New World Gender Alliance - Portland, Oregon. USA

What is the Sex Change Surgery/Sex Reassignment Surgery (SRS)?

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SRS - Dr. Pichet- $5000.
Thailand - Very Good

-Dr.Pichet-SRS-His web Page

Sex change surgery/sex reassignment surgery refers to the administration of surgery to change the sex appearance according to one’s sex identity. There are two kinds of surgery.

Genital surgical sex reassignment: surgery of the genitalia and/or breasts, is performed for the purpose of altering the morphology in order to approximate the physical appearance of the genetically other sex.
Non genital surgical sex reassignment: any and all other surgical procedures of non-genitalia or non-breast, conducted for the purpose of effecting a more masculine appearance in a genetic female or for the purpose of effecting a more feminine appearance in a genetic male.
After surgery you should consider nose refinement( 10 days after surgery.)
As a former step of SRS, there is a hormonal sex reassignment, which is the administration of androgen to genotype females, and administration of estrogen and/or progesterone to genotype males, for the purpose of effecting somatic changes in order for the patient to more closely approximate the physical appearance of the other sex.

When is SRS performed?

The time that people start feeling of belonging to the opposite sex, is 2-3 years of age. According to the outcome of many researches, early treatment would prevent unnecessary sufferings. Physical outcome of an early treatment can be expected to be more satisfactory, by comparison with starting later, especially MFs (male to female). This is an enormous and lifelong advantage instead of having to live with a deep voice and other scars. Thus, the earlier the SRS is performed, the easier transsexuals can adjust themselves according to their sex identity, and they can avoid the confusion about themselves. But SRS is usually performed at the age of 18-21. There are two reasons for this long delay. First, most children with gender identity disorder will not grow up to become transsexuals. Second, adolescents in many countries are still legally dependent on the consent of their parents when deciding on medical treatment.

How does transsexuals feel after SRS?

On the whole, most of the transsexuals who have performed SRS, were satisfied with sex the change itself. Nevertheless, many of them were dissatisfied with their new physical Appearance. The reason for dissatisfaction is first, MFs have to do with retention of bodily features and aspects of the overall appearance that could not be changed completely by either surgery or hormonal manipulation. For example, remains of the beard, large feet and hands, quality of the voice, and persistence of Adam’s apple. Social pressure on woman to pay more attention to their appearance is also one of the reasons. FM transsexuals are usually dissatisfied with their new genitals. But, the most important thing is that they could live in the new gender role, feeling that their identity is fitting to themselves. They have a more comfortable relationship with other people around their environment.

Where is Transgender Marriage Legal

The New Jersey Appellate Division unanimously declared in 1976 that an individual who changes sex through surgery is entitled to all the legal rights enjoyed by others of the same sex, including marriage. The court rejected previous decisions in this country and abroad, in which a person's sex was determined solely by his or her chromosomes or designated sex at birth. The court ruled that "[i]f the anatomical or genital features of a genuine transsexual are made to conform to the person's gender, psyche, or psychological sex, then identity must be governed by the congruence of these standards.
" Therefore, at least in New Jersey, a marriage between a postoperative transsexual and a person of the opposite sex is valid as long as the transsexual tells the partner in advance about his or her sex reassignment.
The controversy continues, however. In Ladrach, reported upon by Jan Elliot, a postoperative male-to-female transsexual sought to marry a genetic male. Noting [incorrectly] that only Arizona, Louisiana, and Illinois statutorily permit changing sex on a birth certificate, although another twelve permit such change without statute, the court held that it could not alter the birth certificate of the transsexual without statutory authority and accordingly the transsexual could not lawfully marry a man.

Finding and Keeping a Job

A person who has decided to change gender roles is faced with substantial expenses. Unless the person is financially independent, or is somehow supported by someone else, the person will need to work to make a living and cover expenses.

But what does a person who has a job, perhaps a very good job, do, if they are anticipating changing gender roles? How does one manage this life transition in the work environment? Must one change jobs? Or is it possible to continue to work in the job one presently has while changing gender roles? These are important questions.

And work, of course, is not just a way to make money. Most jobs involve at least some daily or weekly contact with a few other people. Hence your work is a way to gain valuable social experience in the new gender role, an important step in obtaining sufficient real life experience to help you decide if this path is right for you. What is the best way for you to handle "the work part" of gender role transition? Fortunately, there are a variety of approaches to solving this problem.

Although some people have been known to go out and get a new job in their preferred gender role within a few days of making a decision to change gender roles, in my experience, this tends to be relatively rare. More often, a person is inclined to gain social experience, out there,

"in the real world," more gradually. One way that appeals to quite a few it seems is to occasionally attend a local transgender social and support group that is devoted to helping people with gender issues. These groups often have a variety of social functions, for example, various kinds of talks and discussions groups, dinners and pot luck get togethers, entertainment, dances, seasonal parties, and so on. Often there are even special social functions designed to help new members who are just getting started exploring a new gender role.
Spending time practicing one's presentation and social skills, and observing others doing the same, can be invaluable in the early stages of a gender change process. This is often a very congenial way to gain confidence and support from others and offer support to others in return.
The experience and skills in interacting with others gained from this kind of setting can build confidence that will help you in talking with your supervisor and coworkers at your place of work.

Attending social and support group meetings also are often springboards for other types of brief ventures out, such as getting gas for one's car, stopping at a market to pick up some groceries, having a cup of coffee with a new friend, etc.

Transgenderism

Transgenderism takes many forms. A crossdresser (CD)-- sometimes called a transvestite (TV)-- dresses in clothing of the opposite gender. Such an individual might be considered bi-gendered-- expressing both genders at different times. The reasons for crossdressing seem as varied as crossdressers, ranging from the spiritual to the artistic. NWGA members come from all walks of life. Most crossdressers are heterosexual and have no desire to change their sex via surgery or hormones.

The root causes of crossdressing are unknown. Often a crossdresser starts out at an early age, borrowing clothing from a parent or sibling. There is usually a progression from one or two garments to dressing completely as the opposite gender and experimenting with wigs and makeup. The crossdresser finds these activities comforting and pleasurable. During adolescence, crossdressing may be accompanied by intense sexual feelings. Eventually, a crossdresser may want to venture out in public crossdressed, and may find these excursions exciting and satisfying.

Fortunately crossdressing is becoming more acceptable in our culture. But the crossdresser may still experience guilt, shame, and self-denial. Many crossdressers suffer silently, and many never venture "out of the closet." Others address their hidden feelings, usually by finding this or other sites, call and ask questions, and then are eventually able to express their cross-genderedness more freely and openly and many finally reach some degree of self-acceptance and inner peace.

A transsexual (TS) identifies with the opposite gender. He or she may have a feeling of being "trapped in the wrong body." A transsexual may find congruence between biological sex and gender identity through hormone replacement therapy (HRT) and/or sex reassignment surgery (SRS). Surgery is only undertaken after the transsexual participates in counseling and lives full time in the chosen gender for a year or more. Thus we sometimes speak of preoperative (pre-op) and post-operative (post-op) transsexuals.

A transgenderist is an individual who lives full-time in the opposite gender role, sometimes with the aid of hormones, but without seeking sex reassignment surgery.

Some transgendered individuals are androgynous--blending masculine and feminine characteristics.

A drag queen is usually a gay man who dresses as a woman--often in a glamorous or flamboyant way.

A female impersonator is a man who dresses as a woman to perform on stage as a singer, dancer, comic, or actress.

SRS - Dr. Pichet- $5000.
Thailand - Very Good