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  1. A Genitoplasty Diary

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Sullivan, Lou
    Date: Apr. 3, 1986 to Oct. 1987
    Topics: FtMs, Gay men, Trans men, Transgender people, Transgender people's writings
    Subject: Lou Sullivan, Rupert Raj
    Description: Writing detailing Lou's experience as he receives gender affriming surgery. Includes some sketches.

  2. Adam's Word Update (August, 1990)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Aug. 1990
    Topics: Conferences, Crossdressers, FtMs, History, Meetings, Transitioning (Gender), Transsexual people
    Subject: International Foundation for Gender Education (IFGE), Lotte C van de Pol, Mariette Pathy Allen, Matt Doutre, Rudolf M. Dekker, Steve Parent, The Tartan Skirt, Yvonne Cook-Riley

  3. Adam's Word, Vol. 1 No. 1 (August, 1989)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Aug. 1989
    Topics: Crossdressing, FtMs, Meetings, Passing (Gender), Transsexual people, Voice therapy (Gender)
    Subject: Carol Fleming, Gender Worker, K. Hollinger, Louis G. Sullivan, Midi Onodera, Rites of Passage

  4. Adam's Word, Vol. 1 No. 2 (September, 1989)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Sep. 1989
    Topics: FtMs, Gender dysphoria, Life stories, Meetings, Transitioning (Gender)
    Subject: Androgyny Unlimited, Louis G. Sullivan, Midi Onodera, Peter Stirling, Roger E. Peo, Seahorse Club, The Gathering, The XX Club

  5. Adam's Word, Vol. 1 No. 3 (October, 1989)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Oct. 1989
    Topics: Audiovisual media, Books, Crossdressers, FtMs, Meetings, Transitioning (Gender), Transsexualism
    Subject: Colonel Sir Victor Barker, Gender Blending, International Foundation for Gender Education (IFGE), Louis G. Sullivan, Mary Edwards Walker, Robert Shurtlieff, The Gathering, The XX Club

  6. Adam's Word, Vol. 1 No. 4 (November, 1989)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Nov. 1989
    Topics: AIDS awareness, FtMs, Hormone therapy, LGBTQ+ poetry, Meetings, Transitioning (Gender)
    Subject: C.P. Schooler, F2M, FTM Newsletter, Louis G. Sullivan, San Francisco AIDS Foundation

  7. Adam's Word, Vol. 1 No. 5 (December, 1989)

     
    Collection: Adam's Word
    Institution: The ArQuives
    Creator: Adam Society
    Date: Dec. 1989
    Topics: Family members, FtMs, Gender identity, Jazz, Stealth (Transgender)
    Subject: Anchorage Daily News, Billy Tipton, International Foundation for Gender Education (IFGE), Louis G. Sullivan, Tapestry Magazine

  8. Addendum to the Office of Psychohormonal Research at The Johns Hopkins University

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Money, John
    Date: Mar. 24, 1978
    Topics:  
    Subject: Foundation for the Advancement of Canadian Transsexuals (FACT), Johns Hopkins University, Rupert Raj
    Description: A letter asking Dr. John Money to serve as a medical consultant to the Foundation for the Advancement of Canadian Transsexuals. Dr. John Money writes that he cannot serve as a medical consultant.

  9. Address to Ingersoll Gender Center by Kim Elizabeth Stuart (April 11, 1992)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Stuart, Kim E.
    Date: Apr. 11, 1992
    Topics: Gender identity
    Subject: Lou Sullivan, Rupert Raj
    Description: A written document of an address given to the Ingersoll Gender Center by Kim Elizabeth Stuart, with written notes on the back of each sheet.

  10. Advice

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: DeCameron, Dee Dee
    Date: Unknown
    Topics: Transgender people, Transgender people's writings
    Subject: Rupert Raj
    Description: A short poem titled "Advice," by Dee Dee DeCameron.

  11. AIDS Informational Pamphlets

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Service Employees International Union
    Date: Feb. 1986
    Topics: HIV/AIDS, Lesbians
    Subject: Rupert Raj, Service Employees International Union
    Description: Informational pamphlets about AIDS and how to reduce the risk of contracting it. Specifically has information for health care workers and information aimed at lesbians.

  12. Ben Power Alwin Full Interview

     
    Collection: Audio and Video Clips and Transcripts
    Institution: The ArQuives
    Creator: Taylor, Evan, Alwin, Ben Power
    Date: Feb. 18, 2020
    Topics: Anti-racism, Archives, Education, Feminism, History, LGBTQ+ activism, LGBTQ+ communities, Politics, Practical, Sexuality, Social justice, Social movements, Socioeconomic status
    Subject: Leslie Fienberg, ONE Archives, Sexual Minorities Archives
    Description: Oral history with Ben Power Alwin focusing on his activism, politics, and work on the Sexual Minorities Archives.

  13. Brochure for the Gender Dysphoria Program of Orange County Inc.

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Clark, Joanna, Patton, Jude
    Date: 1986
    Topics: Gender dysphoria, Health care for LGBTQ+ people, Medical care, Transgender community, Transgender people
    Subject: Rupert Raj
    Description: Brochure for the Gender Dysphoria Program of Orange County Inc., detailing the offered services, pricing, and intake information.

  14. Call for Papers for the International Congress on Cross-Dressing, Sex and Gender

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Bullough, Vern L.
    Date: Unknown
    Topics: Androgyny, Crossdressing, Drag, Transgender people, Transsexual people
    Subject: International Congress on Cross-Dressing, Sex and Gender, Rupert Raj
    Description: Call for Papers for the International Congress on Cross-Dressing, Sex and Gender on Vern L. Bullough's letterhead. The leaflet calls for papers and invites groups to become sponsors for the Congress.

  15. Call for Papers to an International Congress on Cross-Dressing, Sex and Gender

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator:
    Date: 1994
    Topics: Transgender people's writings
    Subject: International Congress on Cross-Dressing, Sex, and Gender, Rupert Raj
    Description: The call to papers to the International Congress on Cross-Dressing, Sex and Gender. It explains when and where the congress will be happening, what it will entail, and invites people to attend, spo...

  16. Cheekbones From Hell, or Injectable Silicone: Bad News

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Denny, Dallas
    Date: 1992
    Topics: Transgender activism
    Subject: Chrysalis Quarterly, Dallas Denny, Rupert Raj
    Description: Article discussing the practice of silicone injections and the harm they can cause.

  17. Collection of Writings and Photos on the "Be All You Want To Be" Weekend

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Prince, Virginia, Allen, Kathy Jo, Massey, Debbie, Martin, Tracey Ann, Kingsbury, Michelle, Scott, Terri
    Date: 1988
    Topics: Crossdressing, Transgender activism, Transgender people's writings, Transvestites
    Subject: Be All You Want to Be, Hoes and Heels, Louise Lawrence, Rupert Raj, Transvestia, Tri-Ess Society for the Second Self, Virginia Prince
    Description: Collection of speeches, writings, and some photographs from and about the "Be All You Want to Be" conference. Virginia Prince gives detailed life history and personal opinions on gender and sex. Ma...

  18. Confide Advertisement

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator:
    Date: 1978
    Topics: Transgender activism
    Subject: Confide, Rupert Raj
    Description: Leaflet for the counseling service Confide, that states they do TS/TV counseling, both in private or for groups. They also add that they do referral counseling and newsletter speaking/writing.

  19. Convict Seeks New Life - As a Woman

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Hazle, Maline
    Date: Oct. 2, 1974
    Topics: Gender affirming surgery, LGBTQ+ prisoners, MtFs, Transsexual people
    Subject: Carmen Davis, Rupert Raj
    Description: A newspaper article clipping from the San Jose Mercury discussing Carmen Davis's desire to seek gender-affirming surgery after being released from prison.

  20. Correspondence from Stephen E. Parent to Rupert Raj (1986)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Parent, Stephen E., McAdams, Edna W.
    Date: Jul. 28, 1986
    Topics: Birth certificate amendments, Birth certificates, FtMs, Gender affirming surgery, Trans men, Transgender activism
    Subject: Rupert Raj, Transcend Counseling Service
    Description: Letter from Stephen E. Parent to Rupert Raj referencing a letter included written to David McAlister regarding proof of gender-affirming procedures in order to issue new birth certificates displayi...

  21. Department of Psychology University of Washington Consent Form

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Devor, Holly
    Date: Apr. 26, 1989
    Topics: FtMs, Gender identity, Trans men, Transsexual people
    Subject: Holly Devor (now Aaron Devor), Rupert Raj
    Description: Consent form for a sociological research project on female to male transsexuals conducted by Holly Devor, sociology PhD candidate at the University of Washington.

  22. F2M Membership Form for Rupert Raj

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Austen, Johnny
    Date: Unknown
    Topics: Transgender community
    Subject: F2M, Johnny A, Rupert Raj
    Description: Form sent by John A. to Rupert Raj for Rupert to fill out and return that covers gender, sexuality, education, and other demographics. The last page is a membership form. He also wrote under the na...

  23. Federation of American and Canadian Transsexuals (FACT) Organization Information Packet

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator:
    Date: 1986
    Topics: Transgender activism, Transgender people's writings
    Subject: Federation of American and Canadian Transsexuals (FACT), Gender Identity Center of Colorado, Inc., Metamorphosis, Rupert Raj, The Network, Tiffany Club, XX (Twenty) Club
    Description: An information sheet about the Federation of American and Canadian Transsexuals (FACT). The packet details what is FACT, how one joins, how it is organized, the aims of FACT, and membership services.

  24. First Mailing from John A. of the F2M Organization

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: A., John
    Date: Unknown
    Topics: Gender affirming surgery, Trans men, Transgender community, Transgender people's writings
    Subject: F2M, Johnny A, Rupert Raj, true
    Description: Johnny Austen introduces F2M in their first mailing. He discusses the importance of relying on one another as a community. He emphasizes the non-profit, free-of-charge membership, as well as the co...

  25. Four personal notes from Dr. Sheila Kirk to Rupert Raj (1990-1992)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Kirk, Sheila
    Date: Nov. 19, 1992
    Topics: FtMs, Gender identity, South Asian bisexual people, South Asian transgender people, Trans men, Transgender activism
    Subject: International Foundation for Gender Education (IFGE), Rupert Raj
    Description: Four personal notes from Dr. Sheila Kirk on travel, community, and family.

  26. Gender Identity Association Questionnaire

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator:
    Date: Unknown
    Topics: Medical care
    Subject: Gender Identity Association, Rupert Raj
    Description: Intake questionnaire used by the Gender Identity Association for new patients.

  27. Gender Review, Vol. 2, No. 5 (Jan-Feb 1984)

     
    Collection: Gender Review: The FACTual Newsletter
    Institution: The ArQuives
    Creator: Raj, Rupert
    Date: Jan. 1984 to Feb. 1984
    Topics: Hair--Removal, Psychology, Transgender people, Transsexualism
    Subject: Harry Benjamin
    Description: The scan includes the first two pages of vol. 2, no. 5 and pages 3-12 of vol. 2, no. 2. Metadata in this record describes the contents of the attached PDF.

  28. Gender Review, Vol. 3, No. 2 (Fall 1984)

     
    Collection: Gender Review: The FACTual Newsletter
    Institution: The ArQuives
    Creator: Raj, Rupert
    Date: Autumn 1984
    Topics: Gender dysphoria, Medicalisation, MtFs, Sexual orientation, Transgender people, Transsexualism
    Subject: 8th International Symposium on Gender Dysphoria

  29. Gender Review, Vol. 3, No. 3 (Winter 1985)

     
    Collection: Gender Review: The FACTual Newsletter
    Institution: The ArQuives
    Creator: Raj, Rupert
    Date: Winter 1985
    Topics: Businesses, Transsexual people
    Subject: Federation of American and Canadian Transsexuals (FACT), Gender Review, Gender Serve, Harry Benjamin, The Transsexual Phenomenon
    Description: Scan is missing pages 8 and 11.

  30. Gender Review, Vol. 3, No. 5 (Summer 1985)

     
    Collection: Gender Review: The FACTual Newsletter
    Institution: The ArQuives
    Creator: Raj, Rupert
    Date: Summer 1985
    Topics: Employment discrimination, FtMs, Gender realignment surgery, Transphobia, Transsexualism
    Subject: Leslie Lothstein, Ulane v. Eastern Airlines, Inc.
    Description: Special F-to-M issue.

  31. GenderServe Newsletter Issue No. 6 (October 1988)

     
    Collection: GenderServe
    Institution: The ArQuives
    Creator: GenderServe
    Date: Oct. 1988
    Topics: Crossdressers, FtMs, Gender dysphoria, Gender identity, Gender realignment surgery, MtFs, Sportspersons, Transsexual people
    Subject: Ben Johnson, Foundation for the Advancement of Canadian Transsexuals (FACT), Gender Review, Gender Worker, Harry Benjamin International Gender Dysphoria Association, Metamorphosis, Olympics, Rupert Raj, Tommy Lipton

  32. Handwritten Letter from Johnny Austen

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Austen, Johnny
    Date: Unknown
    Topics: Trans men, Transgender community, Transgender people's writings
    Subject: Johnny A, Rupert Raj, The Uninvited Dilemma: A Question of Gender
    Description: Letter from Johnny Austen discusses the costs of his dues, newsletter back issues, and a copy of The Uninvited Dilemma. He asks to be added to the pen-pal list under his pen name "Romeo Bliss." He ...

  33. Hot Flashes: Papers Suppress Mass Arrests of Transsexuals in San Francisco

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Douglas, Angela Lynn
    Date: 1978
    Topics: Transsexual people, Transvestites
    Subject: L.A. STAR, Rupert Raj
    Description: A clipping from the underground tabloid newspaper L.A. STAR with an article about two papers in San Francisco that decided not to report on the arrests of 22 transsexuals and transvestites on June ...

  34. Joanna Clark Full Interview

     
    Collection: Audio and Video Clips and Transcripts
    Institution: The ArQuives
    Creator: Taylor, Evan, Clark, Joanna
    Date: Dec. 30, 2019
    Topics: Community life, Education, Family, HIV/AIDS, Internet, Law, LGBTQ+ activism, LGBTQ+ people in the military, Trans women, Transgender activism, Web sites
    Subject: American Civil Liberties Union (ACLU), Sister Mary Elizabeth
    Description: Oral history with Joanna Clark (also known as Sister Mary Elizabeth). Discussion of her activism, the military, and the internet.

  35. Jude Patton Full Interview

     
    Collection: Audio and Video Clips and Transcripts
    Institution: The ArQuives
    Creator: Patton, Jude, Taylor, Evan
    Date: Dec. 19, 2019
    Topics: Communication, Family, LGBTQ+ activism, LGBTQ+ communities, Medical care, Trans men, Transgender activism, Transgender community, Transgender people
    Subject: Harry Benjamin International Gender Dysphoria Association, J2CP, Stanford University, World Professional Association for Transgender Health (WPATH)
    Description: Oral history with Jude Patton who discusses his activism and work with the World Professional Association for Transgender Health (WPATH).

  36. Jude Patton's Business Cards

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Patton, Jude
    Date: Unknown
    Topics: Mental health care for LGBTQ+ people
    Subject: Jude Patton, Rupert Raj
    Description: Jude Patton's buisness cards. Patton was a certified physican's assistant, and a marriage, family, and child counselor.

  37. Leaflet about Hampton Roads Transgender Support Group

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator:
    Date: Aug. 10, 1987
    Topics: LGBTQ+ support groups, Transgender community
    Description: A leaflet from Beverly Spires, coordinator of the Hampton Roads Transgender Support Group and Deborah Gilbert, coordinator of the Center for Gender Reassignment, providing more details on the Hampt...

  38. Letter and E-mail from Kim Elizabeth Stuart to Rupert Raj (May 20, 1994)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Stuart, Kim E.
    Date: May 20, 1994
    Topics: FtMs, Gender affirming surgery
    Subject: Kim Elizabeth Stuart, Rupert Raj
    Description: Letter from Kim Elizabeth Stuart to Rupert Raj in which she provides personal information and commented on the reception of her book, The Uninvited Dilemma. Stuart also includes an email written by...

  39. Letter and Informational Papers from Charles A. Killey to Rupert Raj (December 14, 1988)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Killey, Charles A.
    Date: Dec. 14, 1988
    Topics: FtMs, Gender affirming surgery, Health care for LGBTQ+ people, Hormone therapy (Gender), MtFs
    Subject: Charles A. Killey, Institute for Psychosexual Health, Metamorphosis, Milwaukee Transgender Program, Rupert Raj
    Description: Letter from Charles A. Killey to Rupert Raj enclosing information on the Institute for Psychosexual Health's Milwaukee Transgender Program.

  40. Letter Describing the Work of the Montgomery Foundation Inc. (May 20, 1985)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Montgomery, Jerry, Montgomery, Lynn
    Date: May 20, 1985
    Topics: FtMs, Gender affirming surgery, MtFs, Trans men, Transgender activism, Transgender people's writings, Transsexual people, Transvestites
    Subject: Jerry Montgomery, Lynn Montgomery, Rupert Raj
    Description: Response letter from Jerry M. Montgomery and co-director Lynn Montgomery from The Montgomery Foundation of The Gender Dysphoric Association to Rupert Raj. Jerry M. Montgomery offers personal life a...

  41. Letter from Alex to Rupert Raj (February 6, 1989)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Alex
    Date: Feb. 6, 1989
    Topics: FtMs, Gender affirming surgery, Trans men, Transgender people
    Subject: Rupert Raj
    Description: Letter from Alex to Rupert Raj asking for information on gender affirming care and penile prostheses.

  42. Letter from Alice Webb to Rupert Raj (July 7, 1994)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Webb, Alice
    Date: Jul. 7, 1994
    Topics: Gender affirming surgery, Health care for LGBTQ+ people, Medical care
    Subject: Alice Webb, Harry Benjamin, International Gender Dysphoria Association, Rupert Raj
    Description: Letter from Dr. Alice Webb to Rupert Raj discussing discrimination against non-heterosexual transgender patients.

  43. Letter from Alise Martinez to Rupert Raj (June 16, 1983)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Martinez, Alise
    Date: Jun. 16, 1983
    Topics: Transgender activism
    Subject: Alise Martinez, Gender Serve, Metamorphosis, Rupert Raj, Susan Huxford, TS Counseling
    Description: Letter from Alice Martinez, Director of TS Counseling, accepting a position on the Metamorphosis Professional Board of Advisors and offering Rupert and Susan Huxford board positions in TS Counselin...

  44. Letter from Allison Calder (1994)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Calder, Allison
    Date: 1994
    Topics: Gender affirming surgery, MtFs, Trans women, Transgender people
    Subject: Rupert Raj
    Description: Letter from Allison Calder reaching out to a clinic in Utah asking for help with her gender-affirming surgery. On the second page are 4 different pictures of her.

  45. Letter from Amy E. Burns to Rupert Raj (1978)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Burns, Amy E.
    Date: 1978
    Topics: FtMs, Gender affirming surgery, Trans men, Transgender people
    Subject: Rupert Raj
    Description: Letter from Amy E. Burns, coordinator at the Johns Hopkins Sexual Behaviors Consultation Unit, to Rupert Raj (formerly known as Nicholas Ghosh). Burns explains the process for being evaluated as a ...

  46. Letter from Angelo (Tony) Tornabene (March 14, 1978)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Tornabene, Angelo
    Date: Mar. 14, 1978
    Topics: FtMs, Gender affirming surgery, Phalloplasty
    Subject: Angelo Tornabene, Dorcas Tornabene, Milton Edgerton, Rev A. J. Schellas, Rupert Raj, Stanford University, The Labyrinth Foundation Counseling/Gender Service, Inc., Virginia Medical Center
    Description: Letter from Tony detailing Dr. Milton Edgerton's (of University of Virginia Medical Center) phalloplasty services. The letter provides details regarding the phalloplasty technique, as well as the c...

  47. Letter from Angelo Tornabene to Friends (1974)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Tornabene, Angelo
    Date: 1974
    Topics: FtMs, Trans men, Transgender activism
    Subject: Angelo Tornabene, Mario Martino, Rupert Raj
    Description: Letter from Angelo Tornabene to possible phalloplasty patients regarding info on what the surgery looks like and easing fears that may be lingering about it.

  48. Letter from Barbara Palmer Litchfield to the Co-Founder of the Foundation for the Advancement for Canadian Transsexuals (April 21, 1982)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Palmer-Litchfield, Barbara
    Date: Apr. 21, 1982
    Topics:  
    Subject: Metamorphosis
    Description: A brief letter that mentions Metamorphosis and includes information on the services that Barbara and her organization, the Interpersonal Change Activists Network, might be able to provide.

  49. Letter from Betty Steiner to Dr. Leonard Hughes (August 12, 1985)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Steiner, Betty W.
    Date: Aug. 12, 1985
    Topics: Gender affirming surgery, MtFs, Trans women, Transgender community
    Subject: Rupert Raj
    Description: Letter from Betty Steiner to Dr. Leonard Hughes informing Hughes that Dr. Lindsay will no longer be performing vaginoplasties. Steiner notes that The Ontario Health Insurance Plan almost always onl...

  50. Letter from Beverly Butcher to Rupert Raj (August 13, 1986)

     
    Collection: Rupert Raj Collection
    Institution: The ArQuives
    Creator: Butcher, Beverly
    Date: Aug. 13, 1986
    Topics: Gender affirming surgery, Health care for LGBTQ+ people
    Subject: Rupert Raj, Webb Medical Corporation
    Description: Letter from Beverly Butcher to Rupert Raj informing him that Dr. Harry E. Webb will no longer be performing gender-affirming surgery. Second page is an image of the envelope.