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HBIGDA stipulates that a patient must meet the diagnostic criteria for gender identity disorders as defined by either the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) or the International Classification of Diseases-10

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Q: What evaluation is needed before gender reassignment surgery is approved?
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What steps must a candidate for gender reassignment go through prior to surgery?

Patients requesting gender reassignment surgery must undergo a lengthy process of physical and psychological evaluation before receiving approval for surgery.


What hormones are you administered before gender reassignment?

As a Male to Female transsexual I am being administered estrogen and an androgen blocker (stops testosterone) before my gender reassignment surgery. After my surgery I will have to continue to take the estrogen for the rest of my life.


What makes poor candidates for gender reassignment surgery?

If surgical candidates are socially or emotionally unstable before the operation, over the age of 30, or have an unsuitable body build for the new gender, they tend not to fare well after gender reassignment surgery.


Do transgender males have vaginas?

I am transgender female and I was born with a penis. Assuming that you understand a trans woman is a male to female transsexual. Before they have Genital Reassignment Surgery trans women have the penis that they are born with. After the surgery the tissue from the penis has been used to create a neovagina that looks and functions just as a natal females vagina. It takes an expert to recognize the difference. Trans women do not have periods and cannot get pregnant, they do not have a uterus.


What is the term that describes the services provided to a patient by the physican before surgery?

Preoperative evaluation/ management


What is the term that describes the services provided to a patient by physican before surgery?

Preoperative evaluation/ management


What responsibilities do anesthesiologists have?

providing the medical evaluation of the patient before surgery (preoperative), holding consultations with the surgical team , providing pain control and support of life functions during surgery (intraoperative), supervising care after surgery


Can a transsexual person reproduce or have children after surgery?

No, because the surgery removes the reproductive organs and does not create nor transplant new ones. Male to female sex reassignment surgery involves removing the testes and using the skin of the penis and scrotum to create a vagina. There would be no internal female sex organs. Female to male sex-reassignment involves a total chest reduction, a hystero-oophoro-salpingectomy (removal of all internal female parts), and sometimes phalloplasty to create a penis. Transsexual persons can usually reproduce before surgery, though not in the preferred role.


How long before an orchiectomy do MTF patients begin taking female hormones?

Most patients seeking MTF gender reassignment begin taking female hormones (estrogens) for three to five months minimum before requesting genital surgery.


What is a pre-op transsexual?

Pre-op refers to the fact that a person with transsexualism has not yet had surgery to change their sexual organs from what they are presently to what they will be when they are done. Surgery costs a lot of money, and psychiatrists require a year of living as a person of the opposite sex BEFORE getting the reassignment surgery, so there is always a period of time where they are caught between worlds: male parts but female appearance or female parts and male appearance. A pre-op transsexual person is someone who hasn't undergone sexual reassignment surgery. They still have the genitals they were wrongly born with. Post-op is after the reassignment surgery (they now have the parts of the sex opposite to what they were declared at birth). Most of the time, the person doesn't consider themselves transsexual anymore and simply wants to assimilate into a gender binary world.


When do you get braces after or before the evaluation?

You get them after the evaluation


What Is Laser Eye Surgery?

Consultation and Evaluation: Before undergoing LASIK, you will have a thorough examination by an ophthalmologist or an eye surgeon. This evaluation will include measuring your vision, assessing the health of your eyes, determining your eligibility for the procedure, and discussing your expectations.