Surgical Treatment of Female-to-Male Transsexuals

Abstract

Like their male-to-female counterparts, female-to-male transsexuals have a permanently and irreversibly transposed gender identity. Basically, these patients totally lack any motivation to change their gender consciousness, which is why psychotherapy directed toward this end cannot be successful. The patients are convinced that they are living in the wrong body and do their utmost to have their genital organs transformed and their sexual status changed. The transformation does not involve a change of sex, but constitutes an adjustment of the body to the psychological gender. Hormone treatment and the operation create the necessary preconditions for psychological stabilization.