Pullman, Washington, doesn't get much attention: Trivia buffs might know the city was named for railroad industrialist George Pullman, in the hope that he'd run a rail line through the city. (It went to Spokane instead.) Those deep in the weeds of President Donald Trump's cabinet might know that Secretary of Defense James Mattis was born in Pullman. Apart from those who know that Washington State University is there, Pullman is pretty much under the radar.

Comes now The Washington Post to help change that. Pullman, you see, has jumped into the vanguard of sex-change surgery, technically known as "Vaginoplasty," in which a male's genitals (and nerve endings thereof) are rearranged into a, well, you know.

I'll cut to the journalistic chase: The Washington Post has effectively decided who's right and who's wrong in this story. We can tell from the headline: "A small-town doctor wanted to perform surgeries for transgender women. He faced an uphill battle." Read the opening paragraphs, and the "angle" should be clear:

The surgeon had spent several years preparing -- reading medical journals, finding someone to train him, practicing on cadavers -- until only one hurdle remained: getting permission for the medical procedure he wanted to bring to this small community on the Washington-Idaho border.

“Vaginoplasties,” Geoff Stiller remembered telling the CEO of Pullman Regional Hospital, referring to the surgical construction of vaginas for transgender women. “I want to do them at your hospital.”

Nine months later, Stiller looks back on that conversation as a final moment when his request still seemed like an easy one. Nobody yet had cited Bible verses or argued that culture was blurring the line between men and women. Another doctor at Pullman hadn’t yet sent an email to eight co-workers, who forwarded it around the hospital, with the subject line “Opposition to Transgender Surgery at PRH.” The hospital hadn’t yet received hundreds of letters from the community. Stiller hadn’t yet lost 20 pounds from the stress, nor had he yet anticipated that his request might turn for him into something more -- a fight not just over a surgery, but over what he’d later call a “moral issue.”

This is a long article, even by Post standards.