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The transsexual: what about the future?

A Michel1, M Ansseau, J J Legros

  • 1Department of Clinical Psychology, University of Liege, Boulevard du Rectorat - B33, 4000 Liege, Belgium. aude.michel@tiscali.fr

European Psychiatry : the Journal of the Association of European Psychiatrists
|November 30, 2002
PubMed
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This review of sexual reassignment surgery indicates positive outcomes for most patients. High satisfaction rates and temporary difficulties suggest surgical transformations are beneficial for transsexual individuals.

Area of Science:

  • Medical Science
  • Psychology
  • Sociology

Background:

  • Sexual surgical reassignments have been performed since the 1950s.
  • The procedure remains controversial, necessitating objective evaluation of its outcomes.
  • Previous follow-up studies have limitations that require careful consideration.

Purpose of the Study:

  • To review the literature on the consequences of sexual reassignment surgery.
  • To objectively evaluate the relevance and outcomes of transsexual operations.
  • To consider the psychological, sexual, social, and professional futures of operated individuals.

Main Methods:

  • A comprehensive review of existing literature on sexual reassignment surgery.
  • Analysis of follow-up studies, acknowledging their methodological limitations.

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  • Examination of psychological, sexual, social, and professional outcomes post-surgery.

    • Main Results:

    • Follow-up studies generally indicate positive consequences of surgical transformations.
    • The majority of transsexual individuals report high satisfaction with their surgical intervention.
    • Reported regrets are below 1%, and suicide rates are slightly above 1%, not strongly linked to surgery.

    Conclusions:

    • Sexual reassignment surgery appears to have positive long-term effects for most patients.
    • Post-operative difficulties are typically temporary, resolving within a year.
    • Empirical evidence does not support a strong association between suicide and surgical transformation.