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Background : Gender identity disorder GID is associated with various adverse health outcomes as well as psychiatric problems. Quality of life QOL in patients after surgery is an important issue, as some cases report dissatisfaction and regret after surgery. Methods : The demographic characteristics, including age, body mass index BMIoccupational and marital status, educational level, and family support were recorded.

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After the diagnosis of transsexualism is confirmed therapy commences with psychotherapeutic preparation for the conversion, and after conversion, long-term patient rehabilitation is maintained for at least two years. The indication for surgery is chronic discomfort caused by discord with the patient's natural gender, intense dislike of developing secondary sex characteristics and the onset of puberty. The surgical conversion of transsexuals is the main step in the complex care of these problematic patients 1.

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Transitioning is when a person decides to start presenting and living as their authentic gender identity, rather than what they were prescribed physically at birth. It's a conflicting time in transgender people's lives, as they experience the euphoria of finally getting to be themselves, along with the negative social and financial impacts of the process. Support from friends, family, employers, coworkers, and the government has a huge impact on the physical and emotional effects of transitioning. I felt like a part of me was always hidden, even as I tried to fit into people's expectations as best I could.

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Individuals are considered to be transgender if their gender identity does not align with the sex they were assigned at birth. Not all individuals choose to medically or surgically transition. However, those who do may face a dilemma: what do they do if they want to have children later in life?

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Not everyone is comfortable with his or her own skin. In fact, millions of individuals around the world feel strongly that they were born into a different sex. Thankfully nowadays, science and modern technology provide these individuals with the opportunity to correct that mistake and be in the gender they want to be.

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The treatment for transsexualism is sex reassignment, including hormonal treatment and surgery aimed at making the person's body as congruent with the opposite sex as possible. There is a dearth of long term, follow-up studies after sex reassignment. To estimate mortality, morbidity, and criminal rate after surgical sex reassignment of transsexual persons.

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Sex reassignment surgery SRSalso known as gender reassignment surgery GRS and several other names, is a surgical procedure or procedures by which a transgender person's physical appearance and function of their existing sexual characteristics are altered to resemble that socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender.

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