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Sex reassignment surgery is usually preceded by beginning hormone treatment with testosterone.Many trans men seek bilateral mastectomy, also called "top surgery", the removal of the breasts and the shaping of a male contoured chest.For many trans men however, hysterectomy/BSO is done to decrease the risk of developing cervical, endometrial, and ovarian cancer.

This is equivalent to post-menopausal bleeding in a woman and may herald the development of a gynecologic cancer.For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola.This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. Bilateral salpingo-oophorectomy (BSO) is the removal of both ovaries and fallopian tubes.Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter female anatomical traits to provide physical traits more appropriate to the trans man's male identity and functioning.Many trans men considering the option do not opt for genital reassignment surgery; more frequent surgical options include bilateral mastectomy (removal of the breasts) and chest contouring (providing a more typically male chest shape), and hysterectomy (the removal of internal sex organs).Christine Jørgensen was likely the most famous recipient of sex reassignment surgery, having her surgery done in Denmark in late 1952 and being outed right afterwards.She was a strong advocate for the rights of transsexual people.She was the subject of five surgeries: one of penectomy and orchiectomy, one intended to transplant ovaries, two to remove the ovaries after transplant rejection, and vaginoplasty.However, she died three months after her fifth operation.If the cervix is removed, it is called a 'total hysterectomy.' Some trans men desire to have a hysterectomy/BSO because of a discomfort with having internal female reproductive organs despite the fact that menses usually cease with hormonal therapy.Some undergo this as their only gender-identity confirming 'bottom surgery'.

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  2. In this operation, the surrounding skin of the clitoris is removed and it is released from the pubis to give the appearance of more length. The glans will appear circumcised in most patients. The.

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