After a Daily Wire report detailed how Washington state had paid him millions of dollars to carry out gender surgeries on prisoners, Dr. Geoffrey Stiller’s website suddenly disappeared. The state of Washington was willing to sue (and gain an injunction against) the Trump administration to continue providing Stiller’s gender surgeries to inmates, while Stiller dodged media scrutiny. However, Stiller could not scrub the entire internet of complaints against him, which go back years.

Washington state taxpayers paid Stiller more than $4.3 million since July 2019, according to The Daily Wire, with more than $800,000 in payments for 2025 alone. At least some of these payments were for gender reassignment surgeries, such as vaginoplasties (cosmetic genital surgery to make a man look like a woman) on prisoners. Records for one inmate estimated a year-long recovery process so intense it required single-cell confinement. At least some of the payments likely came through Medicaid, which means federal taxpayers are also subsidizing Stiller’s work.

So, what sort of man was this surgeon that Washington state went to court to protect? Lawsuits by multiple ex-employees suggest this surgeon drinks heavily, spends liberally, romances his employees, and cuts corners in his professional duties — leading to numerous botched surgeries.

According to lawsuits by two former employees, Ashley Miller and Brandy Spangler, reviewed by Investigate West, Stiller would party with his employees even on work nights, drinking until 2 or 3 a.m. and then showing up at 6 a.m. to perform surgery. Spangler said she knows of a botched face-lift that occurred after one such drinking night. Miller suspects that her own botched breast augmentation at Stiller’s hands came as the result of drink, although Stiller’s lawyers have repeatedly denied it.

The testimonies of Miller and Spangler are colored by the fact that both were fired by Stiller, giving them a good reason for axe-grinding. However, their eyewitness experience, mutual corroboration, and outside corroboration means their testimony must at least be considered.

For instance, In July 2021, Stiller spent two days in jail after blowing a .21 on a Breathalyzer (the standard legal limit is 0.08), even though he claimed he had only had “one beer.” His license was suspended, an ignition interlock was installed on his vehicle, and he spent almost a year on probation.

Miller and Spangler both allege that the office culture was one of sexual harassment and fallout from Stiller’s affairs. When Miller began working for him, the other office staff assumed she was Stiller’s latest conquest. Stiller and his wife later divorced, and court documents show that they owned five houses between them at the time. Stiller’s business brought in a lot of money, which he spent liberally on everyone around him, but not always for their good.

Miller began as a patient. But one botched surgery led to another and another. After a year, “Miller started raising the possibility of going to another doctor for a second opinion. Stiller countered with a job offer,” according to Investigate West. Stiller Aesthetics employees received free surgeries for a year, and Miller went under the knife a total of 10 times over two-and-a-half years, according to her attorney. Miller soon wanted to quit, but she had signed a contract saying she wouldn’t get the free surgeries unless she stayed for the whole year.

Before the year was up, Stiller fired Miller and demanded she pay full price for all the surgeries. Likewise, when Stiller fired Spangler, he demanded she return a large gift of money.

Miller and Spangler also alleged that Stiller’s cavalier attitude extended to his professional duties as well. Both claimed that he kept poor medical records. Spangler said he “would sometimes delay writing up his surgical notes for months, and would sometimes copy and paste notes from different surgeries with different patients.” She also said that, “on multiple occasions while she worked there, untrained employees were given the chance to deal with their anger toward men by cutting off penises during surgical procedures.” Miller and her husband were present at a birthday party where an employee who worked in the front office was given a photo of herself participating in such an amputation. According to the lawsuit, Stiller’s reaction to the photo was, “that’s awesome.”

Consistent with this picture of Stiller, he has become something of a magnet for malpractice lawsuits. In 2021, a woman named Tonya Berrueta sued Stiller after four botched surgeries led to her giving up. In 2025, a woman named Darlene Skane alleged that Stiller rushed her into an irreversible gender transition surgery without due diligence; Skane has since reidentified with her biological sex.

Two malpractice suits have already been filed against Stiller this year. On January 20, 2026, Alexiel Proxy sued Stiller, alleging “that a surgeon performed negligent facial feminization procedures resulting in permanent disfigurement, including scarring, asymmetry, cartilage necrosis and breathing difficulties, while dismissing the patient’s post-operative concerns about complications,” according to a Law.com summary. On Tuesday, February 17, 2026, Nicole Ceaser sued Stiller, alleging “that a plastic surgeon performed unauthorized hernia and buttock procedures during planned surgery, kept patient inverted for over 7 hours causing stroke and conducted operations without proper qualifications, resulting in permanent neurological damage and vision loss.”

Even when Stiller’s surgeries go to plan, they don’t necessarily make patients feel any better. When Stiller began to perform vaginoplasties in 2017, Dr. Rod Story resigned from the small local hospital rather than participate. Based on his personal communications with the nursing staff who remained and who did care for vaginoplasty patients, he told The Washington Stand that “for these patients recovery was very difficult with painful wounds, and that a number of these patients ultimately took their own lives.”

Story resigned from the hospital rather than participate in transgender surgeries because he is a committed Christian, and this made it difficult for him to find another hospital position. “We know that as we speak truth in love, as we’re faithful to what we’re called to be, which is salt and light, which is not always easy … we know that when difficulty comes its clear from Scripture we should expect that,” he reflected, “because they hated Christ first. … I will not say that was easy though. It was very hard to not be liked.”

Story was helped through the trial by the wisdom of Psalms, which his church sings, which offers a “gracious approach for how to pray for our enemies, how to pour out our needs when we feel alone or under distress, even language asking God to blunt the teeth of our enemies.” He also recalled biblical examples of perseverance in trials, such as Daniel’s friends, David, or Jesus’s disciples.

Story opened his own family medicine practice “as one of the few ways that I could find to care for my family,” which is now flourishing.

“Our goal is to cheerfully and faithfully practice medicine, consistent with good principles that are biblical, as well as good medicine that is faithful and honest,” he said. “We would be honored to care for people if they were coming out of these procedures … and they realized at the end of that road that it was breaking them and not fixing them.”

This approach to medicine may not get Dr. Story invited into the Washington prison system, but it is for the good of his patients, and for the glory of God. Perhaps Dr. Stiller may also one day come to Jesus Christ in repentance and faith and reform his practices for the glory of God.