August 1966

Attitudes Toward Sex Transformation Procedures

Author Affiliations

From the Gender Identity Research Clinic, Neuropsychiatric Institute, UCLA Center for the Health Sciences, Los Angeles. Dr. Green is now at the Laboratory of Clinical Science, National Institute of Mental Health, Bethesda, Md.

Arch Gen Psychiatry. 1966;15(2):178-182. doi:10.1001/archpsyc.1966.01730140066011

IN RECENT years an increasing interest in and concern about sex transformation procedures have been evidenced.1-18 While the number of people who have undergone such modifications in their anatomy is small, the moral, legal, and social problems they raise are highly problematic, intensely controversial, and of the broadest significance.

Methods  In our studies of normal and abnormal gender identity we have seen patients who have demanded that their primary and secondary sex characteristics be changed so as to approximate those of the opposite sex. We have noted that a male's demand, for example, for penectomy, testicular castration, construction of an artificial vagina, development of breasts, etc, involves the physician in decisions which are so highly charged in our culture as to make his dealings with such patients very difficult indeed. Having been struck by the intensity of the feelings aroused by such requests, we decided

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