The conditions do increase the anesthetic risk and the rate of post-operative complications. Considering the importance of genital sensitivity in helping transsexual individuals to avoid unnecessary harm or injuries to the genitals, allowing trans men to obtain an erection and perform the insertion of the erect penile prosthesis after phalloplasty ,  the ability for transsexual to experience erogenous and tactile sensitivity in their reconstructed genitals is one of the essential objectives surgeons want to achieve in SRS. At least one of these letters must be from a mental health professional experienced in diagnosing gender identity disorder, who has known the patient for over a year. For many individuals, these may require a minimum duration of psychological evaluation and living as a member of the target gender full-time, sometimes called the real life experience RLE sometimes mistakenly referred to as the real life test RLT before genital reconstruction or other sex reassignment surgeries are permitted. Surgeons commonly stipulate the latter regardless of the type of operation. Trans women who had undergone face feminization surgery have reported higher satisfaction in different aspects of their quality of life, including their general physical health. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress.
Surgeons may require overweight patients to reduce their weight before surgery, any patients to refrain from hormone replacement before surgery, and smoking patients to refrain from smoking before and after surgery. For some trans women, facial feminization surgery , hair implants, and breast augmentation are also aesthetic components of their surgical treatment. Some surgeons charge higher fees for HIV and hepatitis C-positive patients; other medical professionals assert that it is unethical to deny surgical or hormonal treatments to transgender people solely on the basis of their HIV or hepatitis status. Transgender rights Sex reassignment surgery can be difficult to obtain, due to a combination of financial barriers and lack of providers. These require additional surgery to fix and are often fixed by colorectal surgeons. The female-to-male transgender individuals reported that they had been experiencing intensified and stronger excitements while male-to-female individuals have been encountering longer and more gentle feelings. Many surgeons operate in small private clinics that cannot treat potential complications in these populations. Hence, transgender people should be well informed of these risks before choosing to undergo SRS. For trans women, genital reconstruction usually involves the surgical construction of a vagina , by means of penile inversion or the sigmoid colon neovagina technique; or, more recently, non-penile inversion techniques that make use of scrotal tissue to construct the vaginal canal. However, these are counted upon the procedures and surgical tricks which are used to preserve the sensitivity. For trans men, genital reconstruction may involve construction of a penis through either phalloplasty or metoidioplasty. The conditions do increase the anesthetic risk and the rate of post-operative complications. Standards of care[ edit ] See also: Psychological and social consequences[ edit ] After sex reassignment surgery, transsexuals people who underwent cross-sex hormone therapy and sex reassignment surgery tend to be less gender dysphoric. Trans women who had undergone face feminization surgery have reported higher satisfaction in different aspects of their quality of life, including their general physical health. Further in the future, stem cell biotechnology may also make this possible, with no need for anti-rejection drugs. Medical considerations[ edit ] People with HIV or hepatitis C may have difficulty finding a surgeon able to perform successful surgery. In consequence, transsexuals individuals who have undergone SRS are more satisfied with their bodies and experienced less stress when participating in sexual activity. October Learn how and when to remove this template message The array of medically indicated surgeries differs between trans women male to female and trans men female to male. For instance, trans men obtained a higher self-perceived health score than women because they had a higher level of testosterone than them. Most surgeons require two letters of recommendation for sex reassignment surgery. Unsourced material may be challenged and removed. They also normally function well both socially and psychologically. In some jurisdictions legal gender change is prohibited in any circumstances, even after genital or other surgery or treatment. Moreover, trans men also had a lower sexual satisfaction with their sexual life than trans women. According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation
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