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Gender Reassignment Surgery in Delhi – India

  • Shivani Tyagi
  • May 29, 2019

Gender reassignment surgery is also termed as

Gender Correction Surgery / Gender Confirmation Surgery / Sex Reassignment Surgery (SRS) / Gender Affirmation Surgery (GAS) / Sex Re-alignment Surgery or Sex-change operation.

What is Gender Correction surgery?

Gender reassignment surgery or gender correction surgery is a surgical intervention done for people with gender dysphoria.

Gender Dysphoria means gender identity disorder(GID), to elaborate it means the condition where a person feels distressed with his/her gender not matching with his/her gender identity.

Gender Dysphoria Image MTC

What is sex change operation?

The surgical procedures, which are performed to change a person’s physical appearance also function of his/ her existing sexual characteristics in order to resemble that of the other sex.

To start the treatment (Both Male To Female Or Female To Male), an accurate diagnosis is to be made. A psychiatrist diagnose the gender identity disorder or gender dysphoria.

  • Psychiatrist evaluations for Gender Dysphoria
    Usually, gender dysphoria is diagnosed in a single sitting but in few cases, it takes multiple sessions.
  • Endocrinologist evaluation
    Once the psychiatrist gives the green signal, endocrinologist comes into the role of Hormonal therapy. The first step in the treatment is hormonal therapy. In both cases Male to female (Trans woman) and Female to Male(Trans Man) hormonal therapy is done for 6 months.After completion of hormone therapy, the patient is advised to visit the psychiatrist again for the clearance of surgery.

What are the requirements or criteria for approval of Sex change Procedures:

  • The patient needs to be Major i.e, above 18 years.
  • In case the patient is married then a spouse release form must be signed properly.
  • The patient must be mentally stable.
  • A patient must be living in society as his/her desired external appearance for at least 1-year.
  • Cross consultation and opinions from two independent psychiatrists.
  • A notarized affidavit duly signed by the patient stating that he/she has taken the decision regarding the surgery.

MALE TO FEMALE TRANSITION PROCESS (TRANS FEMALE) :

male to female change image
HORMONE REPLACEMENT THERAPY :

Oestrogens help inducing feminization- physical as well as psychological.

These hormones also help in the reduction of libido and erections.

GENDER CHANGE/REASSIGNMENT SURGERY PROCESS:

The whole transition from a man to woman is accomplished through a few surgical procedures, which can be performed either in single or two stages. These procedures are listed below:

  • Penectomy – Surgical excision of the penis.
  • Bilateral orchidectomy– Surgical excision of both testicles.
  • Vaginoplasty-Creation of neo-vagina using penile skin, vagina’s depth remains as deep as a patient’s original penile length.
  • Labiaplasty -Creation of labia majora and labia minora taking scrotal skin.
  • Clitoroplasty– Creation of clitoris by a flap of the glans penis.
  • Augmentation Mammoplasty -Breast implants placement .
  • Time taken during the whole surgery: 4-5 hours
  • Length of stay in hospital – 4-5 days
  • Recovery – 4-6 weeks, sexual activity can be resumed after 3 months of surgery.

Certain cosmetic procedures like laser hair removal, a cosmetic nose job to reshape the nose, vocal cord surgery to change the voice, reshaping jawline etc.to feminize the face.

FEMALE TO MALE TRANSITION PROCESS (TRANS MALE) :

female to male transition image mtc

Female to Male is more complex and complicated procedure than Male to Female.

HORMONE REPLACEMENT THERAPY :

Androgen’s help inducing body and facial hair growth, other masculine traits like voice pitch, fat distribution, muscle mass, skin thickness, etc.

Menstruation is ceased with Hormone therapy.

GENDER CHANGE/REASSIGNMENT SURGERY PROCESS :

The whole transition from a Woman to Man is accomplished through a few surgical procedures, which are listed below:

  • Bilateral mastectomy – Surgical excision of breast
  • HysterectomySurgical removal of the uterus
  • Salpingo-oophorectomy– surgical removal of ovaries
  • Vaginectomy– surgical excision of the vagina
  • Metoidioplasty– surgery to enhance the clitoris size
  • Scrotoplasty– Creation of the scrotum with a skin of labia majora and the testicular implants are placed inside.
  • Urethroplasty– reconstruction of urethra.
  • Phalloplasty– construction of neo phallus using a neurovascular free flap from the non-dominant forearm.

Time taken during the whole surgery: 7-8 hours

Length of stay in hospital – 8-10 days

Recovery – 4-6 weeks, strenuous activity can be resumed after 3 months of surgery.

Next stage is the Placement of penile implants for penile hardness and erection. A penile implant is placed after 6-7 months of phalloplasty.

  • Time taken during the whole surgery: 1-2 hours
  • Length of stay in hospital – 1-2 days
  • Recovery – one week, sexual activity can be resumed after 2 months of surgery

CONCLUSION

As per the guidelines of The Harry Benjamin International Gender Dysphoria Association’s (HBIGDA), Gender Reassignment Surgery or sex change operation in gender dysphoria or gender identity disorder is not cosmetic nor experimental, it is effective and medically indicated.

The surgical procedures are always undertaken after making the patient understand that he/she may require one or several revisions to achieve the desired physical and functional results.

Clinical outcomes are entirely dependent on the surgical expertise of Surgery team involved in gender transition procedure also the patient’s compliance with aftercare protocols, such as regular use of dilators.

DISCLAIMER

“It is stated that patient must be very clear about the pros and cons of the of any SRS reconstructive surgery as it is completely irreversible, can never be as realistic as natural it was, and after SRS, one can never become a genetic mother or father for the whole life.”

MTC is focusing on bringing to you India’s best gender reassignment surgeons. Our priority is to provide world-class infrastructure, state of the art technology and most affordable prices.

For any assistance, you can write to us on info@medicaltreatmentcentre.com

or can contact us through Whatsapp/ Viber/call on+91 9886624303.

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