Gender Dysphoria results from an atypical development in the relationship between the gender and the visible sex of an individual. Many in the scientific and medical professions recognize the terms 'gender' and 'sex' as having distinct meanings.

Gender identity describes the psychological recognition of oneself, as well as the wish to be regarded by others, as fitting into the social categories: boy/man or girl/woman. These social categories generate expectations of gender roles, that is, how we are expected to behave in society.

Once a diagnosis of transsexualism has been made, recommendation for GRS should be based on strict eligibility criteria as laid down in "Standards of Care" by the Harry Benjamin International Gender Dysphoria Association (1985) as follows :

  • The patients must legally reach maturity age in the patient's nation.
  • The patients must be strongly persistent in their desire for sexual reassignment surgery at least 2 years.
  • The patients must have lived and worked exclusively in the cross-gender role for not less than 12 months.
  • The patients must have female hormonal and/or anti-androgen treatment (HRT) for not less than 6 months before the surgery.
  • The diagnosis of gender dysphoria must be made by a psychiatrist, clinical psychologist, or endocrinologist/sexologist dealing with transsexuals.

The goal & concept of modern MTF gender reassignment surgery is to provide:

  • An aesthetically attractive and functional result which permits both effortless penetration and full orgasmic potential, (by achieving very good sensation on the erotic sensate area,especially neo clitoris, clitorlal hood and labia minora).
  • Creation of an adequate vaginal pouch,
  • A sensate and hooded clitoris, and
  • A feminine vulva with delicate labia are paramount.

Required Documents :

We require at least 2 referral letters for GRS recommendation: You must be recommended by two independent clinical behavioral therapists, one of whom possesses a doctoral degree granted by an accredited institution: a psychiatrist (MD), psychiatric social worker (PhD), or clinical psychologist (PhD).

Ideally the imprimatur of a psychiatrist would be most valued. The doctor making the primary recommendation shall have known the patient for at least 6 months prior to making such a recommendation.

If your age is under 20, the legal written consent from parents is required.

If you are presently married, the spousal release form signed by your wife is required.

Please note that all required documents must be sent to us or produced before scheduling your sex reassignment surgery.

Chordee a downward curve of the penis, is usually, but not always, associated with hypospadias. As the urethral opening moves closer towards the scrotum the extent of penile curvature & other associated anomalies increase. These may necessitate additional procedures for correction.

Boys with chordee often must sit to void. The youngster who has to sit down to urinate on a toilet is at a painful social disadvantage. A straight penis is necessary for satisfactory sexual function. Although this may not seem to be an important matter in childhood, this is a crucial concern later in life. Males with hypospadias usually have normal testes and can father children.

Objectives of the correction surgery :

Hypospadias can be corrected surgically. Depending on the severity, the correction can be completed in one or more operations. The best age at which to have corrective surgery depends on the size of the penis and degree of the defect. Repair is usually advised at an early age, unless the patient is not referred until he is older.

At KSSH,we generally recommend repairing genital defects early, so patients can avoid embarrassment that can be associated with the condition.

The Procedure :

The child's hospital stay may range from a few days or a week in the hospital. When the operation is completed, the extra skin is removed so the child will look circumcised. To protect the newly constructed urethra (neourethra) the urine is usually diverted with a stent (a silastic tube through the neourethra).

Surgical correction of hypospadias involves straightening of any chordee and then extension of the urinary tube (urethra) out to the tip of the penis (the glans). Corrective surgery usually results in a penis that looks normal and functions normally. Patients are able to stand to void, and sexual activity and fertility are satisfactory.

Although we try and correct most children with one operation, about 10% may require a second surgical procedure to manage complications.