Stanley H. Biber (May 4, 1923 – January 16, 2006) was an American
physician
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
who was a pioneer in
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and al ...
, performing thousands of procedures during his long career.
[Fox, Margalit (21 January 2006)]
Stanley H. Biber, 82, Surgeon Among First to Do Sex Changes, Dies
''New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
''
Early life
Biber was born to a
Jewish
Jews ( he, יְהוּדִים, , ) or Jewish people are an ethnoreligious group and nation originating from the Israelites Israelite origins and kingdom: "The first act in the long drama of Jewish history is the age of the Israelites""The ...
family in
Des Moines, Iowa
Des Moines () is the capital and the most populous city in the U.S. state of Iowa. It is also the county seat of Polk County. A small part of the city extends into Warren County. It was incorporated on September 22, 1851, as Fort Des Moine ...
as the older of two children and the only son of a father who owned a furniture store and a mother interested in social causes.
His parents hoped he would become a pianist or a
rabbi
A rabbi () is a spiritual leader or religious teacher in Judaism. One becomes a rabbi by being ordained by another rabbi – known as ''semikha'' – following a course of study of Jewish history and texts such as the Talmud. The basic form of ...
, and he briefly considered both before
World War II
World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the World War II by country, vast majority of the world's countries—including all of the great power ...
began.
Personal life
While studying at the
University of Iowa
The University of Iowa (UI, U of I, UIowa, or simply Iowa) is a public research university in Iowa City, Iowa, United States. Founded in 1847, it is the oldest and largest university in the state. The University of Iowa is organized into 12 coll ...
, Biber practiced weightlifting. He tried out for the Olympic team and narrowly missed the cut.
Biber was divorced several times. He raised nine children with the same wife on a ranch outside Trinidad.
He was survived by his wife of 11 months, Marylee Biber.
He was survived by seven children, seven stepchildren and twenty-two grandchildren, including singer
Snatam Kaur by his daughter Prabhu Nam Kaur Khalsa, also a new age singer.
Stanley and Marylee married after working together for four decades; Marylee was a nurse involved with his practice.
Later in life Biber said that he didn't see himself as a religious man.
Career
Military service
Biber served as a civilian employee with the
Office of Strategic Services
The Office of Strategic Services (OSS) was the intelligence agency of the United States during World War II. The OSS was formed as an agency of the Joint Chiefs of Staff (JCS) to coordinate espionage activities behind enemy lines for all bran ...
during
World War II
World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the World War II by country, vast majority of the world's countries—including all of the great power ...
, stationed in Alaska and the Northwest Territory. After the war, he returned to Iowa and enrolled in school, with plans to become a
psychiatrist
A psychiatrist is a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders. Psychiatrists are physicians and evaluate patients to determine whether their ...
.
He graduated from the
University of Iowa
The University of Iowa (UI, U of I, UIowa, or simply Iowa) is a public research university in Iowa City, Iowa, United States. Founded in 1847, it is the oldest and largest university in the state. The University of Iowa is organized into 12 coll ...
medical school
A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, MB ...
in 1948.
He began performing surgery while in residency at a hospital in the
Panama Canal Zone
The Panama Canal Zone ( es, Zona del Canal de Panamá), also simply known as the Canal Zone, was an unincorporated territory of the United States, located in the Isthmus of Panama, that existed from 1903 to 1979. It was located within the terr ...
. Biber then joined the Army, where he was the chief surgeon of a
mobile army surgical hospital
Mobile Army Surgical Hospitals were U.S. Army field hospital units conceptualized in 1946 as replacements for the World War II-era Auxiliary Surgical Group hospital units, which had become obsolete. MASH Units were in operation from the Korean ...
during the
Korean War
{{Infobox military conflict
, conflict = Korean War
, partof = the Cold War and the Korean conflict
, image = Korean War Montage 2.png
, image_size = 300px
, caption = Clockwise from top: ...
.
He finished his service at what is now
Fort Carson, Colorado
Fort Carson is a United States Army post located directly south of Colorado Springs in El Paso, Pueblo, Fremont, and Huerfano counties, Colorado, United States. The developed portion of Fort Carson is located near the City of Colorado Springs ...
.
Settling in Trinidad
In 1954, retiring from military service, Biber took a job at a
United Mine Workers
The United Mine Workers of America (UMW or UMWA) is a North American labor union best known for representing coal miners. Today, the Union also represents health care workers, truck drivers, manufacturing workers and public employees in the Unit ...
clinic in
Trinidad, Colorado
Trinidad is the home rule municipality that is the county seat and the most populous municipality of Las Animas County, Colorado, United States. The population was 8,329 as of the 2020 census. Trinidad lies north of Raton, New Mexico, and s ...
.
His original office was in the First National Bank building at the historic heart of the city.
Though he originally came to serve the miners, Biber sought to help the whole community and delivered babies, set broken bones, and was considered an excellent surgeon by the town.
Sex reassignment surgery
Biber performed his first
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and al ...
in 1969
after a
trans woman
A trans woman or a transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity, may experience gender dysphoria, and may Gender transitioning, transition; this process commonly includes Feminizing horm ...
asked him if he would be willing and able to do so.
This woman was a friend of Biber's and a social worker whom he worked with often.
She had been living as a woman and on
hormone replacement therapy
Hormone replacement therapy (HRT), also known as menopausal hormone therapy or postmenopausal hormone therapy, is a form of hormone therapy used to treat symptoms associated with female menopause. These symptoms can include hot flashes, vaginal ...
under the supervision of
Dr. Harry Benjamin for some time.
At first he did not know how to do this kind of operation, but he learned by studying diagrams and notes from
Johns Hopkins Hospital
The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 ...
.
By this point in time, Biber's practice had moved to
Mt. San Rafael Hospital, which had been built by the Catholic order in 1889.
The nuns running the hospital had just turned over ownership and control to the Trinidad Area Health Association in December 1968.
Dr. Biber kept his first few surgeries secret from the Catholic nuns who operated the hospital, due to concerns that they would react negatively. During this period he kept his records in the hospital administrator's safe.
However, after enough procedures and secret-keeping the doctor knew he had to come clean to his bosses and the community. So Biber, who was respected within the town as an Ob/Gyn, gathered together citizens, clergy, and town officials to explain that the people he served needed help.
He also spoke about his point of view on the matter to the local paper in 1973.
After this the attitude towards this aspect of Trinidad became generally accepting.
He also made the point that the visitors brought in business to the local economy by staying in local hotels and eating at local restaurants with their families while they received and recovered from surgery.
As another more pragmatic point he said that the profits brought in from his expensive surgeries were a key element in making Mt. San Rafael Hospital profitable.
Though, according to his wife Marylee Biber, Dr. Biber did occasionally perform surgeries off the books for people who couldn't afford it.
Trinidad was becoming known as the "Sex Change Capital of the World" because of his renown.
[Brady, Jeff (19 January 2006)]
Sex-Change Pioneer, Dr. Stanley Biber
''All Things Considered
''All Things Considered'' (''ATC'') is the flagship news program on the American network National Public Radio (NPR). It was the first news program on NPR, premiering on May 3, 1971. It is broadcast live on NPR affiliated stations in the United ...
'', National Public Radio
National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from othe ...
The nuns who worked at the hospital actually worked with Dr. Biber and cared for his trans patients as well.
“I couldn’t understand why the Sisters were looking over me while I was in the hospital and making sure transsexuals weren’t mistreated, and coming in to check on us,” recalled one of Biber's patients to the
Los Angeles Times
The ''Los Angeles Times'' (abbreviated as ''LA Times'') is a daily newspaper that started publishing in Los Angeles in 1881. Based in the LA-adjacent suburb of El Segundo since 2018, it is the sixth-largest newspaper by circulation in the ...
, “It never made sense to me. But I was grateful.”
Dr. Biber began performing vaginal construction surgeries when they were fairly rudimentary and refined the procedures around a half dozen times to achieve a more natural and realistic look.
Biber's practice became the first private-practice
transgender
A transgender (often abbreviated as trans) person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth. Many transgender people experience dysphoria, which they seek to alleviate through ...
surgery center in the United States.
During his career, Dr. Biber performed more than 2,300 male-to-female genital reassignment surgeries and 1,000 female-to-male surgeries.
At the height of his practice he was doing as many as four gender change operations a week.
When Dr. Biber began his practice on gender changing surgeries, they were so rare in number in the United States that none of it was covered by any medical insurance and there were no widely used restrictions or guidelines on who qualified for a procedure.
Biber made up his own criteria, trying to avoid performing an operation on someone who might later regret it. He identified schizophrenics and "effeminate homosexuals" and populations who may mistake themselves for transgender whom he wished to not operate on. Some of Dr. Biber's practices in restriction became codified with insurance companies or more common place among practices as the number of doctors performing the surgeries increased and insurance companies began to cover some operations.
Those practices included psychological evaluations, a certain period of time spent with a psychiatrist, at least a year spent presenting in feminine dress, and at least a year spent taking feminizing hormones.
If Dr. Biber was unsure whether to approve a patient for surgery he would sometimes recommend a more reversible procedure such as breast implants and invite the patient to return if they still wanted the genital reconstruction after having done that.
Biber also trained dozens of other surgeons in sex reassignment surgery techniques and maintained a regular surgical practice of delivering babies, removing tonsils, and replacing knee and hip joints.
In 1985 Biber reported that transexual surgeries accounted for about 20% of his total work.
Dr. Marci Bowers, another
Ob/Gyn
Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and ...
by practice and trans woman herself, was trained by Biber and began to study under him in order to take over his practice so he could retire in 1998.
Political career
In 1990 a seat on the
Las Animas County Board of Commissioners was vacated due to a recall, and Biber ran to fill it.
His opponent ran ads in the local paper alleging that Dr. Biber's work had made an unseemly impact on the public image of the community.
His campaign countered this with ads saying he had put Trinidad on the map and brought in $750,000 annually to the local economy.
Biber won the election by a comfortable margin.
Retirement and late life
Biber retired in 2003, at age 80, because his
malpractice
In the law of torts, malpractice, also known as professional negligence, is an "instance of negligence or incompetence on the part of a professional".Malpractice definition,
Professionals who may become the subject of malpractice actions in ...
insurance premiums had risen to levels which he could not afford.
[Werner, Dan (17 January 2006)]
Colorado's famed sex change doctor dies
KUSA-TV
KUSA (channel 9) is a television station in Denver, Colorado, United States, affiliated with NBC. It is owned by Tegna Inc. alongside MyNetworkTV affiliate KTVD (channel 20). Both stations share studios on East Speer Boulevard in Denver's Sp ...
. Dr. Bowers finally took over his practice after five years of studying under him. Biber was hospitalized in January 2006 with complications from
pneumonia
Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severi ...
, to which he succumbed on January 16.
Bowers said, shortly afterwards, that she never expected to "fill his shoes".
Dr. Biber died in 2006 from pneumonia.
Related media
On March 9, 2005, the television show ''
South Park'' first aired the episode "
Mr. Garrison's Fancy New Vagina
"Mr. Garrison's Fancy New Vagina" is the first episode in the ninth season of the American animated television series ''South Park''. It first aired on Comedy Central in the United States on March 9, 2005. In the episode, Mr. Garrison undergoes a ...
". In the opening scene, school-teacher
Mr. Garrison believes that he is a woman on the inside, and decides to undergo a gender change surgery, which is performed by a "Dr Biber" of the
Trinidad
Trinidad is the larger and more populous of the two major islands of Trinidad and Tobago. The island lies off the northeastern coast of Venezuela and sits on the continental shelf of South America. It is often referred to as the southernmos ...
Medical Center.
The documentary film ''
Trinidad
Trinidad is the larger and more populous of the two major islands of Trinidad and Tobago. The island lies off the northeastern coast of Venezuela and sits on the continental shelf of South America. It is often referred to as the southernmos ...
'' (2008) is about the town of Trinidad and its reputation as the "sex change capital of the world". Dr. Stanley Biber is mentioned often in the film, as is his protegee
Marci Bowers
Marci Lee Bowers (born January 18, 1958) is an American gynecologist and surgeon who specializes in gender confirmation surgeries. Bowers is viewed as an innovator in gender confirmation/affirmation surgery, and is the first transgender woman ...
. The documentary-style reality series ''
Sex Change Hospital'' (2007) gives a glimpse of Bowers's practice after Biber's retirement.
Journalist Martin J. Smith published a biography of Dr. Biber and Trinidad called ''Going to Trinidad: A Doctor, a Colorado Town, and Stories from an Unlikely Gender Crossroads'' in April 2021.
References
External links
Article on Dr. Biber via
PBS
The Public Broadcasting Service (PBS) is an American public broadcaster and non-commercial, free-to-air television network based in Arlington, Virginia. PBS is a publicly funded nonprofit organization and the most prominent provider of ed ...
{{DEFAULTSORT:Biber, Stanley
1923 births
2006 deaths
American surgeons
Jewish American scientists
University of Iowa alumni
United States Army Medical Corps officers
United States Army personnel of the Korean War
People from Des Moines, Iowa
People from Trinidad, Colorado
Surgeons specializing in transgender medicine
Deaths from pneumonia in Colorado
20th-century surgeons
People of the Office of Strategic Services
20th-century American Jews
21st-century American Jews
Military personnel from Iowa
Military personnel from Colorado