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Sex Reassignment Surgery or Sex Change Surgery

An Introduction

Sex Reassignment Surgery (initialized as SRS; also known as Gender Reassignment Surgery, Gender Affirmation Surgery (GAS), Sex Re-alignment 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 or now better termed as 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.

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“It must be very clear that the outcome of any SRS 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.”

Requirements for Sex Reassignment Procedures


  • Patient must be a major (or Parental release form).
  • Must be in stable frame of mind, and are living in society as the new desired external appearance (Real Life Experience) for at least 3-months.


  • Consultation & counselling with psychiatrist (mental health physician) for at least 3-months, to rule out any abnormal mental status or infatuation or temporary attraction/any secondary gain; and approval of psychiatrist to undergo hormonal therapy and/or breast surgery.
  • Affidavit (notarized) from patient that he/she is major and can fully understand pros/cons & take the decision regarding the therapy/surgery.


Male to Female or M to F (Trans Female)

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 or two stages, but few further stages may be required to fine-tune the result or to perform ancillary procedures like laser hair removal, vocal cord surgery to change the voice etc.

The postoperative 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 or F to M (Trans Male)

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

  • Excision of breast, salpingo-oophorectomy, hysterectomy & excision of vagina (in Single or two stage, depending on completion of formalities)
  • Reconstruction of neo penis using microsurgical technique.
  • 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. few further stages may be required to fine tune the results or to perform ancillary procedures like vocal cord surgery to change the voice etc.


Full information of what you should do
before and after the procedure


Transformation pictures, see it
to believe it


Successful procedures, outstanding results
beautiful you.



Since childhood I was having these protruding ears. All my classmates used to make fun of me and tease me by calling them ears of a bat. I came to know from the internet that actually I was suffering from “Bat Ears”. After thorough homework I came across Dr.Rahul Tandon and got operated from him. He operated me under local anesthesia and sent me home the same day. Now my ears look like any other normal looking ears and I don’t have to worry about anybody.