

- Talk to your local trans community, find multiple people who have actually had surgeries and who like their results, figure out who their surgeon was (they may have traveled to get the surgery, it’s not uncommon to have to travel).
- checkout reviews online of surgeons in your area or region, you could start here for example: https://old.reddit.com/r/TransSurgeriesWiki/wiki/srs/usa-west#wiki_arizona
- If the above two options don’t work, and you have a trans healthcare provider (like an endo overseeing your HRT), they will sometimes have a list of referrals to people in urology who accept trans patients.
I recommend seeing someone experienced in performing gender-affirming surgeries for trans patients, and who has a strong track record of good results.
I would even recommend going with a surgeon who performs vaginoplasties and who will know how to perform the orchi in a way that preserves the scrotum so you could use it for a skin graft in the future.
Sometimes surgeons don’t know to prioritize the scrotal skin for later surgeries (or just have particular methods and preferences that could conflict with future surgeons), so having a skillful surgeon who routinely performs orchiectomies before vaginoplasties on the same patients will hopefully know how to preserve and treat that area better than a generic urology surgeon who performs orchi’s on men or outside the context of trans healthcare.
Also, if you later use the same surgeon for the vaginoplasty, having had an orchi from them before creates more trust and confidence they will be able to use the scrotum as a skin graft, etc.
I don’t think the consumer is primarily responsible for determining how animal agriculture operates. Even the demand for meat and dairy was and is coercively and artificially manufactured.
(Small example: a Tyson executive uses university ag programs to setup chicken farming in rural parts of Africa, and the locals there do not eat chicken and are forced to eat chickens under the contract as a condition to get access to the capital - the goal is to setup the whole market, generate both demand and supply for chicken meat in this rural part of Africa.)
The US government uses taxes to buy up dairy and meat that was not purchased based on demand, nullifying individual vegan boycotts and artificially propping up those industries.
Veganism is not primarily helpful by reducing the demand on the individual level, but instead has found the greatest successes from lobbying governments to pass animal welfare laws and organizing protests to generate pressure and support for those laws.