Sex modify

Presented by:
•shyam
•rana
 Sex change operation

Is a term for the surgical

procedures by which a person’s
physical appearance and
function of their existing sexual
characteristics are altered to
resemble that of the other sex.
 Sex change operation

It is part of a treatment for

gender identity disorder in
transsexual and transgender
people. It may also be
performed on intersex people,
often in infancy.
FOR MEN
VAGINOSPLASTY
Is the procedure
that essentially
turns the penis
into the vagina. It
is often followed
several months
later by
Labiaplasty.
vaginoplasty
The right
spermatic chord is
clamped and
ligated.
The primary
incision is
contineud up the
ventral side of the
shaft of the penis
vaginoplasty
 The anterior flap is
developed from the
skin of the penis
 The urethra is
dissected from the
shaft
 The corpora
cavernosa are
separated to assure a
minimal stump
vaginoplasty
The anterior flap is
perforated to
position the
urethral meatus
The skin flaps are
sutured and placed
in position in the
vaginal cavity
labiaplasty
A frequently
used procedure,
labia and a
clitoral hood are
created. This is
often performed
a few months
after the first part
of the procedure.
Breast implant
Is a prosthesis
used to enlarge
the size of
woman’s breast
or as an aspect
of male-to-
female sex
reassignment
surgery.
Breast implant
Saline implants
have a silicon
elastomer shell
filled with sterile
saline liquid.
Silicon gel
implants have
silicone shell filled
with a viscous
silicone gel.
Facial feminization surgery
Refers to surgical
procedures that
alter the human
face to bring its
features closer in
shape and size to
those of an
average female
human.
For women
phalloplasty
A complete
construction or
reconstruction of a
penis.
 An erectile prosthesis
can be inserted into
the neophallus to
replace the erectile
tissue and enable
sexual penetration
hysterectomy
is the surgical
removal of the
uterus.
 Complete –removing
the body, fundus and
cervix of the uterus.
 Supracervical –
removal of the
uterine body but
leaving the cervical
stump.
oophorectomy
Is the surgical
removal of an
ovary or ovaries
Salpingo-
oophorectomy –if
both ovaries and
tubes are
remove.
masectomy

Is the removal
of the female
breast.
terminology
 Transsexual
people are often
defined as those
who undergo sex
reassignment
surgery.
 Some individuals
require hormone
therapy and multiple
surgical procedures
for their transition to
be successful, some
may require no
medical intervention
at all, and others
may require some
conservative
medical
interventions
 The term “sex reassignment surgery”
would more accurately be called
“genital reassignment surgery” of
“genital reconstruction surgery”.
 It is important to note that the
surgeries related to transgender
transition go beyond the genitalia,
and that the medical procedures go
beyond surgery.
 Medical
considerations
HIV
HEPA C
-may have difficulty finding a surgeon
able or even willing to perform
surgery because many surgeons
operate out of small private clinics
that cannot adequately treat potential
complications in these population.
- some surgeons charge higher fees
for HIV and hepa C positive patients.
Diabetes
Abnormal blood clotting
Obesity
-increase the anesthetic risk and the
rate of post-operative complications.
-some surgeon require that severely
overweight patients reduce their
weight by a certain amount prior to
surgery and that patients refrain from
smoking for a period of time before
and after surgery.
results
The person will
have external
anatomical
appearance and
function typical
of the new sex.
The individual will
retain their
previous
chromosomes in
each of their cells,
and their previous
susceptibilities to
X-linked or Y-
linked genetic
conditions or
predispositions.
They are unable to
reproduce due to
the lack of sex
glands (testes or
ovaries), except
through prior
sperm banking or
embryonic
freezing, which still
require a receptive
woman with uterus
to act as the
surrogate mother.
 If the person has the
SRS early before
puberty, the person
will retain the younger
“girlish” voice.
 There is a chance,
low currently and
shrinking as time
passes and
techniques improve,
that the patient may
become inorgasmic
after surgery due to
nerve damage.
It is usually
necessary for
transsexual people
to continue
hormone
replacement
therapy in order to
maintain their
secondary sex
characteristics and
prevent conditions
such as
osteoporosis.
Standards of
care
• Sex
reassignment
surgery can be
difficult to
obtain.
• There are very
few surgeons
willing to
perform SRS.
• Most jurisdictions and
medical boards
require a minimum
duration of
phychological
evaluation and living
as a member of the
target gender full
time, sometimes
called the real life
experience (RLE) or
real life test (RLT).
• Transsexual and
transgender
people are often
unable to change
the listing of their
sex in public
records until SRS
is completed, due
to the laws of
many
jurisdictions.
• In many countries and areas, an
individual’s pursuit of SRS is often
governed, or at least guided, by
documents called standard of care for
gender identity disorder (SOC).
• This most widespread SOC in this
field is published and frequently
revised by the World Professional
Association for Transgender Health
(WPATH).
• Standards of Care
usually give certain
very specific
“minimum”
requirements as
prerequisites to
SRS.
• WPATH-SOC and
other SOC are
highly controversial
and often maligned
documents among
transgender seeking
surgery.
history
The earliest
identifiable
recipient of
Male to Female
Sex
Reassignment
Surgery was
Lili Elbe in
Berlin, in 1930-
1931.
This was
started with the
removal of the
male sex
organs and
was supervised
by Dr. Magnus
Hirschfeld.
Lili went on to
have four more
subsequent
operations that
included an
unsuccessful
uterine
transplant, the
rejection of
which resulted in
death.
-END-