The first successful cesarean section where both the mother and baby survived was performed by Dr. James Miranda Stuart Barry, a transgender surgeon born in 1789 in Ireland, in Cape Town, South Africa, where he served as a military doctor. The child was named James Barry Munnik in his honor, and his name even became a family name, eventually having his name borne by a future Prime Minister of South Africa. Barry kept rising through the ranks as a military doctor until he was forced into retirement due to old age. After he died of dysentery, the chairwoman who laid out the dead disputed his death certificate, upon which Barry was identified as male. When Barry’s lifelong physician, Dr McKinnon, refused to pay her for this discovery, she took it to the press, and it became instant news. When confronted by the General Registrar’s Office, Dr. McKinnon essentially said “it’s not my business to discuss.”