Michael Dillon (physician) - Early Life and Transition

Early Life and Transition

Dillon's mother died of sepsis ten days after giving birth. Dillon, then physically female and known as Laura, was raised with his older brother Bobby by their two aunts in the town of Folkestone in Kent, England. He received his undergraduate education at Oxford, where he was president of the Oxford University Women's Boat Club and won a University Sporting Blue award for rowing. After graduating he took a job at a research laboratory in rural Gloucestershire.

Dillon had long been more comfortable in men's clothing and felt that he was not truly a woman. In 1939, he sought treatment from Dr. George Foss, who had been experimenting with testosterone to treat excessive menstrual bleeding; at the time, the hormone's masculinizing effects were poorly understood. Foss provided Dillon with testosterone pills but insisted Dillon consult a psychiatrist first, who gossiped about Dillon's desire to become a man, and soon the story was all over town. Dillon fled to Bristol and took a job at a garage. The hormones soon made it possible for him to pass as male, and eventually the garage manager insisted that other employees refer to Dillon as "he" in order to avoid confusing customers. Dillon was promoted to tow truck driver and doubled as a fire watcher during the Blitz.

Dillon suffered from hypoglycemia, and twice injured his head in falls when he passed out from low blood sugar. While he was in the Royal Infirmary recovering from the second of these attacks, he happened to come to the attention of one of the world's few practitioners of plastic surgery – at the time, a rare specialty maligned by most physicians. The surgeon performed a double mastectomy, provided Dillon with a doctor's note that enabled him to change his birth certificate, and put him in touch with the pioneering plastic surgeon Harold Gillies.

Gillies had previously reconstructed penises for injured soldiers and performed surgery on intersexual people with ambiguous genitalia. He was willing to perform a phalloplasty, but not immediately; the constant influx of wounded soldiers from World War II already kept him in the operating room around the clock. In the meantime Dillon enrolled in medical school at Trinity College, Dublin under his new legal name, Laurence Michael Dillon. A former tutor of Dillon's persuaded the Oxford registrar to alter records to show that he had graduated from Brasenose rather than the women's college St. Anne's, so that his academic transcript would not raise questions. Again he became a distinguished rower — this time for the men's team.

Gillies performed at least 13 surgeries on Dillon between 1946 and 1949. He officially diagnosed Dillon with acute hypospadias in order to conceal the fact that he was performing sex-reassignment surgery. Dillon, still a medical student at Trinity, blamed war injuries when infections caused a temporary limp. In what little free time he had he enjoyed dancing, but he avoided forming close relationships with women, for fear of exposure and in the belief that "One must not lead a girl on if one could not give her children." He deliberately cultivated a misogynist reputation to prevent any such problematic attachments.

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