Sex Reassignment Surgery (initialized as SRS; also known as Gender Reassignment Surgery,  Sex Affirmation Surgery,  Sex Realignment Surgery  or  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. It is part of a treatment for gender identity disorder/gender dysphoria in  transsexual  and transgender  people. It may also be performed on  intersex  people, often in infancy.
People who pursue sex reassignment surgery are usually referred to as transsexual; "trans" - across, through, change; "sexual" - pertaining to the sexual characteristics (not sexual actions) of a person. More recently, people pursuing SRS often identify as transgender instead of transsexual.    

                                                                                                                                                                                                                 
Requirements for SRS:

The minimum requirement for SRS is

1. Patient must be a major (except Congenital Hermaphrodites)
2. Must be in stable frame of mind, and are living as the new desired external appearance for at least 1-year.
3. Consultation & approval with two independent Psychiatrists at two different intervals (a gap of at least 3-months) to rule out any abnormal mental status or infatuation or temporary attraction and IQ of patient.
4. Affidavit from patient that he/she is a major and can take decisions regarding the surgery after fully understanding the pros & cons and under standing of irreversibility of the procedures.

It must be very clear that the out come of nay reconstructive surgery is completely irreversible, can never be as realistic as natural ones, and after SRS, one can never              become a genetic father or mother for whole life.

Male to Female (M to F):

The procedures involved systematic excision of penis & testicles, Creation of neo-vagina using penis skin, creation of labia majora & labia minora by scrotal skin and creation of clitoris by de-bulked sensate flap of glans penis. Breast implant (Silicone cohesive gel or expander implant) completes the procedure. Though the surgery can be performed in single stage, but few further stages may be required to fine-tune the result.
The post-operative outcome of vaginoplasty is variable. It usually allows coitus (sexual intercourse), although sensation might not always be present. The physical factors, the narrowness of the male pelvis can reduce the available area to use for vaginoplasty and limit vaginal dimensions.

Female to Male (F to M):

F to M is more complex and complicated procedure than M to F. The surgery is always staged and are:

1. Excision of breast, Internal sex organs & Vagina.
2. Reconstruction of neo penis using micro-surgical technique.
3. Placement of penile implants for penile erection.

A gap of 4-6 month is required in between each stage for proper healing of the areas.

                                                       Before                                               After

It must be very clear that the out come of nay reconstructive surgery is completely irreversible, can never be as realistic as natural ones, and after SRS, one can never             become a genetic father or mother for whole life.

E-mail: mycosmeticsurgery@gmail.com