Sex reassignment surgery - what is it and when is it performed?

Sex reassignment surgery is a long, multi-stage, complicated and expensive procedure. It is chosen by determined people who feel trapped in their own body. These are men who feel women and women who feel men. What are the stages of gender reassignment? What is this process and what conditions need to be treated?

1. What is gender reassignment surgery?

Sex-change operation (gender confirmation surgery) is a group of surgical procedures and part of the treatment of gender dysphoria in transgender people. This is a very complex procedure aimed at changing appearance Oraz functions of sexual characteristics those who are socially assigned to the opposite sex.

The adaptation of the body to the psyche is part of a larger process sexual transition. Complete treatment is irreversible.

People who decide to undergo gender reassignment surgery they do not accept their gender, which means the body and appearance. Figuratively speaking, they feel locked in their own body, which does not allow them to express themselves, be themselves and live in harmony with their nature. These are men who feel women and women who feel men.

2. Conditions for the operation

Sex reassignment operations are subject to a preparation procedure transsexuals for surgery. The basis for surgical sex reassignment is not only the feeling of being different and the lack of physical identification with one's gender, but also the diagnosis:

• transsexualism, i.e. gender disapproval. Then people's gender identity is violated, they identify themselves with the opposite sex and do not accept their appearance,
• intersex, also known as hermaphroditism. It has two reproductive systems (male and female), one of which begins to dominate.

In order for the sex change operation to be carried out, the person interested in it must meet many conditions. It's necessary:

• completion of psychosexual development,
• undergoing hormone therapy,
• psychological preparation of the patient and his family,
• legal regulation of the patient's status.

One of the first transsexuals to undergo a hysterectomy and gonadectomy in 1917 was Dr. Alan L. Hart. In 1931, the first transgender woman had a vaginoplasty. Dora Richter.

In Poland, the operation to change the sex to male was first performed in 1937, and from male to female in 1963.

3. What does gender reassignment surgery look like?

The gender reassignment process begins with psychological research i sexological. Diagnoses must support gender identity disorders.

Следующий шаг Laboratory Tests Oraz visual testssuch as, for example, hormone levels, EEG and computed tomography. Next step hormone therapythereby developing characteristics attributed to the opposite sex.

One year after the start of hormonal therapy, you should submit action for sex change. The parents of the adult plaintiff, as well as the spouse and children, are involved in the court. The next steps are surgical interventions for medical reasons.

4. Sex reassignment surgery from female to male

The operational change of sex from female to male is:

• mastectomy (removal of the breast),
• panhysterectomy (radical hysterectomy, i.e. removal of the body and cervix along with the top of the vagina), removal of the ovaries and fallopian tubes,
• creation of a penile prosthesis body from a flap of abdominal muscles. It is also possible to create a penis from the clitoris, which grows under the influence of testosterone. The scrotum for silicone testicular prostheses is modeled from the labia majora.

5. Male to Female Gender Reassignment Surgery

Changing gender from male to female requires:

• orchiectomy (removal of the testicle and spermatic cord),
• vaginal shaping (creating external organs without a deep vagina, meaning you can't insert your penis or create a vagina deep enough for intercourse).

When changing gender to female, actions also include:

• implant placement,
• Adam's apple removal,
• plastic surgery: cheekbones, rib cutting or laser hair removal.

What are the consequences of gender reassignment surgery? After a complete transformation, not only the sex in the physical sense changes, the woman becomes a man, and the man becomes a woman - according to the letter of the law.

6. How much does it cost to change gender?

Sex reassignment surgery is a lengthy procedure (up to 2 years), multi-stage, complex and expensive. You must be prepared to spend between PLN 15 and PLN 000. Their number depends on the scale of the changes. they are more expensive corrective procedures for gender reassignment from female to male. Treatment is carried out in major cities throughout the country. Sex change in Poland is not compensated.

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