A lack of funds for private gender-affirming care combined with the “significant psychological stress of having breasts at an upcoming pool party, pushed him to try the surgery himself,” according to the Journal.

The trans teen prepared for the procedure by watching a how-to video on YouTube, planning ways to control the pain and bleeding, and marking out the incisions to make around his left breast.

Several hours into the home surgery, he began to worry about nerve damage and sought medical attention.

In the hospital, the teen underwent a mental health assessment before surgeons completed the left mastectomy, as well as a “symmetrizing” mastectomy on the right breast.

Doctors noted deep cuts around his entire left breast. He was reportedly released the following day.

According to a post-op report a month later, healthcare providers noted the teen’s improved mood and self-esteem.

Wow, that poor kid. I’m glad it worked out so well for him.