Written by Christopher F. Rufo |
Tuesday, September 5, 2023
If biology, human nature, and traditional ethics are seen as impediments, rather than as guides, then rational restraints no longer remain on what can be done; the only real limitation is the imagination. And the human mind, untethered from moral limits, can conjure up nightmares. The surgeon, armed with a scalpel and a genital-nullification robot, becomes the new arbiter of human nature.

The debate about transgender medicine is shifting. Legislators in 20 states have recently passed bills to restrict transgender medical interventions, such as puberty blockers, cross-sex hormones, and genital surgeries, for minors. And the tide of public opinion appears to be moving against “gender-affirming care,” a euphemism for child sex-change procedures not supported by the evidence and that often cause devastating consequences. Preventing such procedures for patients under age 18 has to be the baseline.
But opponents of gender medicine should not celebrate prematurely—the battle is far from won. And while restrictions on such procedures for minors are essential, more scrutiny should be focused on a lesser-known practice: “non-binary” surgeries for adults.
Curtis Crane is one of the doctors leading this movement. Crane is a University of Iowa and Dartmouth College-trained urologist and plastic surgeon who specializes in transgender medical interventions, including experimental non-binary surgeries. 
In 2015, Crane received a flurry of publicity as an innovator in vaginoplasty, which involves castrating and creating an artificial vagina for “male-to-female” patients, and phalloplasty, which involves creating and installing an artificial penis for “female-to-male” patients. He boasted of a one- to two-year waitlist and claimed to have one of the highest volumes of transgender surgeries in the United States.
Since then, business has boomed. Crane operates clinics in San Francisco, California, and Austin, Texas, employs a team of five doctors, and conducts procedures on more than 1,000 patients per year. As part of this caseload, his practice has veered into the disturbing new territory of non-binary surgery, which includes castration, eunuch, and nullification procedures, which Crane describes as the process of “removing all external genitalia to create a smooth transition from the abdomen to the groin.” Crane has also designed and performed hundreds of non-binary surgeries in which he fashions together both male and female genitalia for a single individual. That is, he creates an artificial penis for a woman, while retaining her vagina; or creates an artificial vagina for a man, while retaining his penis.
Crane recounted the story of performing his first non-binary genital surgery in a question-and-answer session for potential patients. “In the beginning of my practice, within the first year, I’d say, I had a trans man come to me, and he wanted a phalloplasty, but he wanted to keep his vagina,” Crane recalled.
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In July, the Department of Education awarded 71Five several grants worth over $400,000. But three months later, a state official notified the nonprofit by email that their grants were being taken back, saying that the nonprofit was disqualified from the grant programs because of its hiring practices.

An Oregon youth ministry is challenging state officials after the state Department of Education revoked several of its grants. Youth 71Five Ministries said officials stripped the nonprofit of its funding because of the ministry’s practice of hiring staff and volunteers who agree with its Biblical beliefs.
71Five is a youth mentoring program that serves young people of all religions and backgrounds through a Christ-centered perspective, said Bud Amundsen, executive director of the ministry, which has operated in the Rogue Valley area for 60 years.
Staff members mentor young people who face challenges such as poverty or a family member’s addiction, providing vocational training and recreational activities in group homes, detention centers, and the ministry’s own centers. The ministry hires employees and volunteers who align with 71Five’s mission and beliefs, he added. The nonprofit’s 30 employees and more than 100 volunteers all signed a statement of faith before joining the organization.
Since 2017, 71Five has received multiple grants from the Oregon Department of Education’s Youth Development Division that support the nonprofit’s work.
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There is nothing about your sin that wants to help you along this journey, dear friend. It wants you to be as lame and crippled as you can possibly be as it sucks the very life out of you. It wants the world around you to see an unclear picture of Jesus—one that is insufficient, one that is weak and unable to save men’s souls. That’s what your sin wants.

Mortification of sin is not often discussed openly in churches these days. It sounds very Puritan. In a sense, it is. If anyone had a deep understanding of the reality of sin and its impact, it was the Puritans. What’s even more unfortunate is the dilution, perversion, and complete loss of the principle itself. Absence of the mortification of sin in the contemporary church, however, has not removed the principle from Scripture.
Put to death what Is earthly in you.
In his letter to the Colossians, Paul deals with the dynamic of our new nature versus the combative presence of the old:

If then you have been raised with Christ, seek the things that are above, where Christ is, seated at the right hand of God. Set your minds on things that are above, not on things that are on earth. For you have died, and your life is hidden with Christ in God. When Christ who is your life appears, then you also will appear with him in glory. (Col. 3:1-4)

The first four verses of chapter 3 talk about our new identity. It’s the substance of what life in Christ is. Paul frames his entire argument with “If you have been raised with Christ.” In other words, if we in fact have been made alive, these are his instructions with regard to remaining sin.

Put to death therefore what is earthly in you: sexual immorality, impurity, passion, evil desire, and covetousness, which is idolatry. On account of these the wrath of God is coming. In these you too once walked, when you were living in them. But now you must put them all away: anger, wrath, malice, slander, and obscene talk from your mouth. (Col. 3:5-8)

When Paul is laying these things out, he is not doing it in a way that is encouraging hypocrisy. He is not saying, “I want you to stop doing these things only so that you can appear moral and pious.” He’s saying, “I want you to put these sins to death, because as Jesus said, you are to be holy.” The sin in your life needs to be rendered completely helpless with regard to influencing your living and your relationship to God. Here are three reasons Christians work to mortify sin:
1. God’s wrath will be poured out on all unrighteousness.
When we mortify sin in our bodies and minds, we imitate the way our heavenly Father has mortified the wages of our sin through Christ.
The reason Christians struggle so deeply with the presence of unconfessed and unrepentant sin in their lives is because they know God sees it, they know what God is capable of toward it, and they know they are acting outside of their new identity.
Jesus did not die to allow God to shrug off our sin; he died to justify who we are before the holiness of God. The theologian R. C. Sproul says this about sin:

Sin is cosmic treason. Sin is treason against a perfectly pure Sovereign. It is an act of supreme ingratitude toward the One to whom we owe everything, to the One who has given us life itself. Have you ever considered the deeper implications of the slightest sin, of the most minute peccadillo? What are we saying to our Creator when we disobey Him at the slightest point? We are saying no to the righteousness of God. We are saying, “God, Your law is not good. My judgement is better than Yours. Your authority does not apply to me. I am above and beyond Your jurisdiction. I have the right to do what I want to do, not what You command me to do. (R. C. Sproul, The Holiness of God, p. 116)

If God is the ruler of this universe, there is nothing about sin that he, even as our Father, flagrantly dismisses. If that were true, there would be no need for sanctification.
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