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On April 18, 2006, when M.C. was 16 months old, Dr. [[Ian Aaronson]] operated on him at the {{UNI|Medical University of South Carolina|MUSC}} (MUSC). He reduced M.C.’s [[penis ]] to look more like a [[clitoris]] ([[Clitoroplasty]]), cut up his scrotum to form labia, and removed his internal testicle tissue ([[Orchiectomy]]). Two other specialists also treated M.C.: Dr. Yaw Appiagyei-Dankah, who worked at MUSC, and Dr. James Amrhein from Greenville Hospital.
He had been identified as a boy at birth because of his “rather large” penis. Routine blood tests showed his testosterone levels were extremely elevated. However, he had a small vaginal opening beneath his penis and both ovarian and testicular tissue.