For trans men, these may include mastectomy removal of the breasts and chest reconstruction the shaping of a male-contoured chest , or hysterectomy and bilateral salpingo-oophorectomy removal of ovaries and Fallopian tubes. However, these are counted upon the procedures and surgical tricks which are used to preserve the sensitivity. Standards of care[ edit ] See also: Medical considerations[ edit ] People with HIV or hepatitis C may have difficulty finding a surgeon able to perform successful surgery. In these studies, most of the patients have reported being very happy with the results and very few of the patients have expressed regret for undergoing sex reassignment surgery.
For trans men, genital reconstruction may involve construction of a penis through either phalloplasty or metoidioplasty. 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. According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation Moreover, trans men also had a lower sexual satisfaction with their sexual life than trans women. Persistent regret can occur after sex reassignment surgery. Letters must state that sex reassignment surgery is the correct course of treatment for the patient. Penile inversion vaginoplasty is one of the most common procedures performed in the United States. Hence, transgender people should be well informed of these risks before choosing to undergo SRS. Surgeons commonly stipulate the latter regardless of the type of operation. Most surgeons require two letters of recommendation for sex reassignment surgery. 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. In some jurisdictions legal gender change is prohibited in any circumstances, even after genital or other surgery or treatment. Many surgeons operate in small private clinics that cannot treat potential complications in these populations. Please help improve this section by adding citations to reliable sources. Hence, they were frigid and not enthusiastic about engaging in sexual activity. For both trans women and trans men, genital surgery may also involve other medically necessary ancillary procedures, such as orchiectomy , penectomy , mastectomy or vaginectomy. 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. In these studies, most of the patients have reported being very happy with the results and very few of the patients have expressed regret for undergoing sex reassignment surgery. 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. Alternative local standards of care exist, such as in the Netherlands, Germany, and Italy. 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. Potential future advances[ edit ] See also: They also normally function well both socially and psychologically. Medical considerations[ edit ] People with HIV or hepatitis C may have difficulty finding a surgeon able to perform successful surgery. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress.
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