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August 1979

Sex Reassignment: Follow-up

Author Affiliations

From the Departments of Psychiatry and Surgery (Dr Meyer), The Johns Hopkins University School of Medicine, and the Sexual Behaviors Consultation Unit, Department of Psychiatry and Behavioral Sciences (Dr Meyer and Ms Reter), The Johns Hopkins Medical Institutions, Baltimore.

Arch Gen Psychiatry. 1979;36(9):1010-1015. doi:10.1001/archpsyc.1979.01780090096010

• Although medical interest in individuals adopting the dress and life-style of the opposite sex goes back to antiquity, surgical intervention is a product of the last 50 years. In the last 15 years, evaluation procedures and surgical techniques have been worked out. Extended evaluation, with a one- to two-year trial period prior to formal consideration of surgery, is accepted practice at reputable centers. Cosmetically satisfactory, and often functional, genitalia can be constructed. Less clear-cut, however, are the characteristics of the applicants for sex reassignment, the natural history of the compulsion toward surgery, and surgery's long-term effects. The characteristics of 50 applicants for sex reassignment, both operated and unoperated, are reviewed. The results of long-term follow-up are reported in terms of such indices as job, educational, marital, and domiciliary stability. Outcome data are discussed in terms of the adjustments of operated and unoperated patients.

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