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Some people are born male and some are born female. While there are some people who are transgender, whose gender identity does not match their assigned sex. Sex change surgery, also known as gender reassignment surgery (GRS) or sex reassignment surgery (SRS) is there to help these people. This is a surgical procedure which changes the sex of a person. It changes a transgender person’s physical appearance according to there identified gender. It treats gender dysphoria in these people. This includes both feminization and masculinization surgeries. In masculinization surgery, there are two domains:
In top surgery, mastectomy is performed to remove the breasts and give your chest a more male-like contour. Bottom surgery involves increasing the length of the clitoris which is called metoidioplasty, production of a penis and scrotum which are known as phalloplasty and scrotoplasty respectively and removal of the uterus that is a hysterectomy. This surgery is not for everyone. A number of things are considered before opting for surgery. However, normal people with assigned gender can also go for this if they want to.
Before the operation, your assigned sex does not correspond to your gender identity. You suffer from gender dysphoria. You feel uncomfortable in your skin. However; after the surgery, you are a person of your desired sex. You are converted from a female to a male.
Anesthesia is given to ensure that the patient does not suffer from pain during the surgery. Top and bottom surgeries are performed differently.
Mastectomy: It is performed in two ways. In one method, an incision is given around the areola and excessive fat and breast tissue are removed through it. The skin is left as it is for a year. It retracts in this period of time. This method leaves prominent scars. In the other method, excess skin is also removed along with the tissue and fat. This leaves fewer scars. After this, male-like the contour of the chest is obtained.
In the other step, female reproductive organs which are present inside your body are removed.
Hysterectomy: Total Hysterectomy is the removal of uterus and cervix. Another surgery, bilateral salpingo-oophorectomy (BSO) is performed to remove fallopian tubes. In this way, the entire female reproductive system is eliminated from the body.
After this, procedures for the construction of male reproductive organs begin. They include,
It is a long procedure involving a number of surgeries. There is top surgery and bottom surgery. Mastectomy takes 2 to 3 hours in the operation theatre. While bottom surgery requires more time. It takes 8 to 10 hours for a female to male GRS. You should plan to stay in the area for at least 14 days after your Procedure, During this duration, your health conditions are monitored regularly and your stitches are removed after 10 to 14 days. You can go home when allowed to by your physician.
You will have to take 2 weeks off work. After 2 weeks, you can start a light activity and can go back to office work. A Patient will need more time to get back to physical work. You can start strenuous activity 4 to 6 weeks after bottom surgery. Pain killers are given in this period to deal with moderate pain. Scars take some time to fade away. It can take years after the surgery to settle both physically and psychologically.
Following points should be considered to look after you post-surgery:
According to a study, 97% of the people who went through this surgery found its results satisfactory. You need to be sure before opting for it, as it is a lifetime decision. GRS is mainly for the treatment of dysphoric and transgender people.
The following are some alternatives to sex reassignment surgery:
All of the methods, mentioned above are not permanent but are helpful. For permanent change, you have to go for sex reassignment surgery.
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