he has top surgery. a double mastectomy to voluntarily remove both breasts. he starts male hormones. and he legally changes his name. but his transition still doesn't feel complete. from the waist down, eric is still, undeniably, female. when he learns about a surgery to create a penis, he decides he can't live without it. for patric, who, at 40, is now close with his four children, he's even helping raise his young grandson. the decision to have bottom surgery is purely practical. he and amy, his partner of three years, want his legal documents to say he's male. and his legal documents can't say he's male unless he has bottom surgery. >> i'm from a state that says on the birth certificate, it's a recording of your birth gender. not what you are today. so, i can absolutely never have my birth certificate changed. so, i have no choice but to get a u.s. passport. and u.s. passport says you must have a surgery.