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Patients who seek gender chest reassignment surgery are referred from a Specilaist Gender care clinic. It is mandatory to have a full psychological assessment which should be carried out by a Consultant Psychiatrist who specialises in Gender Identity and supports the request. Most patients would have seen a Transgender specialist Endocrinologist and will be on appropriate hormone therapy to assist further with the gender reassignment. Some patients would choose to have their name changed legally either before the chest surgery or after. All patients should be under the NHS gender care clinic for ongoing support. Transexual mastectomy is a subcutaneous mastectomy procedure which involves removal of all the glandular breast tissue at the same time retaining the subcutaneous fat.

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The grim reality of gender reassignment | The Spectator

Many of these individuals are now living with the consequences of medical treatments that failed to help their gender issues and may have caused permanent physical and psychological damage. Meanwhile, there is plenty — not least the risk of infertility and loss of sexual function — to suggest that so-called gender reassignment is very often a bad idea. Of course, no one can literally change their sex. For humans, sex is determined at conception; it is evident even in fossilised bones discovered thousands of years after a person's death. Still, with the help of medical technology, a patient could undergo experimental hormone treatments and surgical procedures, enabling him to more closely resemble a woman. Some reckoned they did.

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WHAT IS PRE-OP, POST-OP & NON-OP TRANSWOMAN MEANS?

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Is a lesbian transphobic if she does not want to have sex with trans women? Some lesbians say they are increasingly being pressured and coerced into accepting trans women as partners - then shunned and even threatened for speaking out. Several have spoken to the BBC, along with trans women who are concerned about the issue too. Warning: Story contains strong language.