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Only a small percentage of male-to-female transgender people undergo what’s euphemistically called bottom surgery, meaning that USA Boxing’s revised eligibility criteria are likely to exclude the vast majority of such athletes from the women’s ring.

“I was a little surprised that I received my letter for bottom surgery, which was removal of my genitals, without even asking.”

I changed my name, started hormones, had bottom surgery.

Gender-affirming surgery, though rarely performed on patients under 18, may include facial reconstruction and “top” or “bottom” surgery to align facial features, breast shape and genitalia with a person’s gender.

Trump's advisers realized he was referring to bottom surgery and questioned what difference it would make in regards to Priebus' question.