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I'm going to paraphrase the HBSOC - Harry Benjamin Standards of Care

# Legal age where you live

# 12 months of HRT if not contraindicated

# 12 months of successful continuous living in new sex (no reversions)

# psychotherapy sessions as required by recommending therapists

# Know how much it costs, the hospital stays, possible complications, and required surgery/medical actions after surgery (possible use of stent, frequent gynecological visits ..) # know that there is more than one competent surgeon - For recommendations, 1 letter from a therapist for HRT, 2 for SRS (for your good.)

- SRS (and any attending) surgery is NOT minor surgery and there is potential for bad complications no matter the competency of the doctor and nurses - it is just too invasive to not have side effects

- It will not be the same as a biological/birth females anatomy, no matter how much you want it to be. BUT ... since humans vary so much there is no "average" vagina .. even biological/birth females have deformations and just different proportions - life is varied.

It's $$$$$ - and almost no healthcare providers consider it necessary so it comes out of your pocket. In Canada this is different, but I understand the wait in Canada is very long.

Biggest thing to remember - your life after WILL NOT BE EASIER overall. It complicates things but if you go into it knowing all the downfalls, that results may vary and that you are adding more problems (potential and actual) to your life then you may be ready to start down this road with your therapist's help

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16y ago

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