[The surgical experience]

A fifteen years long multidisciplinary medico-surgical approach concerning more than 160 transsexual patients is reported. A very steady initial period, at least two years long, was observed before any therapeutic decision, concerning psychiatric, endocrinologic and surgical aspects. All patients were treated on behalf of the national medical board (Conseil de l'Ordre) and with the financial support of the national health service (Sécurité sociale) in public practice. The main conclusions of this study are summarized by Pr. J.P. Luton, endocrinologist, Pr. J. Breton, psychiatrist and Pr. P. Banzet, plastic surgeon.