The process of transitioning from female to male involves a combination of medical, surgical, and social changes. For many individuals, this journey is deeply personal, shaped by a desire to align their physical appearance with their gender identity.
One of the most important parts of this transformation is the sex change procedure, also known as gender confirmation surgery. Usually, it entails hormone therapy and surgical procedures that modify the body to give the appearance of a man. With assistance from medical experts who help people through the process, each step is handled cautiously.
This post will examine the ins and outs of these procedures as well as their potential to change people’s lives. Even though each person’s experience is different, knowing the steps can provide insight into this significant and intricate procedure.
Step | Description |
1. Consultation | The individual meets with doctors and therapists to discuss their goals and the medical process. |
2. Hormone Therapy | Testosterone is prescribed to induce masculine physical changes, such as voice deepening and facial hair growth. |
3. Chest Surgery | A mastectomy is performed to remove breast tissue and create a more masculine chest appearance. |
4. Genital Surgery | Procedures like phalloplasty or metoidioplasty are options to construct male genitalia. |
5. Recovery | The individual undergoes recovery and regular follow-ups to monitor healing and hormone levels. |
Known as female-to-male (FTM) surgeries, sex change operations for women who are transitioning to men entail a variety of medical procedures to alter the physical body. Typically, these surgeries involve the removal of breasts, changes to the genital area, and occasionally masculinization of the face. These actions assist in harmonizing the person’s look with their gender identity in addition to hormonal therapies. Due to the process’ complexity, extensive planning and medical assistance are needed. This article offers images to show the transformation and describes how these surgeries are carried out.
- Photos before and after sex change of famous people
- Indications for gender reassignment surgery in women
- Contraindications
- Stages of preparation for sex change in women
- How is the operation to change sex from a woman to a man performed
- Mammoplasty – removal of mammary glands
- Ovariectomy or female castration
- Vaginectomy
- Phalloplasty: where organs are taken for reconstruction
- Correction of the body and face with silicone
- Liposuction
- Hormone replacement therapy
- What do organs look like and how do they work after sex reassignment
- How much does sex reassignment surgery cost – cost, price
- Rehabilitation (recovery period) in women who have changed gender
- Possible complications in women after gender reassignment
- Life after gender change – social adaptation
- How to change gender in Russia
- Sex change in children
- Video on the topic
- Sex change surgery (animation)
- Gender reassignment in the USSR: from a Soviet woman to a Soviet man
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Photos before and after sex change of famous people
Indications for gender reassignment surgery in women
A discrepancy between physical appearance and psychological self-identification, as confirmed by medical specialists, is the primary and most significant indicator of sex change.
For a long time, a woman’s transgender status cannot be confirmed without a psychiatrist’s observation.
Contraindications
Sexual substitution should not be done if:
- Serious complex diseases of internal organs, in which any surgical intervention is impossible.
- Lack of complete patient confidence in their transsexuality.
- Pre-retirement and retirement age.
- Lesbianism.
- Alcoholism.
- Mental health disorders.
Stages of preparation for sex change in women
A woman is morally and physically prepared for the procedure that converts her from a female to a male.
On the physical front, there are:
- Observation by a psychiatrist and sexologist for 18 months. This is necessary for complete confidence in the need for intervention.
- Collection of a complete anamnesis with all kinds of tests and analyses. It is especially important that there are no neoplasms in the reproductive system.
- Hormonal therapy for 12 months. Necessary for primary masculinization.
- The moral side includes a comfortable stay in the role of a man. For this, experts advise a woman to live as a man for 6-10 months. This will help to finally decide on gender.
How is the operation to change sex from a woman to a man performed
Women’s sex change surgery is among the most challenging. As a result, surgeons separate it into multiple phases:
- Removal or correction of primary and secondary sexual characteristics. Depending on the woman"s decision, a complete or partial removal of the reproductive system organs is performed, the mammary glands are removed.
- Reconstruction of the male genital organs. Phalloplasty or metoidioplasty is performed based on the wishes and physiological capabilities of the patient.
A few clinics provide one-step procedures for sex reassignment. In addition to complete female castration and phalloplasty, they perform vaginectomy over the course of 5-7 hours of surgery. One rehabilitation period rather than multiple, at a reduced cost, is the benefit.
The drawback is a heavy load on the body. Complications are a given because so much tissue was operated on.
After being transformed into a man, a woman will have a difficult and painful recovery period.
Mammoplasty – removal of mammary glands
The total removal of glandular and lipid tissue is a characteristic of mastectomy performed on women for sex reassignment. Excess skin is removed if needed.
There are various methods for performing a mammoplasty depending on the size of the breast:
- If the breast size is AA, A – the tissue around the nipple is cut. Tissue is extracted through this opening.
- If the bust is size B, C – an incision is made under the breast, and the mammary gland is removed horizontally through it.
- If you have large breasts of size D or larger, the skin is cut vertically. Since it is necessary not only to remove fatty tissue and glands, but also to excise excess skin. As well as localize the nipple in an anatomically correct place for the male breast.
Ovariectomy or female castration
A procedure known as an ovariectomy involves removing the ovaries. It is possible to remove the fallopian tubes again. A hysterectomy is done when a woman decides she does not want to become pregnant in the future. A closed laparoscopy is used if just the ovaries are removed.
An open abdominal procedure is required if the uterus and its appendages are removed. It lasts for roughly two hours. A primary rehab session lasts four to five days.
Strict dietary guidelines, avoid overworking oneself, and observance of hygiene regulations are imperative during the at-home rehabilitation phase.
Vaginectomy
The suturing or removal of the vagina is another step in the transformation of a woman into a man.
Complete vaginal extractions are carried out under either epidural or general anesthesia. It is several hours long. The recuperation phase lasts roughly two months. Really hurtful. high possibility of difficulties.
Vaginal correction is a substitute for vaginectomy. Its walls at the front and back are stitched together. With this kind of intervention, there is less trauma and a noticeable reduction in recovery time. Surgeons recommend this correction the most frequently.
Phalloplasty: where organs are taken for reconstruction
A plastic surgeon and an andrologist work together to perform the intricate procedure known as penis reconstruction. The urethral formation is thought to be the most challenging.
The forearm region provides the material needed to create the phallus. There, the skin is thin and resembles the male penis’s cover in certain ways. This process of organ creation is known as radial.
The flap is used to create a tube that is implanted into the groin region. The tissues then regain their innervation. The andrologist makes all manual connections between arteries, veins, and nerves.
A similar operation is performed using a thoracodorsal flap.
It is feasible to create a larger neophallus in this situation, measuring 18–24 cm. The purpose of installing an erectile prosthesis is to mimic arousal.
Following phalloplasty, the installation procedure is completed independently. Healing and recuperation take time.
Correction of the body and face with silicone
Some women do not have enough mammoplasty and changes from hormonal therapy to give them a more masculine appearance. Silicone implants are used for facial and body corrections. There are:
- Chin endoprosthetics. Visually makes a woman look like a man.
- Biceps endoprosthetics. As an alternative to the gym. The effect is identical.
- Removal of Bish"s lumps. Necessary for a more structured face. In tandem with the chin, it greatly changes the face.
- Prosthetic leg replacement.
One thing that certain women lack in order to feel like a man at last when switching sexes is a scrotum. Testicles of the appropriate size are prosthetized, and it is formed from the outer labia.
Liposuction
Adipose tissue is distributed differently in men and women. Belly fat deposits are characteristic of men, while gynoid types are characteristic of women.
Liposuction aids in the rapid removal of fat deposits from the thighs and buttocks. This will give the impression of being manly. Long-term results are guaranteed if you follow a specific dietary principle and refrain from overeating after removing excess fat.
Hormone replacement therapy
The organs that produce testosterone and other male hormones are absent from the female body. Furthermore, surgically recreating them is impractical. Hormonal medications are therefore required.
Before and after the procedure, a licensed endocrinologist determines the specific dosage of the required medications. They enlarge the hands and feet, produce more facial and chest hair, and produce a lower, rougher voice. But this isn’t just required for a comfortable life in the masculine form.
After a woman becomes a man, the body starts to go through physiological attenuation processes without the right amount of hormones, which can cause fatal illnesses.
For this reason, a transgender person continues to take hormones even after having their ovaries removed. All the doctor does is change the dosage. After surgery, androgen consumption continues for the rest of one’s life.
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What do organs look like and how do they work after sex reassignment
Sex reassignment surgery has advanced to new heights in modern times. When the procedure is carried out by a skilled and knowledgeable surgeon, the penis will have a clearly distinct head and trunk and look fairly natural.
The penis will not be very sensitive. All of this is contingent upon the specific features of the body as well as the placement of the implanted tissue, though. The penis that develops from the thoracodorsal flap is thought to be the most sensitive.
Considering that the nerve and skin are transplanted together. The radiation-reconstructed penis is likewise sensitive. Because so few people have had this procedure done, no research has been done on the subject.
Only in the event of a separate procedure to introduce an erection prosthesis is neophallus erection possible. Only after full recovery from phalloplasty is the operation feasible. It costs a lot of money.
How much does sex reassignment surgery cost – cost, price
As you are aware, plastic surgery is very expensive. One of the most costly transformations is going from a woman to a man. What causes the high cost is:
- a small number of specialists capable of performing a high-quality gender change,
- a complex of operations,
- complex rehabilitation aimed at minimizing complications.
A woman’s actions determine a number of factors that affect the overall cost of floor change procedures. The primary ones’ estimated prices:
- Ovariectomy – about $ 1000;
- Mastectomy-$ 1500-2500;
- Vaginectomy – about $ 3,000;
- Phalloplasty – $ 6,000;
- Endoprosthetics of erection phalloprosthesis – from $ 1000 to $ 4,000 (depending on the type of prosthesis)
A single surgical intervention may require certain amputations and transformations, which can result in a lower overall floor cost of up to $7,000.
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Rehabilitation (recovery period) in women who have changed gender
Rehabilitation following the creation of a man from a woman, depending on multiple moments:
- Leading a calm, healthy lifestyle. Includes proper nutrition, minimal physical activity, self-treatment of sutures
- Routine examinations by a specialist, strict adherence to his recommendations.
- Take hormonal drugs, broad-spectrum antibiotics, painkillers (if necessary).
Recuperation can take up to six months, depending on the body’s unique needs.
Possible complications in women after gender reassignment
After a woman is transformed into a man, there is a very real chance of complications. This is because ectomies are extremely complex procedures. The following are typical complications:
- Inflammation of sutures.
- Infectious tissue contamination.
- Rejection of the neophallus.
- Loss of sensitivity.
- Slow healing and bleeding.
- Tissue necrosis.
There could be psychological issues. This happens as a result of the difference between the anticipated and actual outcome. One could experience a generalized unease due to the altered appearance. the wish to revert back to one’s former appearance.
This is a very uncommon complication because, prior to the gender transition, a woman uses hormones to achieve a masculine appearance for several years, prepares psychologically, and lives a man’s life.
Life after gender change – social adaptation
One of the most crucial aspects of the protracted gender transition process is social adaptation. The extreme intolerance of society for these individuals complicates things. It is impossible to fully comprehend their internal state.
Many relocate and alter their social circle in order to aid in adaption. Harsh and unkind communication with a transgender person is the cause of this. After disclosing their intentions to those closest to them, an individual may experience transphobic symptoms. It manifests as aggressive conduct, psychological violence, and denial of the verifiable facts.
Only thirty percent of transgender people reported feeling neutral or friendly toward themselves after coming out, according to studies conducted both domestically and internationally.
How to change gender in Russia
Gender reassignment surgery is only permitted in Russia following a transsexualism diagnosis.
This takes time, anywhere from one to three years, and during that time, a visit to a psychiatrist is required.
Following the diagnosis, he directs the woman to a medical commission made up of three to five medical specialists from various specialties. The commission is the only body that can recommend patients for gender reassignment surgery.
At a private clinic with authorization, payment for a commission can be made. Although this method is quicker, it costs more.
Next is a visit to an endocrinologist, who writes prescriptions for hormone treatment. The surgery is then carried out.
It is difficult to change the gender and name on your passport in Russia due to legal restrictions. There hasn’t been a sample statement that can be used to easily obtain a new passport and birth certificate as of yet. It also requires a medical certificate attesting to the other sex’s identity.
This does not, however, imply success. Most of the time, you have to go to court because the civil registry office won’t alter documents.
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Sex change in children
Only in certain situations is it possible to change one’s sexual orientation during childhood: when there is genital trauma that cannot be healed, or when there are congenital disorders affecting the reproductive system.
In certain nations, hormones are prescribed to teenagers who wish to switch sexes. They are used during adolescence to slow down the emergence of primary sexual traits and stop the development of secondary ones. These individuals can have sex change surgery after 18 years.
Making the decision to undergo a sex change from female to male is a difficult and very private one. Hormone treatment, surgery, and psychological preparation are all part of the process. People should be fully aware of the procedures involved as well as any obstacles they may encounter along the way.
Although the medical transition can be drawn out and patient, many people find that it helps them become more authentic. One can embark on a journey towards a more authentic and fulfilling life with the assistance of loved ones, counselors, and healthcare professionals.
The process’s ultimate goal is to match a person’s gender identity with their physical attributes. Since each person’s experience is different, it is important to respect and encourage those who choose to go through this kind of change.