SRS Surgery

SRS surgery (Sex Reassignment Surgery) or GRS (Gender Reassignment Surgery) refers to the surgical procedure (or procedures) by which a person’s physical appearance and function of their existing sexual characteristics are altered to resemble their identified gender.

Not every transgender individual requires or wishes to undergo sex change surgery. Some are treated with counselling only; others with hormone therapy or some will just change their gender roles.

For others getting their genital changed is just one step in the process of a full transformation. Other plastic surgery procedures may include:

  • Breast Removal (Subcutaneous Mastectomy)
  • Breast Augmentation
  • Male Chest Contouring
  • Facial Feminization Surgery
  • Tracheal Shave (Adam’s apple Shaving)
  • Forehead Contouring
  • Jaw Contouring
  • Cheek Bone Reduction or Implants
  • Rhinoplasty



Male to Female

The genital surgeries include three distinct procedures: removing male sex organs—the testes and the penis—and the creation of female sex organs both internal and external—vagina, labia and clitoris.

All three stages can be performed as one operation, and usually are. However, they may be done at different stages or not done at all according to the patient’s wishes and the surgeon’s preferences.

Female to Male

Female to male surgery is more complicated and has achieved lesser success due to the difficult of creating a functional penis from the much smaller clitoral tissue available in the female genitals. The Uterus and Ovaries are removed, Genital reconstructive procedures use either the clitoris, which is enlarged by hormones, or rely on free tissue grafts from the arm, thigh or belly and an erectile prosthetic (phalloplasty)


Prerequisites for Surgery

It will depending on where you live or which country you have the procedure, as to what law apply before you can have SRS surgery. Some mandatory prerequisites before surgery may include:

  • Diagnosis of gender identity disorder
  • Surgery recommended by 1 or 2 mental health specialists trained in gender identity issues.
  • Hormone treatment for at least one year.
  • A Real-Life Test (living for minimum one year in their preferred gender role)
  • Emotionally stable
  • Medically healthy with any medical conditions being treated and under control


Other things to consider before Surgery

Sex change surgery is irreversible. Therefore (and obviously) anyone wishing to undergo a sex change operation should carefully consider that decision. Although in a few rare instances people who have undergone sex change operations have tried to revert back to their original sex, it is a very costly and not totally successful process.

Getting a sex change for a transgendered individual is a complex change, so experts recommend the support of a broad range of skilled professionals well experienced in gender identity issues. These professionals could include a general practitioner, surgeon, psychiatrist, psychologist, and an endocrinologist.

It’s also recommended to have a stable and supportive network of friends and family to help you get through the process. The psychosocial as well as the physiological adaptation process could take several year, even after the successful completion of SRS.

Considering SRS surgery? Contact us for more information