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The array of medically indicated surgeries differs between trans women male to female and trans men female to male. Standards of Care usually give certain very specific "minimum" requirements as guidelines for progressing with treatment for transsexualism, including accessing cross-gender hormone replacement or many surgical interventions. Patients who plan to seek medical care abroad may not divulge this activity during the consultation. A "neophallus" can be constructed using tissue from the forearm or other parts of the body that allows sexual sensation, an expensive procedure. But Kevan Wylie, chairman of the Royal College of Psychiatrists' working party on gender identity disorders, said that all of his patients' lives have drastically improved following gender reassignment surgery. For specialized articles on surgical procedures, see Sex reassignment surgery male-to-female and Sex reassignment surgery female-to-male. The development of the typical secondary sexual characteristics of their anatomical sex in transgender teenagers may result in profound depression and recurrent self-mutilation and even suicidal gestures or attempts.
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Transgender woman shares VERY graphic account of gender reassignment surgery

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Transgender Surgery: Regret Rates Highest in Male-to-Female Reassignment Operations

I will definitely be back to possibly have some other Procedures Done. In some cultures, even ancient ones, many transsexuals have voluntarily undergone surgeries to modify their bodies in such a way as to "change their sex". Kaushik corrects any issues with the previously done lousy vaginoplasty.
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