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Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy HRTand, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgerybreast augmentationand various other procedures.

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The majority of patients who undergo male to female sex-change surgery are happy with the results, despite the fact that complications are common, according to a study of over patients in the September issue of the urology journal BJU International. A research team from the Departments of Urology and Psychiatry at University Hospitals of Leicester NHS Trust, UK, explored the initial experiences of patients who had undergone surgery and 70 who took part in detailed follow-ups. They found that 88 per cent of patients were happy with their surgery at their first post-operative clinic visit, seven per cent were unhappy and five per cent made no comment.

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Plastic surgeon Dr. Gary Alter, who has practices in both New York and Beverly Hills, explains on his website how he does the procedure. First, patients have to undergo electrolysis treatments to permanently remove their pubic hair so it doesn't grow inside the vagina.

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For most cisgender straight people, the first time they have sex makes a relative degree of sense to them. They identify with the gender they were assigned, so sex feels mostly natural and comfortable. For transgender or genderqueer people, however, this comfort is often lacking in their first sexual experiences.

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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. The operation should result in a normal appearing introitus, a vaginoplasty allowing for sexual intercourse and a sensitive clitoris.

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Surgeons use the penis and testicles to create a vagina, complete with a clitoris capable of orgasm. A gruesome and compelling video has revealed the great skill and precision involved in carrying out a male to female sex change. The animation, uploaded by the European Society of Urologyshows how a penis and testicles are used to create a vagina, complete with a clitoris capable of orgasm.

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Bradley Manning, the U. Army private who was sentenced Aug. Converting male anatomy to female anatomy requires removing the penis, reshaping genital tissue to appear more female and constructing a vagina.

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May 16, am Updated May 16, pm. A trans woman had a vagina constructed using the skin of a tilapia fish after her genitals began to shrink and close up following botched surgery. The highly complex procedure, called neovaginoplasty, used a tubular-shaped acrylic mold wrapped with the skin of the freshwater fish in the form of a biological prosthesis to rebuild and extend the vaginal canal in a three-hour operation on April

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The year-old is thrilled with the results and the pioneering surgery has given her the chance of having a sex life again. A woman has become the first transgender person in the world to undergo successful vaginal reconstructive surgery using the skin of tilapia fish. The year-old, who prefers to be identified only as Maju, underwent the procedure as her vagina began to shrink and close up following botched sex reassignment surgery.

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Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. Once the assessment has been done the correct hormones can be started. At this stage, the patient in a case of a male to female gender reassignment is counselled about sperm donation, should they wish to have their own genetic children at some point in the future. Depending on the effect of the hormones, the patient may choose to have a breast augmentation if their breast development is not sufficient.

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