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Gender-affirming surgery (male-to-female)

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changed her sex designation on all of her personal file documents. In 1999, the military paid for her sex reassignment surgery. Durand continued to serve and was promoted to the rank of Warrant Officer. When she retired in 2012, after more than 31 years of service, she was the assistant to the Canadian Forces Chief Communications Operator.
1965:, who quietly performed operations from the early 1950s until 1968. In 1966, Johns Hopkins University opened the first sex reassignment surgery clinic in America. The Hopkins Gender Identity Clinic was made up of two plastic surgeons, two psychiatrists, two psychologists, a gynecologist, a urologist, and a pediatrician. 1690:, insufficient penile and scrotal skin may be available for traditional penile inversion. In such cases, peritoneal vaginoplasty remedies the issue of insufficient tissue. Peritoneal vaginoplasty can be used as a surgical revision to increase or restore vaginal depth in persons who have had a previous vaginoplasty. 2736:
The surgeon will also provide a set of vaginal dilators, used to maintain, lengthen, and stretch the size of the vagina. Dilators of increasing size are regularly inserted into the vagina at time intervals according to the surgeon's instructions. Dilation is required less often over time, but it may
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The results of a penile inversion vaginoplasty, two years after surgery. Inner labia vary aesthetically based on surgeon; here, they are very minimal. The clitoris is tactile rather than visual, another aesthetic difference by surgeon. A faded surgical scar comes up from the perineum and follows the
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In 1997, Sergeant Sylvia Durand became the first serving member of the Canadian Forces to transition from male to female, and became the first member of any military worldwide to transition openly while serving under the Flag. On Canada Day of 1998, the military changed her legal name to Sylvia and
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are generally smaller than those presented on a female. If, however, efficient hormone therapy is conducted before the patient is past puberty, the pelvis will broaden slightly, and even if the patient is past their teen years, a layer of subcutaneous fat will be distributed over the body, rounding
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Vulvoplasty is the process of constructing a neovulva from existing genital tissue. The testicles, scrotum, and penis are removed, and the glans made into a clitoris. The urethra is shortened, and the mons pubis, labia majora and minora, and urethral opening are created using scrotal and urethral
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Bowel vaginoplasty is another common vaginoplasty technique. It is also used for vaginoplasty in cisgender women. As with penile inversion vaginoplasty, the testicles and scrotum are removed, the glans made into a clitoris, and the neovulva constructed from scrotal, penile and urethral tissue.
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Vaginoplasty is the process of constructing a neovagina and neovulva from existing genital or abdominal tissue. There are multiple techniques for performing vaginoplasty. Sexual sensation is typically retained following surgery, and the self-reported rate of personal satisfaction with surgical
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surgery, which alters an individual's vocal range or pitch. However, this procedure carries a risk of impairing a trans woman's voice forever. Since estrogen alone does not alter a person's vocal range or pitch, some people take the risk that comes along with voice feminization surgery. Other
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As bowel vaginoplasty uses colon to construct the neovagina, post-operative depth is not dependent on the length of the penis prior to surgery. This makes it appropriate for individuals who have already undergone penectomy, orchiectomy, or who had a penis smaller than the desired depth of the
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1-2 times daily to prevent loss of vaginal depth. The need to dilate becomes less frequent with time, but is recommended at least once a week after the neovagina has healed completely. Having penetrative sex can affect the amount of dilation needed, but additional lubricant is required during
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approved payment for sex reassignment surgery for an active-duty U.S. military service member. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment. The procedure, which the treating doctor deemed medically necessary, was
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An individual who undergoes an orchiectomy will produce very little testosterone due to the removal of their testicles. This natural reduction in testosterone eliminates the need to take antiandrogen medication, which in turn can reduce the need to take supplemental estrogen medication.
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Breast augmentation is the enlargement of the breasts. Some trans women choose to undergo this procedure if hormone therapy does not yield satisfactory results. Usually, typical growth for trans women is one to two cup sizes below closely related females such as the mother or sisters.
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of around 0.8, and if estrogen is administered at a young enough age "before the bone plates close", some trans women may achieve a waist to hip ratio of 0.7 or lower. The pubescent pelvis will broaden under estrogen therapy even if the skeleton is anatomically masculine.
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Occasionally these basic procedures are complemented further with feminizing cosmetic surgeries or procedures that modify bone or cartilage structures, typically in the jaw, brow, forehead, nose and cheek areas. These are known as facial feminization surgery or FFS.
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Because this technique inverts the skin of the penis to form the walls of the neovagina, post-operative depth is limited by the length of the penis prior to surgery. Following surgery, a patient will need to dilate the neovagina with a
1951:. She said later, "Dr Burou rectified the mistake nature had made and I became a real woman, on the inside as well as the outside. After the operation, the doctor just said, 'Bonjour, Mademoiselle', and I knew it had been a success." 1494:
Gender-affirming surgeries for transgender women have taken place since the 16th century, though they became more notable in the 20th century. Most patients report greater quality of life and sexual health outcomes postoperatively.
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Because vulvoplasty does not create a neovagina, it is appropriate for individuals who do not wish to have vaginal sex following surgery or who are not interested in the increased aftercare routine of vaginoplasty.
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There are a variety of genital surgeries available to trans women and transfeminine non-binary people. Genital surgery can be an effective way for an individual to ease or eliminate feelings of
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neovagina prior to surgery. Unlike penile inversion vaginoplasty, the neovagina created through bowel vaginoplasty is self-lubricating and does not require further dilation once fully healed.
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Suwajo, Poonpissamai; Ratanalert, Worapon; Sooksatian, Krerkrit; Uerpairojkit, Ketchada; Dusitanond, Navipa; Chaovanalikit, Thiti; Jindarak, Sirachai; Udomsawaengsup, Suthep (2020-08-26).
1676:, which were referred to as the "Davydov" procedure or "Rothman's" method. A 2022 review states, "In the last 5 years, peritoneal flap vaginoplasty has emerged as a promising technique". 1455:, sex reassignment surgery can also more broadly refer to other gender-affirming procedures an individual may have, such as permanent reduction or removal of body or facial hair through 3087:
Castanon, Carlos Daniel Guerra; Matic, Slavko; Bizic, Marta; Stojanovic, Borko; Bencic, Marko; Grubor, Nikola; Pusica, Slavica; Korac, Gradimir; Djordjevic, Miroslav L. (August 2022).
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Orchiectomy is the process of removing the testicles from the body. It can be performed with or without removing the scrotum. An incision is made in the middle of the scrotum and the
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describes a variety of surgical procedures that alter the body to provide physical traits more comfortable and affirming to an individual's gender identity and overall functioning.
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peritoneal pull-down or pull-through (PPT), is based on neovaginal techniques documented in the 1970s and 80s for cisgender women born without a vaginal canal due to
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O'Dwyer, Cormac; Kumar, Sahil; Wassersug, Richard; Khorrami, Amir; Mukherjee, Smita; Mankowski, Peter; Genoway, Krista; Kavanagh, Alexander G. (2023-06-27).
843: 590: 3473:"Vaginal self-lubrication following peritoneal, penile inversion, and colonic gender-affirming vaginoplasty: a physiologic, anatomic, and histologic review" 4243: 4185: 4037: 763: 713: 603: 4550: 1260: 1004: 4555: 4030: 2015: 1265: 1177: 476: 100: 4809: 4732: 4560: 4432: 4253: 4128: 4090: 1270: 1167: 1080: 942: 676: 585: 72: 4821: 1184: 608: 4535: 4358: 4275: 4133: 4070: 868: 811: 686: 572: 79: 4540: 4447: 3673: 3205:
Hu, W.; Tehri, I.; Kinn, H.; Henry, A. S.; Rouanet, M.; Pop, A.; Vais, B.; Claudic, Y.; Saraoui, W.; Perruisseau-Carrier, A. (2023-11-01).
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In a small number of cases (roughly 0-5%), rectal injury can occur as an intraoperative complication. Other common complications include
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Buncamper, Marlon E.; Van der Sluis, Wouter B.; Bouman, Mark-Bram; Smit, Jan Maerten; Ozer, Mujde; Mullender, Margriet G. (July 2017).
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Buncamper, Marlon E.; Honselaar, Jara S.; Bouman, Mark Bram; Özer, MĂŒjde; Kreukels, Baudewijntje P.C.; Mullender, Margriet G. (2015).
2005: 1958:. She transitioned and had surgery in the mid-1970s, and successfully advocated to have transgender people recognized in U.S. sports. 1537:
with their natal genitals; for others, including those who do not feel strongly about their natal genitals, it can create feelings of
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Djordjevic ML, Stanojevic DS, Bizic MR (December 2011). "Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases".
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Goddard, Jonathan C.; Vickery, Richard M.; Qureshi, Assad; Summerton, Duncan J.; Khoosal, Deenesh; Terry, Tim R. (September 2007).
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Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Özer, MĂŒjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015).
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procedure is also sometimes used to reduce the cartilage in the area of the throat and minimize the appearance of the
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performed on November 14 at a private hospital, since U.S. military hospitals lack the requisite surgical expertise.
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Zurada, Anna; Salandy, Sonja; Roberts, Wallisa; Gielecki, Jerzy; Schober, Justine; Loukas, Marios (September 2018).
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van der Sluis, W B; de Nie, I; Steensma, T D; van Mello, N M; Lissenberg-Witte, B I; Bouman, M -B (2021-12-17).
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in late 1952 and being outed right afterwards. She was a strong advocate for the rights of transgender people.
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The first physician to perform sex reassignment surgery in the United States was Los Angeles-based urologist
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is responsible for developing the actual milk glands. Progesterone also rounds out the breast to an adult
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penetrative sex as the neovagina created through penile inversion vaginoplasty is not self-lubricating.
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before surgery, skin from the scrotum may also be used to construct the walls of the neovagina after
1468: 1400: 698: 648: 638: 215: 2264:"Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques" 4892: 4478: 4437: 4270: 3147:"Pedicled Peritoneal Flap Vaginoplasty in Male-to-Female Gender Affirmation Surgery: A Case Report" 1929: 1792: 1694: 1484: 1310: 1209: 947: 718: 178: 4974: 4932: 4627: 4577: 4052: 3804: 3622: 2900: 2786: 2384:Özer M, Toulabi SP, Fisher AD, T'Sjoen G, Buncamper ME, Monstrey S, et al. (February 2022). 2195: 1997: 1456: 1376: 1350: 231: 2806:"Aesthetic and Functional Male to Female Genital and Perineal Surgery: Feminizing Vaginoplasty" 4406: 4400: 4324: 4190: 3944: 3809: 3614: 3606: 3535: 3500: 3492: 3450: 3442: 3403: 3395: 3328: 3320: 3281: 3273: 3234: 3226: 3184: 3166: 3116: 3108: 3064: 3056: 3025: 3017: 2986: 2978: 2947: 2939: 2892: 2884: 2843: 2825: 2778: 2770: 2713: 2703: 2650: 2632: 2593: 2541: 2523: 2477: 2415: 2328: 2283: 2244: 2187: 2179: 1955: 1702: 1649: 1608:
of the penis is inverted to form the interior walls of the neovagina. If the patient had been
1445: 916: 910: 371: 236: 3254:"The use of peritoneum for vaginoplasty in 24 patients with congenital absence of the vagina" 1932:
was likely the most famous recipient of sex reassignment surgery, having her surgery done in
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stitched to prevent excessive bleeding. The testicles are then removed through the incision.
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Bizic M, Kojovic V, Duisin D, Stanojevic D, Vujovic S, Milosevic A, et al. (2014).
4902: 4378: 4373: 3179: 3146: 2838: 2805: 2612: 2588: 2563: 2536: 2503: 2472: 2445: 2410: 2385: 2239: 2214: 2159: 2069: 1852: 1756: 1698: 1320: 888: 883: 430: 2519: 4989: 4459: 4442: 4427: 4388: 4170: 4098: 3843: 3799: 3626: 3531: 2766: 2751:"Feminizing genitoplasty in adult transsexuals: early and long-term surgical results" 1973: 1948: 1878: 1613: 1480: 969: 952: 937: 898: 691: 633: 270: 226: 2919: 2904: 2879: 2862: 2790: 2199: 4394: 4155: 4065: 3833: 1923: 1907: 1807: 1803: 1629: 1625: 1609: 1554: 1452: 1388: 904: 567: 509: 260: 4969: 3950: 3918: 3104: 1991: 1926:
and a uterus transplant. However, she died three months after her last operation.
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was the first well-known recipient of male-to-female sex reassignment surgery, in
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lessons, are available to people wishing to speak with less masculine mannerisms.
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Rossi Neto, R.; Hintz, F.; Krege, S.; RĂŒbben, H.; vom Dorp, F. (February 2012).
1911: 1829: 1750: 1731: 1653: 1589: 1585: 1476: 1472: 1460: 1441: 773: 671: 385: 366: 340: 296: 277: 144: 35: 2401: 2230: 4383: 3889: 3874: 1987: 1962: 1944: 1940: 1680: 1621: 893: 316: 301: 3863: 3610: 3587:"Updates on feminizing genital affirmation surgery (vaginoplasty) techniques" 3496: 3488: 3446: 3399: 3324: 3301:"Updates on feminizing genital affirmation surgery (vaginoplasty) techniques" 3277: 3230: 3170: 3112: 3060: 3021: 2982: 2943: 2888: 2829: 2774: 2636: 2579: 2527: 2183: 1954:
Another famous person to undergo male-to-female sex reassignment surgery was
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is responsible for fat distribution to the breasts, hips and buttocks, while
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Penile inversion is a very common vaginoplasty technique. The testicles and
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Li, Joy S.; Crane, Curtis N.; Santucci, Richard A. (3 February 2021).
2324: 2279: 1632:, and urethral opening are created using scrotal and urethral tissue. 4897: 3895: 3721: 3253: 3006:"Formation of vagina (colpopoiesis) from peritoneum of Douglas pouch" 2863:"Gender reassignment surgery - a 13 year review of surgical outcomes" 2175: 1811: 1601: 1315: 322: 3374:
Moriarty, Christopher R.; Miklos, John R.; Moore, Robert D. (2013).
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Trans Bodies, Trans Selves: A Resource for the Transgender Community
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is grafted into a surgically created canal to form the neovagina.
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results across different vaginoplasty techniques is very high.
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with their genitals post-surgery. Following the removal of the
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This technique has been reported to provide some degree of
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tissue. Unlike vaginoplasty, a neovagina is not created.
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Gender-critical or trans-exclusionary radical feminism
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in order to assimilate to female physical features.
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Female Pelvic Medicine & Reconstructive Surgery
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Female Pelvic Medicine & Reconstructive Surgery
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Female Pelvic Medicine & Reconstructive Surgery
60:. Unsourced material may be challenged and removed. 1697:. This lubrication, however, is not responsive to 1910:. She was the subject of four surgeries: one for 1679:This form of vaginoplasty utilizes tissue of the 3848: 3421:Jalalizadeh, Mehrsa; Shobeiri, S. Abbas (2018). 2562:Kim SK, Park JW, Lim KR, Lee KC (January 2017). 275: 69:"Gender-affirming surgery" male-to-female 3737: 3004:Davydov, S. N.; Zhvitiashvili, O. D. (1974). 1705:while not identical to natal vaginal fluids. 1418: 8: 2564:"Is Rectosigmoid Vaginoplasty Still Useful?" 1886:contours. Trans women usually end up with a 1873:Some MTF individuals will choose to undergo 1824:Voice therapy (trans) § Vocal surgeries 1714:However, in bowel vaginoplasty a segment of 1596:. A canal is surgically created between the 1683:to form the canal lining of the neovagina. 4474: 3744: 3730: 3722: 2508:International Brazilian Journal of Urology 1425: 1411: 131: 4996:Gender-affirming surgery (male-to-female) 3211:Annales de Chirurgie Plastique EsthĂ©tique 3178: 2878: 2837: 2644: 2587: 2535: 2471: 2461: 2409: 2238: 2016:Gender-affirming surgery (female-to-male) 120:Learn how and when to remove this message 18:Sex reassignment surgery (male-to-female) 1567:placed in a neovagina after vaginoplasty 2032: 1828:Some MTF individuals may elect to have 143: 4071:Legal recognition of non-binary gender 3466: 3464: 3344: 3342: 3200: 3198: 3140: 3138: 3136: 3134: 3132: 3130: 2160:"The evolution of transgender surgery" 3551: 3549: 3258:Archives of Gynecology and Obstetrics 3213:. 67Ăšme CongrĂšs SOFCPRE (in French). 3082: 3080: 3078: 2668: 2666: 2664: 2557: 2555: 2497: 2495: 2493: 2491: 2439: 2437: 2435: 2433: 2431: 2429: 1947:in 1958 to undergo a vaginoplasty by 1810:-5 shape and matures and darkens the 1665: 1664:Transgender peritoneal vaginoplasty, 7: 3311:(5) (published June 2023): 931–938. 2924:Plastic & Reconstructive Surgery 2350: 2348: 2129: 2127: 2125: 2123: 2097: 2095: 2093: 2091: 2089: 2064: 2062: 2060: 58:adding citations to reliable sources 3252:Tamaya, T.; Imai, A. (1991-06-01). 2726:from the original on August 6, 2020 460:Puberty-suppressing hormone therapy 3706:from the original on July 30, 2020 3299:Ferrando, Cecile A. (2022-11-24). 2006:List of transgender-related topics 25: 3585:Ferrando, Cecile A. (June 2023). 3351:"Robotic peritoneal vaginoplasty" 2520:10.1590/s1677-5538.ibju.2020.0338 1972:In 2017, for the first time, the 4968: 3532:10.1111/j.1743-6109.2011.02494.x 3349:Brandt, Ashley K. (2023-03-03). 2767:10.1111/j.1464-410X.2007.07017.x 1990: 1701:, and functions more as regular 1516: 1507: 1395: 1394: 1382: 1370: 521:Assisted reproductive technology 34: 2880:10.1590/S1677-55382012000100014 45:needs additional citations for 4369:Cisgender / cissexual 4364:Childhood gender nonconformity 3666:"The Young M.T.F. Transsexual" 3520:The Journal of Sexual Medicine 2504:"Vaginoplasty tips and tricks" 2313:The Journal of Sexual Medicine 2268:The Journal of Sexual Medicine 1686:For trans women who had their 1527:outer labia in a curved shape. 879:Cisgender / cissexual 874:Childhood gender nonconformity 500:Facial masculinization surgery 1: 4938:Social construction of gender 3105:10.1016/j.urology.2022.05.001 2965:Rothman, D. (December 1972). 1356:Social construction of gender 4418:Gender-sexuality questioning 3694:Kube C (November 14, 2017). 3641:"Vaginoplasty / Vulvoplasty" 3591:Neurourology and Urodynamics 3439:10.1097/SPV.0000000000000562 3392:10.1097/SPV.0b013e3182a11ae8 3305:Neurourology and Urodynamics 3223:10.1016/j.anplas.2023.07.007 3163:10.1097/SPV.0000000000000888 3049:Zentralblatt Fur Gynakologie 2936:10.1097/PRS.0000000000003487 2737:be recommended indefinitely. 2070:"Gender-Affirming Surgeries" 928:Gender-sexuality questioning 3672:. Australia. Archived from 2810:Seminars in Plastic Surgery 2702:Erickson-Schroth L (2014). 2568:Archives of Plastic Surgery 1877:because anatomically, male 1778:Facial feminization surgery 1772:Facial feminization surgery 1535:disconnection or discomfort 1465:facial feminization surgery 493:Facial feminization surgery 5012: 4353:Androphilia and gynephilia 4061:Gender self-identification 2617:British Journal of Surgery 2402:10.1016/j.esxm.2021.100471 2231:10.1016/j.esxm.2021.100471 1939:French actress and singer 1866: 1844: 1821: 1818:Voice feminization surgery 1790: 1775: 1748: 1729: 1552: 1489:feminizing hormone therapy 863:Androphilia and gynephilia 563:Gender self-identification 4948: 4129:Against non-binary people 3810:Non-binary or genderqueer 3010:Acta Chirurgiae Plasticae 2971:Obstetrics and Gynecology 2867:International Braz J Urol 2804:Reed, Harold (May 2011). 2450:TheScientificWorldJournal 1906:in 1930, the first being 237:Non-binary or genderqueer 2580:10.5999/aps.2017.44.1.48 2011:Gender-affirming surgery 1767:Other related procedures 1616:the hair follicles. The 1539:connection or congruence 1438:Gender-affirming surgery 682:Parental rights movement 591:Political office-holders 470:Gender-affirming surgery 27:Sex reassignment surgery 4254:Non-binary People's Day 4134:Against transgender men 3849: 3782:Bissu, Calabai, Calalai 3477:Sexual Medicine Reviews 2710:Oxford University Press 1914:, one to transplant an 1660:Peritoneal vaginoplasty 1563:Side view of a vaginal 1451:Often used to refer to 276: 209:Bissu, Calabai, Calalai 4975:Transgender portal 4928:Sex–gender distinction 4395:Gender detransitioning 4211:Anatomical terminology 3489:10.1093/sxmrev/qead015 3043:Radzuweit, H. (1980). 2822:10.1055/s-0031-1281486 2021:Uterus transplantation 1620:is shortened, and the 1568: 1377:Transgender portal 1346:Sex–gender distinction 905:Gender detransitioning 792:Anatomical terminology 4913:Queer heterosexuality 4433:Rapid-onset dysphoria 4111:Yogyakarta Principles 1977:Defense Health Agency 1562: 1553:Further information: 1331:Queer heterosexuality 943:Rapid-onset dysphoria 726:Yogyakarta Principles 4407:Gender transitioning 4359:Blanchard's typology 4281:fictional characters 4139:Anti-gender movement 4091:Rights organizations 1875:buttock augmentation 1869:Buttock augmentation 1863:Buttock augmentation 1847:Chondrolaryngoplasty 1584:are removed and the 917:Gender transitioning 869:Blanchard's typology 797:Fictional characters 743:Events and awareness 649:Anti-gender movement 54:improve this article 4893:Anti-LGBTQ rhetoric 4226:LGBTQ-related films 4203:Society and culture 3645:healthcare.utah.edu 2629:10.1093/bjs/znab213 2463:10.1155/2014/638919 2107:healthcare.utah.edu 1930:Christine Jorgensen 1793:Breast augmentation 1787:Breast augmentation 1695:vaginal lubrication 1485:breast augmentation 1440:for male-to-female 1311:Anti-LGBTQ rhetoric 856:Theory and concepts 738:Society and culture 719:Trans panic defense 4933:Sexual orientation 4239:Day of Remembrance 3270:10.1007/BF02390702 1998:Transgender portal 1888:waist to hip ratio 1835:voice feminization 1716:rectosigmoid colon 1709:Bowel vaginoplasty 1569: 1457:laser hair removal 1351:Sexual orientation 1190:Disenfranchisement 759:Day of Remembrance 660:trans-exclusionary 145:Transgender topics 4983: 4982: 4879: 4878: 4401:Gender expression 4244:Day of Visibility 3765:Gender identities 3670:The Gender Centre 3603:10.1002/nau.25088 3526:(12): 3487–3494. 3317:10.1002/nau.25088 2755:BJU International 2325:10.1111/jsm.12914 2280:10.1111/jsm.12868 2109:. 15 October 2021 2041:"Surgery Funding" 1703:vaginal discharge 1650:urinary retention 1446:non-binary people 1444:or transfeminine 1442:transgender women 1435: 1434: 1281:elected officials 911:Gender expression 764:Day of Visibility 573:Non-binary gender 539:Standards of Care 196:Gender identities 130: 129: 122: 104: 16:(Redirected from 5003: 4973: 4972: 4850: 4717: 4683: 4654: 4604: 4522: 4495: 4475: 4409: 4397: 4355: 4276:Media portrayals 4204: 3982:Gender dysphoria 3975: 3854: 3766: 3746: 3739: 3732: 3723: 3716: 3715: 3713: 3711: 3691: 3685: 3684: 3682: 3681: 3662: 3656: 3655: 3653: 3652: 3637: 3631: 3630: 3582: 3576: 3575: 3573: 3572: 3563:. 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4393: 4351: 4342: 4336: 4202: 4197: 4115: 4086:Rights movement 4047: 3999:Hormone therapy 3994:Puberty blocker 3970: 3965: 3964: 3963: 3815:Gender fluidity 3764: 3758: 3750: 3720: 3719: 3709: 3707: 3693: 3692: 3688: 3679: 3677: 3664: 3663: 3659: 3650: 3648: 3639: 3638: 3634: 3584: 3583: 3579: 3570: 3568: 3555: 3554: 3547: 3517: 3516: 3512: 3470: 3469: 3462: 3420: 3419: 3415: 3373: 3372: 3368: 3359: 3357: 3348: 3347: 3340: 3298: 3297: 3293: 3251: 3250: 3246: 3204: 3203: 3196: 3144: 3143: 3128: 3086: 3085: 3076: 3042: 3041: 3037: 3003: 3002: 2998: 2964: 2963: 2959: 2917: 2916: 2912: 2860: 2859: 2855: 2803: 2802: 2798: 2748: 2747: 2743: 2729: 2727: 2720: 2712:. p. 280. 2701: 2700: 2696: 2687: 2685: 2672: 2671: 2662: 2610: 2609: 2605: 2561: 2560: 2553: 2501: 2500: 2489: 2443: 2442: 2427: 2390:Sexual Medicine 2383: 2382: 2378: 2369: 2367: 2354: 2353: 2346: 2337: 2335: 2306: 2305: 2301: 2292: 2290: 2261: 2260: 2256: 2219:Sexual Medicine 2212: 2211: 2207: 2157: 2156: 2152: 2143: 2141: 2133: 2132: 2121: 2112: 2110: 2101: 2100: 2087: 2078: 2076: 2068: 2067: 2058: 2049: 2047: 2039: 2038: 2034: 2029: 1996: 1989: 1986: 1897: 1871: 1865: 1849: 1843: 1826: 1820: 1795: 1789: 1780: 1774: 1769: 1753: 1747: 1734: 1728: 1711: 1688:puberty blocked 1662: 1646:meatal stenosis 1638:vaginal dilator 1592:is made into a 1578: 1557: 1551: 1531: 1530: 1529: 1528: 1523: 1522: 1521: 1513: 1512: 1501: 1499:Genital surgery 1431: 1393: 1383: 1381: 1369: 1361: 1360: 1306: 1298: 1297: 1219: 1213: 1206: 1046: 991: 985: 975: 974: 965:Transmedicalism 933:Gender variance 923:Gender identity 915: 903: 861: 857: 849: 848: 788: 783: 754:Beauty pageants 745: 739: 731: 730: 687:Transgender men 662: 659: 656:Gender-critical 655: 654: 645: 595: 581:Rights movement 577: 558: 547: 546: 537: 525: 508: 505: 498: 491: 482: 475: 468: 465: 458: 441:Hormone therapy 439: 436: 429: 420: 413: 406: 402: 391: 390: 242:Gender fluidity 198: 188: 163: 160: 157: 154: 151: 126: 115: 109: 106: 63: 61: 51: 39: 28: 23: 22: 15: 12: 11: 5: 5009: 5007: 4999: 4998: 4988: 4987: 4981: 4980: 4978: 4977: 4965: 4960: 4955: 4949: 4946: 4945: 4941: 4940: 4935: 4930: 4925: 4920: 4915: 4910: 4905: 4903:Gender studies 4900: 4895: 4889: 4888: 4887: 4885: 4881: 4880: 4877: 4876: 4874: 4873: 4867: 4865: 4863:office-holders 4857: 4856: 4854: 4853: 4852: 4851: 4836: 4835: 4834: 4829: 4819: 4818: 4817: 4810:United Kingdom 4807: 4806: 4805: 4797: 4792: 4791: 4790: 4782: 4781: 4780: 4775: 4767: 4762: 4757: 4752: 4751: 4750: 4745: 4740: 4735: 4725: 4720: 4719: 4718: 4703: 4702: 4701: 4699:2016 bill C-16 4691: 4686: 4685: 4684: 4669: 4668: 4667: 4657: 4656: 4655: 4643: 4632: 4630: 4624: 4623: 4621: 4620: 4615: 4610: 4605: 4593: 4588: 4582: 4580: 4574: 4573: 4571: 4570: 4569: 4568: 4558: 4556:United Kingdom 4553: 4548: 4543: 4538: 4533: 4528: 4523: 4511: 4506: 4501: 4496: 4483: 4481: 4472: 4468: 4467: 4463: 4462: 4457: 4452: 4451: 4450: 4440: 4435: 4430: 4425: 4420: 4415: 4410: 4403: 4398: 4391: 4386: 4381: 4379:Cross-dressing 4376: 4374:Cisnormativity 4371: 4366: 4361: 4356: 4348: 4347: 4346: 4344: 4338: 4337: 4335: 4334: 4327: 4322: 4321: 4320: 4310: 4305: 4300: 4295: 4290: 4289: 4288: 4283: 4273: 4268: 4263: 4262: 4261: 4256: 4251: 4246: 4241: 4236: 4234:Awareness Week 4228: 4223: 4218: 4213: 4207: 4205: 4199: 4198: 4196: 4195: 4194: 4193: 4188: 4183: 4173: 4168: 4163: 4158: 4153: 4151:Asylum seekers 4148: 4147: 4146: 4136: 4131: 4125: 4123: 4121:Discrimination 4117: 4116: 4114: 4113: 4108: 4107: 4106: 4101: 4099:bathroom bills 4093: 4088: 4083: 4078: 4073: 4068: 4063: 4057: 4055: 4049: 4048: 4046: 4045: 4040: 4035: 4034: 4033: 4028: 4018: 4017: 4016: 4011: 4006: 3996: 3991: 3990: 3989: 3978: 3976: 3967: 3966: 3962: 3961: 3956: 3955: 3954: 3947: 3937: 3936: 3935: 3928: 3921: 3911: 3906: 3905: 3904: 3899: 3892: 3887: 3882: 3877: 3872: 3867: 3860: 3855: 3846: 3841: 3831: 3826: 3819: 3818: 3817: 3807: 3802: 3797: 3792: 3785: 3778: 3772: 3771: 3770: 3768: 3760: 3759: 3751: 3749: 3748: 3741: 3734: 3726: 3718: 3717: 3686: 3657: 3647:. 6 April 2021 3632: 3597:(5): 931–938. 3577: 3545: 3510: 3483:(3): 212–223. 3460: 3413: 3386:(5): 303–305. 3366: 3338: 3291: 3244: 3217:(5): 455–461. 3194: 3157:(8): e23–e26. 3126: 3074: 3055:(9): 519–526. 3035: 2996: 2977:(6): 835–838. 2957: 2910: 2853: 2816:(2): 163–174. 2796: 2761:(3): 607–613. 2741: 2719:978-0199325368 2718: 2694: 2674:"Vaginoplasty" 2660: 2603: 2551: 2514:(2): 263–273. 2487: 2425: 2376: 2356:"Vaginoplasty" 2344: 2299: 2254: 2205: 2170:(6): 878–886. 2150: 2119: 2085: 2056: 2031: 2030: 2028: 2025: 2024: 2023: 2018: 2013: 2008: 2002: 2001: 1985: 1982: 1956:RenĂ©e Richards 1922:, and one for 1896: 1893: 1867:Main article: 1864: 1861: 1853:tracheal shave 1845:Main article: 1842: 1841:Tracheal shave 1839: 1833:options, like 1819: 1816: 1791:Main article: 1788: 1785: 1776:Main article: 1773: 1770: 1768: 1765: 1757:spermatic cord 1749:Main article: 1746: 1743: 1730:Main article: 1727: 1724: 1710: 1707: 1699:sexual arousal 1661: 1658: 1577: 1574: 1550: 1547: 1525: 1524: 1515: 1514: 1506: 1505: 1504: 1503: 1502: 1500: 1497: 1469:tracheal shave 1433: 1432: 1430: 1429: 1422: 1415: 1407: 1404: 1403: 1392: 1391: 1379: 1366: 1363: 1362: 1359: 1358: 1353: 1348: 1343: 1338: 1333: 1328: 1323: 1321:Gender studies 1318: 1313: 1307: 1304: 1303: 1300: 1299: 1296: 1295: 1294: 1293: 1288: 1286:Cafeteria riot 1283: 1278: 1268: 1266:United Kingdom 1263: 1258: 1253: 1248: 1243: 1238: 1237: 1236: 1226: 1207: 1205: 1204: 1203: 1202: 1197: 1192: 1182: 1181: 1180: 1175: 1168:United Kingdom 1165: 1164: 1163: 1155: 1150: 1149: 1148: 1140: 1135: 1134: 1133: 1125: 1120: 1119: 1118: 1113: 1105: 1100: 1095: 1094: 1093: 1088: 1083: 1075: 1074: 1073: 1068: 1063: 1053: 1041: 1036: 1031: 1030: 1029: 1019: 1014: 1009: 1008: 1007: 1002: 987: 986: 981: 980: 977: 976: 973: 972: 967: 962: 961: 960: 950: 945: 940: 935: 930: 925: 920: 913: 908: 901: 896: 891: 889:Cross-dressing 886: 884:Cisnormativity 881: 876: 871: 866: 858: 855: 854: 851: 850: 847: 846: 841: 836: 831: 826: 825: 824: 814: 809: 804: 799: 794: 784: 782: 781: 776: 771: 766: 761: 756: 751: 749:Awareness Week 741: 740: 737: 736: 733: 732: 729: 728: 723: 722: 721: 716: 706: 701: 696: 695: 694: 689: 684: 679: 672:Discrimination 669: 668: 667: 644: 643: 642: 641: 636: 634:Bathroom bills 628: 623: 622: 621: 616: 606: 601: 594: 593: 588: 583: 576: 575: 570: 565: 559: 553: 552: 549: 548: 545: 544: 543: 542: 530: 523: 518: 513: 504: 503: 496: 489: 488: 487: 484:male-to-female 480: 477:female-to-male 464: 463: 456: 455: 454: 449: 435: 434: 431:Sex assignment 427: 426: 425: 411: 403: 397: 396: 393: 392: 389: 388: 383: 382: 381: 374: 364: 363: 362: 355: 348: 338: 333: 332: 331: 326: 319: 314: 309: 304: 299: 294: 287: 282: 273: 268: 258: 253: 246: 245: 244: 234: 229: 224: 219: 212: 205: 199: 194: 193: 190: 189: 187: 186: 181: 176: 170: 167: 166: 148: 147: 141: 140: 128: 127: 42: 40: 33: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5008: 4997: 4994: 4993: 4991: 4976: 4971: 4966: 4964: 4961: 4959: 4956: 4954: 4951: 4950: 4947: 4939: 4936: 4934: 4931: 4929: 4926: 4924: 4921: 4919: 4916: 4914: 4911: 4909: 4906: 4904: 4901: 4899: 4896: 4894: 4891: 4890: 4886: 4882: 4872: 4871:United States 4869: 4868: 4866: 4864: 4858: 4848: 4843: 4840: 4839: 4837: 4833: 4830: 4828: 4827:legal history 4825: 4824: 4823: 4822:United States 4820: 4816: 4813: 4812: 4811: 4808: 4804: 4801: 4800: 4798: 4796: 4793: 4789: 4786: 4785: 4784:South Africa 4783: 4779: 4776: 4774: 4771: 4770: 4768: 4766: 4763: 4761: 4758: 4756: 4753: 4749: 4746: 4744: 4741: 4739: 4736: 4734: 4731: 4730: 4729: 4726: 4724: 4721: 4715: 4710: 4707: 4706: 4704: 4700: 4697: 4696: 4695: 4692: 4690: 4687: 4681: 4676: 4673: 4672: 4670: 4666: 4663: 4662: 4661: 4658: 4652: 4647: 4644: 4642: 4639: 4638: 4637: 4634: 4633: 4631: 4629: 4625: 4619: 4616: 4614: 4611: 4609: 4606: 4602: 4597: 4594: 4592: 4591:ancient Egypt 4589: 4587: 4584: 4583: 4581: 4579: 4575: 4567: 4564: 4563: 4562: 4561:United States 4559: 4557: 4554: 4552: 4549: 4547: 4544: 4542: 4539: 4537: 4534: 4532: 4529: 4527: 4524: 4520: 4515: 4512: 4510: 4507: 4505: 4502: 4500: 4497: 4493: 4488: 4485: 4484: 4482: 4480: 4476: 4473: 4469: 4461: 4460:Transmisogyny 4458: 4456: 4453: 4449: 4446: 4445: 4444: 4443:Transfeminism 4441: 4439: 4436: 4434: 4431: 4429: 4428:Postgenderism 4426: 4424: 4421: 4419: 4416: 4414: 4411: 4408: 4404: 4402: 4399: 4396: 4392: 4390: 4389:Gender binary 4387: 4385: 4382: 4380: 4377: 4375: 4372: 4370: 4367: 4365: 4362: 4360: 4357: 4354: 4350: 4349: 4345: 4339: 4333: 4332: 4328: 4326: 4323: 4319: 4316: 4315: 4314: 4311: 4309: 4306: 4304: 4301: 4299: 4296: 4294: 4291: 4287: 4284: 4282: 4279: 4278: 4277: 4274: 4272: 4269: 4267: 4264: 4260: 4257: 4255: 4252: 4250: 4247: 4245: 4242: 4240: 4237: 4235: 4232: 4231: 4229: 4227: 4224: 4222: 4219: 4217: 4214: 4212: 4209: 4208: 4206: 4200: 4192: 4189: 4187: 4184: 4182: 4179: 4178: 4177: 4174: 4172: 4171:Transmisogyny 4169: 4167: 4164: 4162: 4159: 4157: 4154: 4152: 4149: 4145: 4142: 4141: 4140: 4137: 4135: 4132: 4130: 4127: 4126: 4124: 4122: 4118: 4112: 4109: 4105: 4102: 4100: 4097: 4096: 4094: 4092: 4089: 4087: 4084: 4082: 4079: 4077: 4074: 4072: 4069: 4067: 4064: 4062: 4059: 4058: 4056: 4054: 4050: 4044: 4041: 4039: 4036: 4032: 4029: 4027: 4024: 4023: 4022: 4019: 4015: 4012: 4010: 4009:masculinizing 4007: 4005: 4002: 4001: 4000: 3997: 3995: 3992: 3988: 3985: 3984: 3983: 3980: 3979: 3977: 3973: 3968: 3960: 3957: 3953: 3952: 3948: 3946: 3943: 3942: 3941: 3938: 3934: 3933: 3929: 3927: 3926: 3922: 3920: 3917: 3916: 3915: 3912: 3910: 3907: 3903: 3900: 3898: 3897: 3893: 3891: 3888: 3886: 3883: 3881: 3878: 3876: 3873: 3871: 3868: 3866: 3865: 3861: 3859: 3856: 3853: 3852: 3847: 3845: 3842: 3840: 3837: 3836: 3835: 3832: 3830: 3827: 3825: 3824: 3820: 3816: 3813: 3812: 3811: 3808: 3806: 3803: 3801: 3800:Gender bender 3798: 3796: 3793: 3791: 3790: 3786: 3784: 3783: 3779: 3777: 3774: 3773: 3769: 3767: 3761: 3757: 3754: 3747: 3742: 3740: 3735: 3733: 3728: 3727: 3724: 3705: 3701: 3697: 3690: 3687: 3676:on 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3007: 3000: 2997: 2992: 2988: 2984: 2980: 2976: 2972: 2968: 2961: 2958: 2953: 2949: 2945: 2941: 2937: 2933: 2929: 2925: 2921: 2914: 2911: 2906: 2902: 2898: 2894: 2890: 2886: 2881: 2876: 2873:(1): 97–107. 2872: 2868: 2864: 2857: 2854: 2849: 2845: 2840: 2835: 2831: 2827: 2823: 2819: 2815: 2811: 2807: 2800: 2797: 2792: 2788: 2784: 2780: 2776: 2772: 2768: 2764: 2760: 2756: 2752: 2745: 2742: 2738: 2725: 2721: 2715: 2711: 2707: 2706: 2698: 2695: 2684:on 2023-09-22 2683: 2679: 2675: 2669: 2667: 2665: 2661: 2656: 2652: 2647: 2642: 2638: 2634: 2630: 2626: 2622: 2618: 2614: 2607: 2604: 2599: 2595: 2590: 2585: 2581: 2577: 2573: 2569: 2565: 2558: 2556: 2552: 2547: 2543: 2538: 2533: 2529: 2525: 2521: 2517: 2513: 2509: 2505: 2498: 2496: 2494: 2492: 2488: 2483: 2479: 2474: 2469: 2464: 2459: 2455: 2451: 2447: 2440: 2438: 2436: 2434: 2432: 2430: 2426: 2421: 2417: 2412: 2407: 2403: 2399: 2396:(1): 100471. 2395: 2391: 2387: 2380: 2377: 2366:on 2023-09-22 2365: 2361: 2357: 2351: 2349: 2345: 2334: 2330: 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