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It is part of a treatment for gender dysphoria in transgender people. Burns School of Medicine, University of Hawaii recommended that physicians do not perform surgery on children until they are old enough to give informed consent, assign such infants in the gender to which they will probably best adjust, and refrain from adding shame, stigma and secrecy to the issue, by assisting intersexual people to meet and associate with others of like condition. Surgeons may require overweight patients to reduce their weight before surgery, any patients to refrain from hormone replacement before surgery, and smoking patients to refrain from smoking before and after surgery. His transformation was chronicled in a book and a documentary feature, "Becoming Chaz. Other options are available to people wishing to speak in a less masculine tone. According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation Gender transitioning for seniors has unique challenges. Gender identities Sexual identities Sexual diversities.
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Other options are available to people wishing to speak in a less masculine tone. Of the various flaps used for penile reconstruction, the radial forearm flap has the greatest sensitivity. A metoidioplasty uses the hypertrophied clitoris to reconstruct the microphallus in a way comparable to the correction of chordee and lengthening of a urethra in cases of severe hypospadias.
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