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Sex reassignment surgery SRSalso known as gender reassignment surgery GRS and several other names, is a surgical procedure or procedures by which a transgender person's physical appearance and function of their existing sexual characteristics are altered to resemble that socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender.

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You have decided that you are transsexual, or at least transgendered in some way, and that in order to live your life you must dramatically change your body. However you came to this decision, the impulse to act is strong, and now you want to know how to actually accomplish the task, either partially, or in full, to completion. You need to understand a few things first.

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Archives of Sexual Behavior. Clinical data from two cases of male transsexualism, a child and an adult, illustrate the nature of the bisexuality typical of such patients. The first, an 8-year-old boy whose desire to be a girl is seen in his constant dressing and acting like a girl, confirms in play therapy, story telling, and drawings his fantasies of being a female. However, these fantasies are never free of the knowledge that he has a penis and a male identity as well.

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Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance including hormone replacement therapy and other sex reassignment therapies to help them align their body with their identified sex or gender. Transsexual is a subset of transgender[1] [2] [3] but some transsexual people reject the label of transgender. Norman Haire reported that in[10] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeldwhich ended in with a successful genital reassignment surgery.

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The term autogynephilia auto for self, gyne for female, philia for desire, often shortened AGP refers to a psychological condition in which a man usually heterosexual derives sexual or even "romantic" pleasure from the fantasy of being female. The term was coined by psychologist Ray Blanchard after working with and studying many transsexual patients. While not being the only reason for wanting to become a male-to-female MtF transsexual or claiming to "identify as a woman," autogynephilia seems to be exhibited by a great deal of transwomen.

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