Dr in Washington making millions doing 5 vaginoplasties a week, including for prisoners

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The state of Washington gave millions of taxpayer dollars to a controversial “gender-affirming” surgeon who performs surgeries on prison inmates, according to a Daily Wire investigation.

Stiller Aesthetics, a cosmetic surgery practice led by Dr. Geoffrey Stiller, MD, has received more than $4.3 million from the Washington State Health Care Authority since July 2019, the state spending database shows.

Dr. Stiller offers an array of “transgender” surgical procedures including facial feminization, “non-binary” double mastectomy, and “bottom surgery,” according to the Stiller Aesthetic website.

“Bottom surgery” is a euphemism for vaginoplasty surgery, a procedure that requires the removal of male genitalia and often uses colon tissue to construct a fake vagina, called a neovagina, which requires lifelong dilation to prevent it from narrowing or closing.

Dr. Stiller has performed “over 1,000 vaginoplasties, averaging 5 procedures a week” and is an “extremely sought after for [male-to-female] bottom surgery,” the website says.

While the spending database does not provide specifics for what each payment to Dr. Stiller was for, public records reviewed by The Daily Wire show Stiller’s clientele included inmates from the Washington Department of Corrections, whose policies support inmates pursuing tax-funded sex-rejection surgeries.

While many sex-rejection interventions are provided to inmates by in-house clinicians, those deemed eligible for sex-change surgery can apply for temporary coverage through Washington state’s Medicaid program, Apple Health, which provides coverage for transgender surgeries.

President Donald Trump banned the use of federal funds to pay for “any medical procedure, treatment, or drug for the purpose of conforming an inmate’s appearance to that of the opposite sex,” in a January 2025 executive order.

In February 2025, however, Washington State led a federal, multi-state lawsuit against the Trump administration, and obtained a preliminary injunction against the order that allowed inmates at federal facilities to continue receiving sex-rejection surgeries.

Payments to Dr. Stiller continued since Trump’s election, with the database showing he pulled in more than $800,000 in taxpayer funds in 2025 alone.

In 2017, Dr. Stiller gained national attention after being given permission to perform vaginoplasties at a small-town hospital in Idaho, despite strong objections from the community. The Washington Post profiled him as a compassionate surgeon caught in the crosshairs of so-called transphobia in a November 2017 article, in which he refers to performing vaginoplasties on gender-confused patients as “the right thing to do.”

However, after experiencing backlash and “multiple controversies” in Idaho related to gender medicine, Dr. Stiller started a new practice six years ago in Spokane, Washington, where it was “much safer to take care of patients,” according to the Stiller Aesthetics website.

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