Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in their new sex. As late astransgender people that have undergone SRS can change their sex on legal documents. The Journal of Sexual Medicine. 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.
This means that they are unable to bear children or menstruate until a uterus transplant is performed, and that they will need to remain on hormone therapy after their surgery to maintain female hormonal status.
Sex reassignment surgery (male-to-female)
Retrieved 1 August From Wikipedia, the free encyclopedia. These included requirements of at least 2 years of psychotherapy before health insurance was obligated to cover the cost of SRS   and inability to procreate. In addition to SRS, patients may need to follow a lifelong course of masculinizing or feminizing hormone replacement therapy. Some MTF individuals may elect to have voice surgery, altering the range or pitch of the person's vocal cords. In extreme cases of shortage of skin, or when a vaginoplasty has failed, a vaginal lining can be created from skin grafts from the thighs or hips, or a section of colon may be grafted in colovaginoplasty. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue.
For trans men, these may include mastectomy removal of the breasts and chest reconstruction the shaping of a male-contoured chestor hysterectomy and bilateral salpingo-oophorectomy removal of ovaries and Fallopian tubes. The best known of these surgeries are those that reshape the genitals, which are also known as genital reassignment surgery or genital reconstruction surgery GRS - or bottom surgery the latter is named in contrast to top surgerywhich is surgery to the breasts; bottom surgery does not refer to surgery on the buttocks in this context. Gender transitioning Surgical procedures and techniques Trans women Transgender and medicine. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation