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I am on a hormone regimen to try to regulate a system that is permanently altered. Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in Cancel Send. Continue Reading. Learn more about insurance coverage and the WPATH guidelines with regard to gender reassignment surgery. By using this site, you agree to the Terms of Use and Privacy Policy. I sought out the top gender specialist at the time, Dr.

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In my case, I was diagnosed at age 40 with gender dysphoria and at age 50 with psychological issues due to childhood trauma. See also: As with male to female transitions, sex change surgery involves top surgery and bottom surgery.

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