Sex Change Surgery

What is Sex Change Surgery?

The majority of people never even think about sex change surgery, because they breeze through life without ever questioning their sexual identity. They are born as a biological boy or girl and then move through life comfortable in that identity. To be sure, there are guys who are higher on the testosterone scale than others and girls who are more into dolls than soccer (and vice versa) but for the most part they don’t question their roles in life.

However, a small minority of the population realizes, very early in life, that something is profoundly wrong. They may have been born a boy, but on the inside they know that they are a girl. Unfortunately, they grow up trapped inside the body of a boy — who becomes a man. The shame and secrecy that, for so long, characterized the subject of questioning sexual identity keep them from discussing this with anyone for a number of years, unless they are fortunate enough to grow up within a tolerant family. Many, though, end up moving into adulthood still trapped in the body of a person that they are fundamentally not.

The same experience, of course, happens to some boys who grow up inside the body of a girl to become — physiologically — a woman, while on the inside they feel like a man. The sensations are just as confusing on this side of the gender line as they are on the other. For centuries, people simply had to deal with the confusion their entire life.

But then, in 1931, things changed, when the first sex change surgery took place, and a German man underwent a vaginoplasty and became — physiologically — the woman he had always known himself to be. Back then, of course, the technology was rudimentary in comparison to what it represents today. Now there are a wide variety of aesthetic accompaniments to genital reconstruction. A biological man who identifies as a woman can now have breast implants (saline or silicone), buttock implants, calf implants and surgery to feminize the appearance of his face. A biological woman who identifies as a man has two different ways to get a phallus on his new body. He can have his breasts removed, and in the reverse process as the MTF patient, he can have his facial features altered to make himself look more masculine. Testosterone therapy removes many of the soft curves that are typical with the female anatomy.

Of course, no two sex change surgery stories are the same. Some FTM (female to male) patients feel complete without having a phallus attached — simply going through a hysterectomy and a mastectomy is enough. For others, it’s necessary to have facial features changed in order to feel like they truly look like the woman they see inside themselves. Some MTF patients want their penises removed, while others are happy with cosmetic procedures on the top half of their bodies, using hormones and implants to have breasts and cosmetic procedures to make their faces look more like a woman’s.

The bottom line is this: if you identify as the opposite gender of your physiology, and you are ready to undertake the transition journey so that you can live as the gender you identify, then is the place to begin. You can learn all about the process of changing, beginning with hormone therapy and counseling, moving on to living as the gender that you identify and finally progressing to the surgical process. All of the benefits — and all of the potential pitfalls — are there to help you make the best decision for your personal situation. The surgeon directory on is here to help you find a provider who, once you two meet, clearly understands what you want to do and has the skill to help you do it.

For more information, click here to search for a sexual reassignment surgery (SRS) doctor.