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A practice that appears to give people what they want turns out to be difficult to combat with ordinary professional experience and wisdom. On Canada Day of , the military changed her legal name from Sylvain to Sylvia and changed her sex designation on all of her personal file documents. After the initial surgery, additional procedures may be necessary. They were also three times more likely to be prescribed antidepressants, and six times more likely to be hospitalized after a suicide attempt, researchers found. Lili went on to have four more subsequent operations that included an orchiectomy , an ovary transplant, a penectomy , and ultimately an unsuccessful uterine transplant , the rejection of which resulted in death. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender. These surgeries include chest masculinization surgery top surgery , metoidioplasty , phalloplasty , scrotoplasty , and hysterectomy. See also.
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