In 1954 he took a job at a United Mine Workers clinic in Trinidad, Colorado, a town where Frenchy Vosbaugh had operated a restaurant in the late nineteenth century, where Malvina Perry had been taken to court for her circus act, and just east of Segundo where Alice Baker had worked as a male teacher. Biber was the only surgeon in town, doing everything from gunshot wounds to Caesarian births to appendectomies.
He bought a small ranch and 25 head of cattle, and then expanded it. One year he took a bull to the Colorado State Fair and placed second in his class.
Biber did his first sex change surgery in 1968 for Ann, a social-worker friend who had been completing her real-life test without his realizing. Biber consulted with Harry Benjamin, who had started Ann on estrogens, and then sent to the Johns Hopkins Hospital for diagrams describing Dr. Georges Burou's technique.
Trinidad's only hospital was Mount San Rafael, a Roman Catholic hospital. After hiding the first few cases because of possible objections, Biber gave a series of lectures to the local Ministerial Alliance about the psychological needs of transsexuals and what his surgery entailed.
"Much to my amazement, there was no opposition. They were very understanding and accepting. All of a sudden, townspeople became very sophisticated and knew everything about transsexuals."However there was some reaction: a colleague resigned, in part because of the transgender surgeries, he had problems with insurance, and was admonished for poor record keeping. On the other hand the surgeries brought in almost a million dollars a year and definitely helped the hospital remain financially viable. A local was reported as saying:
"After my hysterectomy, I went to Denver, and one of my friends said, 'You didn't let that doctor do it.' And I said, 'I certainly did.' They looked at me funny. 'But he does that kind of surgery.' And I said, 'Which proves how good he is. You have to be darn good to do that.' They never thought of it that way."In the late-1970s when the Johns Hopkins Gender Clinic and others closed, Dr Biber became the major alternate source of transgender surgery in the US. Fletcher summarizes Biber's approach:
"First, patients must pass at least two psychiatric evaluations ensuring that they're not homosexuals or transvestites or simply people seeking fame and fortune on the talk-show circuit. True transsexuals, Biber says, are not attracted to members of the same sex and do not become aroused by wearing clothes of the opposite sex. True transsexuals consciously and subconsciously believe they are members of the opposite sex, trapped in the wrong body. ... Next, patients must receive hormone therapy for at least a year and live in the role of the opposite sex for the same period. If the adjustment is successful and another evaluation approved, plastic surgery is recommended. Then, and only then, will they get a consultation with Biber, who makes the final call. If he senses doubt, hesitation or confusion, which he does about 5 percent of the time, he sends patients home. As a consolation, he often performs minor cosmetic surgery first, such as an Adam's-apple reduction or breast augmentation."
He quotes the doctor:
"After doing so many of these, you develop a gut feeling. A bell will go off and you'll know something is wrong, even if they came with good evaluations. You certainly don't want to make a mistake. You've got to have a feel for if they're really worried about being a transsexual or if they're just scared of the surgery. It helps me in my own mind to know I'm doing the right thing."Dr Biber went on to do thousands of the operation, resulting in Trinidad, Colorado becoming known as the “Sex-Change Capital of the World”, and also trained other surgeons in transgender surgery. He became a celebrity and appeared on the Oprah Winfrey Show, Sally Jessy Raphael Show, Geraldo Rivera Show, the Learning Channel, the Discovery Channel, the Playboy channel and the Guinness World Records Primetime TV show.
He and his wife had seven children, he owned the largest cattle ranch in the county, and served as a Las Animas County commissioner from 1990 to 1996.
Notable patients include:
1976 Yasmene Jabar,
1978 Diane Delia,
1979 Nancy Ledins,
1980 Kay Brown,
1981 Susan Faye Cannon,
1983 Walt Heyer,
1984 Susan Kimberly,
Brenda Lana Smith,
1986 Kate Bornstein,
1991 Valerie Taylor,
1992 Claudine Griggs,
1994 Melanie Anne Phillips,
1995 Gloria Hemingway,
Dr Biber would also mention in interviews that he did the operation on twins, on three brothers from Georgia and an 84-year-old railroad engineer.
"I've got one patient married to a gynecologist, and he doesn't know: She won't tell him."He performed three reversals: The first patient, whose original operation was performed by another surgeon, proved not to be a true transsexual and developed psychological problems. The second was a renowned mathematician who succumbed to intense peer pressure. The third patient used the procedure to appear on talk shows, then decided to switch back. (Heyer?)
Dr Biber retired at the age of 80, when his malpractice insurance became too expensive, although he was able to find insurance to continue as a general practitioner. His transsexual practice was taken over by Marci Bowers.
Biber died at age 82 from complications from pneumonia, shortly after returning from a cattle drive to Texas.
- The Trinidad Experience. Seattle: Ingersoll Gender Centre 16 pp 1992.
- Michael Haederle. "The Body Builder: For 25 Years, Dr. Stanley Biber--America's Dean of Sex-Change Operations--Has Been Correcting Nature's Miscues". Los Angeles Times, January 23, 1995. http://articles.latimes.com/1995-01-23/news/ls-23267_1_stanley-biber.
- Dr Stanley H. Biber. “Current State of Transsexual Surgery: A Brief Overview”. In Bonnie Bullough, Vern L. Bullough, James Elias (eds). Gender Blending Prometheus Books. 504Pp 1997.
- Harrison Fletcher. "Sex Machine: Dr. Stanley Biber has made 3,500 women--and 300 men.". Denver Westworld, Aug 27 1998. www.westword.com/1998-08-27/news/sex-machine/full.
- Joanne Meyerowitz. How Sex Changed: A History of Transsexuality in the United States>. Cambridge, Ma, London: Harvard University Press, 2002: 272.
- Yasmene Jabar. “The Biber Girls: Alumi of Dr Stanley Biber”. The International Transsexual Sisterhood. www.the-sisterhood.net/transworldnews/id81.html. No Longer Available.
- Marci Bowers. "Stanley Biber". Transsexual Road Map. www.tsroadmap.com/physical/vaginoplasty/stanley-biber.html.
- Dennis McLellan. "Dr. Stanley Biber, 82; World Renowned Sex-Change Surgeon". Los Angeles Times, January 22, 2006. http://articles.latimes.com/2006/jan/22/local/me-biber22.
- Jay Hodges & PJ Raval (dir). Trinidad. With Stanley Biber, Marci Bowers. US 2008.