Many patients perceive the outcome of the surgery as not only medically but also psychologically important. Sydney: Harper Collins Publishers. However, the meaning of "sex reassignment surgery" has been clarified by the medical subspecialty organization, the World Professional Association for Transgender Health WPATHto include any of a larger number of surgical procedures performed as part of a medical treatment for "gender dysphoria" or "transsexualism".
Part of a series on. Alternative local standards of care exist, such as in the Netherlands, Germany, and Italy. NewsEquestrian Canada.
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In Berlin in , Dora Richter , became the first known transgender woman to undergo the vaginoplasty  surgical approach. There are some transsexual individuals, however, who reject the term transgender; these individuals view transsexualism as a treatable congenital condition.
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