The University of Minnesota performed sex-reassignment surgeries (as they were called at the time) on twenty-five trans women from 1966 to the mid 1970s as part of a program called the Transsexual Research Project. Helmed by psychiatrist Donald W. Hastings and surgeon Colin Markland, the project sought to alleviate the gender dysphoria of its patients through hormone treatment, psychotherapy, and surgery. At the same time, it tried to reform them into middle-class, heterosexual, conventionally respectable members of American society. Fueled by a complex mix of empathy, sensationalized concern, and pity, the project established Minnesota as the center of trans life it remains today.