Once again, I disagree on all counts. It should be PATENTLY obviously to anyone reading about vaginoplasty and metoidioplasty surgery whose purpose is the creation of a vagina or a penis, that it is about the vagina and genitalia in a surgical context and that therefore photos of the surgery will of necessity include photos of the vagina or the penis as is relevant to the surgical procedure. The graphic is entirely editorial, and unfairly demonstrates a bias on the part of an author that is unfair and un called for in this context. I believe such notices set a socially incorrect precedent that should be reversed. Such notices are inappropriate in a medical context. An encyclopedia for the world should not "cau tau" to the overly prudish, biased, morees of certain absurdly puritanical cultures. Regarding the citation issues, I will repeat that this article is being held to an unfair and entirely biased standard that is not at all representative of the wikipedia and does not serve either its contributors or the likely potential readers of this article about this surgeon. Most people looking for this article will already be at least marginally aware that the surgical techniques Toby Meltzer has pioneered have given him renown among his peers, patients, and potential patients. A google search on "Toby Meltzer" will reveal the countless ocassions on which Toby Meltzer, MD is asked to give public presentations on his work.  20:16, 17 September 2006.