He says he has been involved in gender surgery for about seven years, although it comprises only about 4 percent to 5 percent of his medical practice. So when Kim was referred to him, he treated it as he would any other case. When he was asked to videotape the surgery, he had no problem with that—it's apparently not an unusual request. He got nervous when he found out about the plans to broadcast the operation over the Internet and charge viewers a fee.