Table 70-11 Elements of complete gender transition
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Anatomic males with gender identity disorder (male-to-female gender identity disorder) Cross-dressing privately, then publicly Cosmetic changes, including makeup, hair, nails, jewelry Electrolysis Psychiatric and medical evaluation (mandatory) Treatment of psychiatric comorbidities Psychotherapy as indicated Social, occupational, familial transition Hormonal treatment Voice therapy Laryngeal shave or reduction Rhinoplasty Jaw, cheek, skull reconfiguration 11th and 12th rib removal (alters torso, waist) Breast augmentation if hormonal treatments alone are insufficient Orchiectomy Neovaginal construction Neoclitoral construction |
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Anatomic females with gender identity disorder (female-to-male gender identity disorder) Cross-dressing androgynously or as male Cosmetic changes, including haircuts, colognes, etc. Chest binding to flatten breasts prior to mastectomies Psychiatric and medical evaluation (mandatory) Treatment of psychiatric comorbidities Psychotherapy as indicated Social, occupational, familial transition Hormonal treatment (includes voice deepening) Bilateral mastectomy Chest contouring Bodybuilding or body "sculpting" Oophorectomy, hysterectomy, salpingectomy Vaginectomy Phalloplasty or metaidoioplasty Neoscrotal construction Silastic testicular implants |