which he learned by
consulting diagrams and a New York surgeon. Biber attained a reputation as a
good surgeon at a time when very few doctors performed the operations. At his
peak, Biber was performing roughly four sex change operations a day, and the
term "taking a trip to Trinidad" became a euphemism for some seeking
the procedures he offered. His surgical practice was taken over in 2003 by
Marci Bowers. Biber was featured in an episode of South Park where elementary school teacher Mr. Garrison
undergoes a sex change operation. Dr. Bowers has since moved the practice to
San Mateo, California. The 2008 documentary Trinidad focuses on Marci Bowers and two of her patients
