Gender reassignment surgery
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Gender transition: Top facts on reassignment surgery

By Harish P Monday, June 25, 2018 - 15:17
The process of moving from one gender identity to another (male to female or vice versa) is known as transitioning. Modern medical science provides two transitioning options - sex change surgery and hormone replacement therapy. Before deciding on one or the other, it is important to know the key facts.
Who needs a gender reassignment surgery?

A gender reassignment surgery enables people to change biological characteristics associated to their gender, such as breasts, vagina, penis, clitoris, testicles etc. Such changes in the physical form are needed by people who do not associate with the gender assigned to them at birth. To explain this simply, I may have been told since childhood that I am a man, but while growing up I feel that I am a woman.

However, this does not prevent my body from developing physical features of a male – penis, testicles facial hair, coarse voice etc.  So in order to achieve an identity of a woman, I may choose a medical procedure. The two most common options are a Hormone Replacement Therapy (HRT) and Gender Reassignment Surgery (also known as the sex change surgery). The process of moving from one gender identity to another is known as transitioning, and depending on the individual, a person may choose to undergo sex change surgery, HRT or neither and stay as is.


What does the surgery involve?

For transwomen (people who are born male but identify as female), this may include getting breast implants, removal of testicles, clitoris construction, and a host of other changes. For transmen (born female but identify as a male), the surgery may involve removal of breasts, removal of the vagina, construction of a penis, etc.

A transgender person may decide to undergo all or only a few changes depending on their choice, level of comfort, cost and availability of surgical options.

Do all transgender people need reassignment surgery?

The simple answer is no. It is not really necessary. Transgender refers to a broad spectrum where a person may adopt some or many of the characteristics associated with the sex they relate to. This may include cultural traits like changing their habits around dressing up, altering their body language or make physical changes to their biological organs.

Transgender people who wish to undergo a sex change surgery are called transsexuals. Some transgenders do not really have a desire to undergo a sex change operation while few others cannot either afford the surgery or do not undertake it for other reasons.


Are reassignment procedures easily accessible?

Several trends suggest that more people are undergoing sex-change operations than ever before. In India, sex change surgeries are fairly accessible, especially in the cities. Both government and private hospitals offer sex change surgeries.

While the availability is not so much of a problem, the high costs (which run into several lakhs of rupees) do pose a problem for people coming from less privileged backgrounds. While it is more economical for foreign nationals to get their surgeries done in India, the story is different for India’s own transgender people, given the gaps in standards of living.

What are the benefits of a sex change surgery?

Generally speaking, gender reassignment surgeries help the transsexuals live a fuller and more meaningful life as they feel closer to the gender they associate with. This means less emotional stress and a healthier sex-life too. It prevents a host of other social and emotional problems that come with living in a body you don’t identify with!

What about the risks?

Just like any other medical procedure, sex change surgeries too carry risks. These include loss of ability to reproduce and psychological changes that may be difficult to adapt to. Other possible post-surgery complications include hematoma (collection of blood outside blood vessels) and nipple necrosis (death of cells around the nipples) etc.

That is why it is a prescribed protocol to ensure that the patient is indeed someone who cannot identify with their biological sex at all before the doctors go ahead with the surgery. Further, the patients are required to follow strict post-surgery advice to recover from the stress of the surgery.


Transitioning is a complex process, and sex surgery is only a part of it. It will always depend on you at what age you want to transition, how you want to transition and how much you want to transition. You get to decide what's best for you. The key is to have an open and honest dialogue with the doctors involved, who will help you guide through this process and not be ashamed to seek help.

*To protect the identity, person/s in the picture is/are models.

Do you have more questions on sex change surgery? Ask Love Matters (LM) on our Facebook page or consult ask LM experts on our discussion forum.

About the author: Harish Pedaprolu is a writer and academic based out of Mumbai, India. He has been writing and editing content for the last 6 years. He has also been researching and teaching philosophy at the university level for the past 5 years. He can be reached out on LinkedIn, Facebook and Instagram.

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The only thing I should have been concerned about is cell-nipple-death? ... what? Whoever wrote this, and to this entire site, you should be ashamed of yourselves. I hope no one who is actually seriously considering hurting themselves like this reads this article. I have been through horrors you can't fathom because people were too cowardly to tell me the truth. shame. you should be absolutely ashamed.
Hi BD, We understand your concerns. This was just one of the concerns. As already mentioned in the article - transitioning is a complex process and sex surgery is only a part of it. The complications are there, there is no denying to it but they will always depend on you at what age you want to transition, how you want to transition and how much you want to transition. You get to decide what's best for you. The key is to have an open and honest dialogue with the doctors involved, who will help you guide through this process and talk about possible complications depending on the person's requirements. Thank you! If you would like to join in on a further discussion on this topic, join our discussion board, "Just Ask”
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