@bnew that could be cross dressing in those wordings and meanings. Could also be temporary. The permanent medicine and surgeries were not around then.
Ive been on reservations, have you been on a reservation? Ive never seen anything on any reservation referencing any of what you typed.
don't think it's about surgery but how those people lived and the role they inhabited in their society.
![patrice :patrice: :patrice:](https://www.thecoli.com/styles/default/xenforo/smilies/patrice.png)
as to your second point, cultural genocide.