Gender Change

Psychological Evaluation Before Gender Change

The transformation that accompanies gender change is different for just about every patient. Not every person decides to go through the full course of Gender Reassignment Surgeries (GRS). Some choose to remain in their biological gender despite the significant discomfort that causes them. Some choose to use hormone replacement therapy only (HRT), while others choose to have some procedures done (such as a mastectomy for trans men – FTM – or breast augmentation for trans women – MTF).

Because of the wealth of choices available, most gender change treatment programs mandate that patients go through a minimum of one year of psychological evaluation and/or treatment before approving the surgery. The first step in this process is to rule out any other conditions that might be causing the patient to have distress. Some disorders such as substance abuse, repressed homosexuality, borderline personality disorder and schizophrenia have all caused people to experience discomfort with their biological gender, but dealing with those conditions causes the dissatisfaction to end.

After these other possibilities have been ruled out, the next step is to determine whether the patient is emotionally stable. There is a difference between emotional discomfort with one’s biological gender and emotional instability. The purpose of the treatment — both in its very existence as well as its longevity — is to determine whether the gender change procedure will produce the desired results. Because of the invasive nature of gender change procedures, it is important to be certain that this course will change the patient’s life for the better.

Review our website to learn more about additional gender change topics from initial consultations to the final outcome of the surgical procedures — and everything in between. To find a gender change doctor near you, visit our directory. You’ll find out about how the entire gender change process works.