A 34-year-old Canadian man who identifies as “non-binary” has won his case to have taxpayers fund an experimental surgery that will leave his penis intact while placing a constructed “neo-vagina” in the space between his penis and anus. The surgery is currently only available in Texas and could cost Canadian taxpayers upwards of $70,000.
Reduxx first reported on the bizarre legal fight in April of 2024, after the man, known only as “K.S.,” won his first challenge against the Ontario Health Insurance Plan (OHIP) at the Ontario Divisional Court.
After K.S.’s win at the divisional court last April, he took to social media to anonymously celebrate the ruling, but his Reddit account was quickly uncovered and linked back to him. His digital footprint included making sexually explicit posts on a Reddit board for “bigenital” persons. In the online posts, he claimed to be a disability advocate and that he suffered from bipolar disorder.
As previously detailed by Reduxx, K.S. also claimed to identify as a “transgender baby,” a “little” who is attracted to diapers, and as someone who is “obsessed” with urinary and bowel incontinence. He claimed that his bedroom was designed to look like the bedroom of an eight-year-old girl’s.
Several of his online posts were to an “ABDL” community. “ABDL” is an acronym for “adult baby diaper lover,” a fetish which involves participants becoming sexually aroused while acting like children or babies.
K.S. had also posted content on Reddit about experiencing suicidal ideation related to childhood abuse and inadequate mental health supports. He appears to have deleted his account after Reduxx’s exposé.
Following the 2024 ruling in K.S.’s favor, OHIP appealed the decision but has now lost their second effort to refuse his request.
The Ontario Court of Appeal has unanimously upheld the lower court ruling that granted K.S. the right to a government-funded “penile-sparing vaginoplasty.” The three judges also awarded him $23,250 in costs. The province of Ontario has the right to appeal the latest decision to the Supreme Court of Canada on or before June 23, 2025.
The man’s lawyer provided a statement to Canadian media after his win, which read: “K.S. is pleased with the Court of Appeal’s decision, which is now the third unanimous ruling confirming that her gender affirming surgery is covered under Ontario’s Health Insurance Act and its regulation.”
K.S. was assisted by Egale Canada, a self-described 2SLGBTQI charity, and the Canadian Civil Liberties Association; both groups appeared as intervenors on his behalf.
Because the province of Ontario incorporated standards of the widely-disgraced World Professional Association for Transgender Health (WPATH) into their own policies, judges from both the divisional and appeal courts have referred the radical WPATH standards in their decisions. WPATH endorses radical surgeries up to and including castration, and lists “eunuch” as a “gender identity.”
“The vaginoplasty sought by K.S. comfortably fits within the Act’s contemplation of an insured service. It is a specifically listed service in the Schedule of Benefits that has been recommended by Dr. Druce and Ms. Sela, health care providers appropriately trained in accordance with WPATH standards as contemplated by the Schedule of Benefits, and K.S. meets the requirements for prior authorization therein set out,” reads the Ontario Court of Appeal ruling.
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