Let me lay it down. I am furious with you — you who are known in the media only as the father of a disabled girl you call Ashley. You say she has the consciousness of a three-month-old. You chose a surgeon to lift her six-year-old uterus out of her body, another doctor to slice her breast buds away, and an endocrinologist to flood her with estrogen. Together they froze your daughter’s body in time, making her a perpetual child. The ethics committee at Seattle Children’s Hospital supported your decisions. You call Ashley your “pillow angel.”

In spite of my fury, the questions I have for you are all about love. You say that you love your daughter very much and that love motivated all your medical choices. Let me try just for a moment to trust your love, to accept the terms upon...

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