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Daily dilation of the vagina for six months in order to prevent stenosis is recommended among health professionals. Nevertheless, this is a large important study, one of the largest clinical transsexual surveys ever attempted, and the fact that has been performed using a specific validated questionnaire is significant. The National Board of Health and Welfare maintains a link between old and new national registration numbers, making it possible to follow individuals undergoing sex reassignment across registers and over time. Some undergo this as their only gender-identity confirming 'bottom surgery'. Despite the long history of this treatment, however, outcome data regarding mortality and psychiatric morbidity are scant. All sex-reassigned persons male-to-females, female-to-males in Sweden, — Some surgeons charge higher fees for HIV and hepatitis C-positive patients; other medical professionals assert that it is unethical to deny surgical or hormonal treatments to transgender people solely on the basis of their HIV or hepatitis status.
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Sex reassignment surgery (male-to-female)


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Sex reassignment surgery - Wikipedia


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Sex Reassignment Surgery in the Female-to-Male Transsexual

Many surgeons operate in small private clinics that cannot treat potential complications in these populations. A diagnosis of gender identity disorder or gender dysphoria and a letter of recommendation from the therapist allows a person to begin hormone therapy with a doctor. Trans women who had undergone face feminization surgery have reported higher satisfaction in different aspects of their quality of life, including their general physical health. Biber's surgeries, see this Operative Report.
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