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June 1976

Sex Conversion Surgery in a Man With Severe Gender DysphoriaA Tragic Outcome

Author Affiliations

From the departments of psychiatry, Veterans Administration Hospital, Brentwood, Calif (Drs Van Putten and Fawzy), and University of California, Los Angeles (Dr Van Putten).

Arch Gen Psychiatry. 1976;33(6):751-753. doi:10.1001/archpsyc.1976.01770060071010

• Although hundreds of "sex transformation" operations have been performed, little is known about the long-term postoperative adjustment. Available outcome data suggest that sex reassignment surgery in male patients is followed by a better social as well as inner adjustment in the vast majority, at least for the first several years after surgery. Surprisingly, only a handful of cases with poor outcomes have been reported.

This report concerns a 53-year-old biological male with a lifelong gender dysphoria who, although subjectively pleased with the surgery, developed a paranoid psychosis five years after sex conversion surgery.