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For the patient, severe pain, bruising and general discomfort for days after the male-to-female procedure are common. And the female-to-male gender-reassignment surgery is even more difficult surgically, with a longer recovery period.

This procedure provides for aesthetic and functional female genitalia in one 4-5 hour operation. The details of the procedure, the course of recovery, the expected outcomes, and the possible complications will be covered in detail during your surgical consultation.

Reproductive rights. Transgender people who have not undergone complete sex reassignment surgery are still able to procreate. However, many U.S. jurisdictions require surgery in order to change the trans person’s legal sex. This has been criticized as forced sterilization.

The 2015 U.S. Transgender Survey collected responses from individuals who identified as transgender at the time of the survey. 8% of those who had transitioned reported having ever detransitioned; 62% of that group were living as a gender other than the one assigned to them at birth at the time of the survey.

In teens and adults, symptoms may include:

• Certainty that their true gender is not aligned with their body.
• Disgust with their genitals. They may avoid showering, changing clothes, or having sex in order to avoid seeing or touching their genitals.
• Strong desire to be rid of their genitals and other sex traits.

This could be caused by additional hormones in the mother’s system or by the foetus’s insensitivity to the hormones, known as androgen insensitivity syndrome (AIS). In this way, gender dysphoria may be caused by hormones not working properly within the womb.

Dysphoria is a psychological state that is often caused by or accompanies a mental health condition. Stress, grief, relationship difficulties, and other environmental problems can also cause dysphoria. Most often, dysphoria is a mood, which means someone can have fleeting moments of dysphoria.