Washington state spent MILLIONS on sex change surgeries for convicted criminals: report

The state of Washington has paid millions of taxpayer dollars to a surgeon who performed “gender-affirming” procedures on convicted criminals in prison. 

According to a report by The Daily Wire, Stiller Aesthetics, a cosmetic surgery practice led by Dr. Geoffrey Stiller, received more than $4.3 million from the Washington State Health Care Authority beginning in July 2019. The outlet noted that the database does not specify what each payment covered, but public records it reviewed indicated that some of the practice’s patients included individuals incarcerated in the Washington Department of Corrections.

Stiller Aesthetics promotes multiple “transgender” surgical offerings on its website, including facial feminization, a “non-binary” double mastectomy, and “bottom surgery.” The site also claims Dr. Stiller has performed more than 1,000 vaginoplasties and averages several procedures per week, describing him as highly sought after for male-to-female genital surgery.

The Daily Wire obtained public records linked to Washington’s corrections system showing that inmates deemed eligible for sex-change-related care could seek temporary coverage through Apple Health, the state’s Medicaid program, which provides coverage for certain transgender surgeries.

President Donald Trump issued a January 2025 executive order barring federal funds from being used for “any medical procedure, treatment, or drug” intended to change an inmate’s appearance to that of the opposite sex. However, Washington state joined a multi-state lawsuit in February 2025 challenging that order and obtained a preliminary injunction that allowed inmates in federal facilities to continue receiving such surgeries. The Daily Wire reported that payments to Dr. Stiller continued after Trump’s election, and that the state spending database showed he received more than $800,000 in 2025 alone.

Dr. Stiller drew national attention in 2017 after being allowed to perform vaginoplasties at a small-town hospital in Idaho amid community objections. It referenced a November 2017 Washington Post profile that portrayed him sympathetically and quoted him describing his work as “the right thing to do.” The article also stated that after “multiple controversies” in Idaho, Dr. Stiller later opened a new practice in Spokane, Washington, which his website described as a safer location to care for patients.

A December 2025 report by InvestigateWest described Stiller as having been arrested for drunk driving in 2021 and facing multiple medical malpractice lawsuits in recent years. The Daily Wire obtained documents showing that Stiller performed surgeries for the prison system, and internal Department of Corrections materials listed Stiller Aesthetics as a “facility contact” among gender-medicine providers and that post-operative instructions from the practice were circulated to inmates.

Records obtained by the outlet revealed an email describing an inmate experiencing chest tightness, limited range of motion, and dissatisfaction with the appearance of their chest following a “non-binary” mastectomy. Another document requested that an inmate be placed in a single cell for as long as a year following genital surgery to ensure privacy for a post-operative dilation regimen several times per day for six months to a year.

The report further alleged that in 2020, Dr. Stiller partnered with the nonprofit Genderbands, which it described as sponsoring free surgeries for teens and adolescents who could not afford them. Social media posts bearing Dr. Stiller’s logo promoted “FREE Top Surgery,” and referenced an Instagram post showing a young woman with visible mastectomy scars that credited the procedure as being provided at no charge through a sponsorship with Genderbands.