Transgender patients are convinced that they were born in the wrong body. This serious identity problem causes a great deal of misery beginning in childhood. Although the specific cause of transsexualism is unknown, it is most likely the result of a combination of biological and psychological factors. It is unanimously agreed that gender reassignment is the only truly therapeutic choice because attempting.
Gender reassignment is often aided by a mental health professional and is followed by hormone therapy (via an endocrinologist).
The two major sex reassignment surgery (SRS) interventions in female-to-male transsexual patients that will be discussed here are
(1) subcutaneous mastectomy (SCM), which is frequently combined with a hysterectomy/ovariectomy
(2) actual genital transformation, which includes a vaginectomy, reconstruction of the fixed part of the urethra (if isolated, metoidioplasty), scrotoplasty, and phalloplasty. A testicular prosthesis and/or an erection prosthesis can be implanted at a later stage
Regarding the requirements for surgical treatments, it is widely suggested to follow the WPATH (World Professional Association of Transgender Health) Standards of Care (SOC)1. All hormonal therapy should be stopped 2 to 3 weeks before surgery.