcare FundOpen

Fund care that was recommended and refused

I am an intersex and transgender woman in South Africa. Qualified clinicians assessed me, reviewed me and concluded that this care is medically necessary. No funder would carry it.

Cost of care
$45,000
Goes to medical costs
100%
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Secure Stripe checkout · Every invoice published

Photo of me standing in front of a mirror in a black tee and light jeans
In my own words
“As an intersex person, I never had the chance to take part in decisions about my own body. I am asking for that chance now.”

Growing up, I was expected to live according to a sex and gender role that did not reflect my identity or my experience. Medical interventions and decisions made during my childhood and adolescence caused lasting emotional distress and confusion rather than resolving anything.

Those years deepened my isolation and dysphoria, and they made it harder to obtain appropriate healthcare later in life. What I am asking for now is not cosmetic and it is not a preference. It is care that qualified professionals have repeatedly recognised as medically necessary.

Read the whole story
Where every dollar goes

$45,000, broken down in public.

I am raising funds to cover the costs of my gender-affirming surgery and the related medical expenses. Nothing here goes to advertising, admin or anything outside my care, and every invoice is published on the updates page as it is paid.

  • $26,000

    Surgical fees

    The procedure itself, the surgeon and the theatre time. This is the part I was unable to obtain funding for, despite the recommendation of my treating professionals.

  • $9,000

    Anaesthesia and hospital stay

    The anaesthetist and the nights in a ward, so the surgery happens safely and with proper monitoring.

  • $6,500

    Recovery care

    Dressings, medication, nursing support and the weeks afterwards when I will not be able to work.

  • $3,500

    Follow up and related expenses

    Post-operative appointments, travel to the clinic and the related medical costs that come with the treatment.

If more comes in than I need, the surplus goes to other intersex and transgender people who have been refused the same care. That is a promise, not a plan.

Years

spent following the proper medical pathways

Multiple

specialists who found this care medically necessary

No funding

obtained for the treatment they recommended

Selfie of me in a navy cap, glasses and a black top

How medically necessary care became my problem to fund

  1. 1

    Assessment

    Psychological assessments and specialist consultations, completed in full over several years.

  2. 2

    Recommendation

    Multidisciplinary review concluded that gender-affirming surgery is medically necessary for my wellbeing.

  3. 3

    Refusal

    I was unable to obtain funding or access to the recommended treatment, and met repeated barriers instead.

  4. 4

    This fundraiser

    With no pathway left, the cost falls to me. Contributions are the only route to the care I was recommended.

The situation, plainly

The challenge was never a single procedure

Throughout my life I have experienced discrimination, exclusion and unequal treatment because I am transgender and intersex. The result is that I have been left unable to access medical care and protection on an equal basis with others.

  • Recognised pathways, followed in full

    Psychological assessments, specialist consultations and multidisciplinary review. The conclusion of my treating healthcare professionals was that gender-affirming surgery is medically necessary and would significantly improve my wellbeing and quality of life.

  • Barriers instead of care

    Despite that conclusion, I was unable to obtain funding or access to the recommended treatment. What I met instead were repeated refusals, delays and unequal treatment.

  • A cost that spreads

    Discrimination and exclusion have affected my access to healthcare, employment, safety and support. That is why obtaining this care has become financially impossible without help.

Why this keeps happening
Selfie of me with a headband and glasses, standing indoors

If you read only one line, read this one.

This is not a debate about who I am. I am intersex. Decisions were made about my body before I could take part in them, and the corrective care my clinicians later prescribed was assessed, reviewed and then refused funding. Every contribution, regardless of size, brings that treatment closer.

Give what you can

$45,000 covers the full cost of care. Most people give $25. It takes less than a minute.

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Nothing hidden
Every invoice paid from this fund is published on the updates page.

Medically necessary care, refused funding.

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