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Usually none. People who live as the other sex and never get surgery are correctly called transgender. The term transsexual is a medical diagnosis reserved for those with the most severe gender conflict. People call themselves transgender, but doctors diagnose people with transsexualism. Transsexualism is inborn, but transgenderism is often recreational and/or chosen. Transsexual persons and transgender persons have different underlying etiologies.

As for the surgeries that people born with transsexualism undergo, it depends on what they can afford and which way they are transitioning.

The main surgery that transsexual women get to stop having transsexualism and be more like other women is penile inversion. That is where the testes are removed and the penile tissue is turned inside out and grafted inside. The scrotum is used to form the labia. They may opt for other surgeries such as breast enlargement and facial surgery.

Transgender persons who never complete transition often opt for cosmetic procedures such as breast enlargement and facial surgery.

For transsexual men, they often have a total bilateral mastectomy and a complete removal of internal female organs. They sometimes get genital surgery, but that is very expensive and unsatisfactory.

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Q: How many surgeries do transgenders go through?
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