This is a very important question in bioethics. There are no laws that say a doctor cannot amputate a healthy limb, but the doctor can refuse to do a surgery, and may not do it just because you say you want to be a pirate. This is the same way with surgical removal of the penis: no doctor ever has to do the surgery. So to answer your question: if you could find someone who would do it: yes
In many states: 2 yrs therapy
1 yr hormone Tx
1 yr "true living"
Letters of rec from 2 specialists in gender psych
Proof of emotional and financial stability
1 yr hormone Tx
1 yr "true living"
Letters of rec from 2 specialists in gender psych
Proof of emotional and financial stability