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The search for publications intentionally identified only studies reported in English or German. Studies of trans persons who were under age were excluded too. During the study selection process we excluded according to the mentioned criteria those studies that were not able to contribute to answering our research question figure.

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Also known as sex change or gender reassignment surgery, sex reassignment surgery is a procedure that changes genital organs from one gender to another. In both cases, technical considerations favor successful conversion to a female rather than a male. Newborns with ambiguous organs will almost always be assigned to the female gender unless the penis is at least an inch long.

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Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter anatomical traits to provide physical traits more comfortable to the trans man's male identity and functioning. Non-binary people assigned female at birth may also have these surgeries. Often used to refer to phalloplastymetoidoplastyor vaginectomysex reassignment surgery can also more broadly refer to many procedures an individual may have, such as male chest reconstructionhysterectomyor oophorectomy .

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Let friends in your social network know what you are reading about. At first I was giddy for the fresh start. But hormones and sex change surgery couldn't solve the underlying issues driving my gender dysphoria.

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Male-to-Female MtF gender affirmation surgery GAS comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all MtF transsexual patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between and

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Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy HRTand, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgerybreast augmentationand various other procedures.

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Lee Harries was born Debbie Karemer but after years of struggling with his sexual identity — he asked for gender reassignment aged The now year-old claims he began private testosterone treatment one day later and had his breasts removed after just three months — starting an year journey to become a man. Mr Harries said he is speaking out about gender reassignment reversal in a bid to encourage others to seek talking therapy before surgery.

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Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. Once the assessment has been done the correct hormones can be started. At this stage, the patient in a case of a male to female gender reassignment is counselled about sperm donation, should they wish to have their own genetic children at some point in the future. Depending on the effect of the hormones, the patient may choose to have a breast augmentation if their breast development is not sufficient.

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Bruce Jenner and Diane Sawyer could benefit from a history lesson. I know, because I suffered through "sex change" surgery and lived as a woman for eight years. The surgery fixed nothing — it only masked and exacerbated deeper psychological problems.

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Sex reassignment surgery SRSalso known as gender reassignment surgery GRS and several other names, is a surgical procedure or procedures by which a transgender person's physical appearance and function of their existing sexual characteristics are altered to resemble that socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender.

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