Gender Reassignment - Crozer-Keystone Health System - PA

Gender Reassignment

Gender reassignment is a process designed to help people transition to their desired gender, from male-to-female or female-to-male. Gender reassignment is not a simple process and may include psychotherapy, hormone therapy and even surgery.

Getting Started

Unlike most other cosmetic surgeries, the first step toward gender reassignment requires seeking therapy. A psychiatrist or psychologist can help the individual with their emotional and identity challenges and may diagnose them with gender dysphoria. Gender dysphoria is the condition of feeling one's emotional and psychological identity as male or female is the opposite of one's biological sex.

A diagnosis of gender dysphoria is the first step toward gender reassignment. A person desiring to transition often must live their life as their desired gender for at least a year before gender reassignment surgery.

During this time, the individual will undergo hormone therapy, which helps bring on some of the characteristics of the gender the person is transitioning to. For a male transitioning to female, taking estrogen will change their skin, musculature and fat distribution, making them appear more feminine. For a female transitioning to male, taking testosterone will help them develop male characteristics such as facial and body hair as well as a deepened voice.

Gender Reassignment Surgery

There isn’t just one surgery for people transitioning. There are male-to-female and female-to-male gender reassignment surgeries, but there are also surgeries that help people appear more like their desired gender. These surgeries may include:

Male-to-Female (MTF)

  • Facial Feminization Surgery (FFS) is a collection of male to female surgery procedures designed to naturally feminize a patient’s appearance, giving them the more feminine facial features.
  • MTF Gender Reassignment Surgery (GRS) is the male to female procedure is for transgender women who wish to have the vagina they should have been born with.
  • MTF Breast Augmentation is a male to female surgery procedure designed to provide patients with expertly augmented and contoured feminine breasts.
  • MTF Body Contouring involves a combination of liposuction and fat grafting to enlarge the hips and buttocks. Fatty tissue can be removed from any part of the body to slim down or sculpt those areas and placed in your buttocks and hips to give them feminine curves.

Female-to-Male (FTM)

  • FTM Body Contouring involves a couple of different procedures to masculinize your body. These surgeries can be performed at the same time or separately depending on your anatomy and your goals.
  • FTM Gender Reassignment Surgery (GRS) is the female to male procedure is for transgender men who wish to have the genitals they should have been born with.
  • FTM Top Surgery is a female to male gender reassignment procedure designed to provide patients with an expertly flattened and contoured masculine chest.

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