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Sam Smith Opens Up About Body Image, Gender

smith-1.9013634 NEW YORK, NY - NOVEMBER 08: Singer-songwriter Sam Smith attends the iHeartRadio album release party with Sam Smith presented by Ulta Beauty at the iHeartRadio Theater New York on November 8, 2017 in New York City. (Photo by Dimitrios Kambouris/Getty Images for iHeartRadio) (Dimitrios Kambouris / Getty Images)

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Sam Smith has revealed he underwent liposuction as a child and even considered gender-reassignment surgery.

Appearing on an episode of Jameela Jamil’s Instagram series I Weigh Interviews, the 26-year-old singer opened up about his struggles with body image. He recalled being bullied because he had “breasts.”

“I had liposuction, I was 12 years old,” Smith said. “At the time I think I was very happy about it. It didn’t really change anything. I think I put the weight back on in two weeks because I hadn’t figured out my relationship with food, so it didn’t really change anything.

“But being 12 years old and having liposuction on your chest is quite a big deal.”

MORE: Sam Smith Opens Up About Gender Fluidity

Smith said he gains weight “in places that women put on weight,” which makes him question his gender. “Maybe I’m not a man, maybe I’m not a woman, and maybe that’s okay,” he said.

“I am not male or female. I think I float somewhere in between — somewhat on the spectrum.”

The singer admitted he thought about transitioning. “I’ve sometimes sat there and questioned, do I want a sex change?” Smith said. “It’s something I still think about, but I don’t think it is.”

On Instagram, Smith said his conversation with Jamil, which he taped months ago, “completely changed my life.”

He said: “Being able to talk so openly about my body issues and feeling so safe whilst doing it was truly liberating … It took a lot for me to do this and I was so nervous, so please be kind haha. I really hope this can make someone else who feels like me, a little less lonely and a little less alien.”