It sounds like something out of science fiction — but for some, it’s a reflection of how complex identity has become.

Across a handful of clinics in the U.S., a new and controversial procedure known as a “phalgina” is quietly being offered to non-binary patients. The surgery combines both male and female anatomy, giving patients what doctors describe as “dual genital features.” To supporters, it’s a form of personal freedom. To critics, it’s a deeply troubling medical experiment.

In traditional gender-affirming surgery, trans men or women choose one path — reconstruction or removal of existing genitalia. But the phalgina moves beyond that binary. It allows a patient to keep both, using complex surgical techniques that reshape tissue from the abdomen or groin area. Advocates say it helps people who don’t see themselves as strictly male or female finally feel at peace in their own skin. Opponents, however, warn that these operations are experimental, risky, and raise serious ethical concerns.

The debate reaches far beyond operating rooms. It’s forcing society to ask uncomfortable questions about medicine, morality, and the limits of human change. Whether viewed as groundbreaking or grotesque, one thing is certain — the world’s conversation about identity has entered uncharted territory.