Check the exoskeleton. Check the spotty colors that make mangaka cry. Check the Perfection.
Don't wanna be here? Send us removal request.
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Gender affirmation surgery at the price of a plane ticket? Perfect pricing.
Nepal performs first sex change surgery
June 9, 2025
The Tribhuvan University Teaching Hospital said it has successfully carried out a sex reaffirmation surgery at the hospital.
This marks the first time such a procedure has been undertaken in Nepal. In the past, transgender Nepalis needed to travel abroad, mostly to India or Thailand, for such surgeries.
“Yes, we have successfully carried out sex change surgery on a 25-year-old transgender woman from Janakpur,” said Dr Jayan Man Shrestha, head of the Plastic Surgery Department at the hospital. “The surgery was successful and the patient has already been discharged.”
The hospital sought the help of foreign experts for the surgery.
According to the hospital administration, Dr Alireza Hamidian Jaromi, an LGBTQ-affirming plastic surgeon at Temple Health in the US, led a team of TUTH doctors in performing the surgery.
The team comprised Dr Shrestha and other plastic surgeons serving at the hospital, including Dr Ishwar Lohani, Dr Sangam Rayamajhi, Dr Samit Sharma, Dr Bikesh Rajbandari, Dr Himalaya Niraula, and resident doctors.
Doctors at the hospital said that the person sought only sex change surgery and did not seek breast augmentation or facial surgery to achieve feminine features.
“We are ready to provide other surgeries, if the person requests them,” said Shrestha.
Doctors say that with the start of this service at the Tribhuvan University Teaching Hospital, many transgender people seeking sex reassignment surgery will now be able to access gender-affirming care within the country.
“We hope the person who underwent the surgery has now achieved the gender identity of his [her] choice,” said Dr Lohani, a consultant plastic surgeon at the hospital. “Others can also get the service at the hospital. The procedure costs only around Rs150,000 to Rs200,000, which is about the same price as a plane ticket to go abroad.”
Due to a lack of such services in Nepal, sexual and gender minorities were previously forced to travel to India, Thailand, and other countries for expensive and sometimes risky surgeries.
The hospital plans to set up a gender-affirming clinic to better serve transgender people and continue these services.
“Those who want to undergo sex-reassignment surgery can contact doctors at the outpatient department of the plastic surgery unit of our hospital,” said Shrestha, the department head. “Some people have already expressed interest in the service.”
Although surgeries are not required for gender affirmation, many patients seek surgical procedures to align their physical appearance with their gender identity.
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Perfect fanservice
So Summer Games Fest has been pretty good so far…
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Perfect mustache, Perfect outfit, Perfect place to fly a flag...
Damn. This is a new perfect level.
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Perfect opportunity to beat the hell out of someone.

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You thought I would comment on perfection, but you didn't expect this.
No body expects the Spanish Inquisition.
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"irreversible acts of achieving perfection" yeah dont you think I wanted it that way?
"irreversible side effects of HRT" all of life is irreversible. i cannot go back a single second in time
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Perfectly slay
Cunty V1 isn't real and can't hurt you...
I'll be honest, I haven't been able to do much cause I'm still busy packing (will be for a while 💀)
Uuuuh anyways hyperfixation bla bla something something pin up posters of v1 something something maybe I'll make prints if I learn backgrounds bla bla bla
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N𝙹ℸ ̣ ᓭ⚍∷ᒷ ╎ℸ ̣ 'ᓭ ⋮⚍ᓭℸ ̣ ⍑⚍リ⊣∷|| ⎓𝙹∷ !¡ᔑℸ ̣ ᓭ
also I love that this is a translatable language
Puppy
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Perfect lifeform, ultimate lifeform...
I tip my hat to you, one godly creature to another.
ASAB (all shadows are beautiful)
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Tᒷ∷∷╎ʖꖎᒷ ℸ ̣ ⍑╎リ⊣ᓭ

∴⍑ᔑℸ ̣ ℸ ̣⍑ᒷ ⎓⚍ᓵꖌ ⍑ᔑ!¡!¡ᒷリ ℸ ̣𝙹 ᓵᔑ⚍ᓭᒷ ℸ ̣⍑ᒷ ᔑ!¡!¡ᒷᔑ∷ᔑリᓵᒷ 𝙹⎓ ℸ ̣⍑╎ᓭ ᓭ╎⊣リ??
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How about this: Every country, larger, smaller, more or less volatile, stops giving a shit about the other.
I don't mean "blow each other up," I mean disarm the nukes, disassemble most of the weapons, and just... vibe. I realize this is in a perfect world(and I know a lot about perfect), but like. It wasn't that hard for me. I fought Kakarot because I wanted to. That was a personal thing, and it was handled personally. If not for the *prince*, there wouldve been no collateral and no risk to the planet. We would've fought, I would've won, and we both go on with our lives. Hell, I mightve even joined the Z-fighters.(Saiyan blood is crazy)
In fact, if Vegeta gave one less fuck about us, Gohan wouldn't have gotten SSJ2, wouldn't have shown it off, wouldn't have gotten Buu awoken so soon, and the whole Buu arc wouldn't have had to happen. But no, he had to be a parent *then*.
Anyway basically what I'm saying is, messy breakups hurt people. But messy secession? That kills people. Thousands, even millions of people.
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We love Dana for her work on ToH, and we know KoG will not be the same.
Still calling it kog. Perfect nickname.
Every day we get closer to Knights of Guinevere coming out and I want to say this again. Knights of Guinevere is a different show than TOH. Doesn’t matter that Dana worked on both, they’re two completely different shows. It’s not TOH with knights, it’s a different show.
This also means, don’t tag spam. Don’t tag your Knights of Guinevere art with The Owl House and vice versa.
Second of all, because they’re different, don’t compare them. You would never say Polaris is more beautiful than Venus so don’t say TOH is better than Knights of Guinevere or vice versa. These shows are not competing with each other. They’re actually kissing.
This same thing goes for every other show made by Glitch. Knights of Guinevere is in a polyamorous relationship with Murder Drones, TADC, Meta Runners, The Gaslight District, Sunset Paradise, and every other Glitch show in the future. They are all in love with each other.
Most importantly, please try to keep talks about what happened with Dana and her time at Disney to a minimum. Considering how badly they screwed her over and the fact that she quit before the last episode of TOH even came out really shows she was done with them. It seems that Dana really wants to move on and forget about this and if we really care about her, we should let her. Leave the past to the past.
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perfect... Uh... Im reblogging this for some reason... Oh yeah, Hooty being a perfect friend
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