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Retrieved 13 June The best known of these surgeries are those that reshape the genitals, which are also known as genital reassignment surgery or genital reconstruction surgery GRS - or bottom surgery the latter is named in contrast to top surgery , which is surgery to the breasts; bottom surgery does not refer to surgery on the buttocks in this context. This information should also be communicated in schools where SRS is being taught as a healthy step to seeking greater happiness and fulfillment in life. By some doctors, the surgery is done in two steps, first the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year, where in a second surgery the excess skin is removed. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress. This highlights that post surgical transsexuals are a risk group that need long-term psychiatric and somatic follow-up. Notably, however, in this study the increased risk for psychiatric hospitalisation persisted even after adjusting for psychiatric hospitalisation prior to sex reassignment.
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Sex reassignment surgery can be difficult to obtain due to financial barriers, insurance coverage, and lack of providers. Hence, transgender people should be well informed of these risks before choosing to undergo SRS. Following the Bailey controversy, Blanchard revisited his concept of autogynephilia. Some surgeons charge higher fees for HIV and hepatitis C-positive patients; other medical professionals assert that it is unethical to deny surgical or hormonal treatments to transgender people solely on the basis of their HIV or hepatitis status.
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