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Persons Seeking Sex Change: Psychiatric Management of Special Problems

Published Online:https://doi.org/10.1176/ajp.126.11.1596

Management of persons seeking sex reassignment includes exploring their motivation for sex change, facilitating a realistic appreciation of the limits of medical and surgical procedures, encouraging them to undergo reversible somatic changes with hormones during a trial period of living in the desired gender role prior to undertaking irreversible surgical steps, promoting a realistic anticipation of the future after sex reassignment, and, for those who undergo sex change, assisting in the postoperative adjustment.

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