Recidivist unlicensed surgeon John Ronald Brown, 75, was convicted in 1999 in San Diego of causing the death of an 80-year-old man who had consented to have Brown amputate a healthy leg, thus bringing to the attention of many people the mental disorder of "apotemnophilia" ("body identity integrity disorder"), which is a sexual or sexual-like gratification from the removal of a "normal" limb regarded as ugly or superfluous. Very few licensed doctors will perform the surgery, and Brown's license had been revoked 20 years earlier after botched transsexual operations, but he continued to attract patients who had no other option if they felt desperate to improve their look.











