Although only a quarter of transsexuals who complete gender reassignment surgery are female to male, the procedure is as advanced and as successful as male-to-female one

Female to male sex change surgery is less heard of. Of all the sex change surgeries, only 25 percent is female to male. Nonetheless, many women who have undergone the procedure could not be happier with the results. It is true that the surgery is more complicated than male-to-female, but with today’s medical advancement, it is possible for women to become almost as masculine as natural men.

So what exactly does the procedure involved? First of all, breasts have to be removed to create a flatter chest. Then, a hysterectomy (surgical removal of the uterus and sometimes also the cervix) is performed.

Now, the all important part is creating the penis (genital reconstructive procedures or GRT). In some cases a miniature penis is created by freeing the clitoris from its connective tissue. In others, skin grafts and silicone forms are used to create a penis which may bring a sexual partner to orgasm. Often, a second surgery 6 to 9 months later is performed, to add implants for the appearance of testicles, and to allow erection on demand. These relatively simple techniques create sexual organs which look good, have sensation, and the penis is capable of having an erection.

To complete the look, the hormone testosterone is taken, which results in the growth of facial and body hair, the lowering of the voice, increase in sex drive, and the cessation of menstruation. Patients on testosterone are also subject to male pattern baldness and sometimes increased cholesterol levels.

Female to male sex change surgery takes many steps until the patient achieves the most natural looking results. The interval between each stage is about 3-6 months. Each stage takes about 2.5-3 hours. A suitable candidate for this surgery must be at least age 18 years of age.

Many surgeons might lack communication skills and do not automatically give the patient all the information about the procedures they are performing. The patient needs to be informed about what to watch out for and expect by gathering information from many sources. It is important to have trust and confidence in the surgeon and to feel that he or she is honest about what to expect.

Studies indicate that a high percentage of sex change surgery patients can have orgasms

Sex change surgery not only makes patients look good but also feel good when it comes to intimate relationship. Contrary to what people believe, sex change surgery, although entailing removal of the sexual parts, does not deprive patients of sexual desire and satisfaction.All of the cases, the surgeon constructs the labia majora, sensated labia minora, clitoral hood and sensated clitoris in the meantime by using some part of glan penis, scrotal tissue and prepuce skin. The procedure only alters the physical appearance of a person’s anatomy to approximate as nearly as possible the anatomic arrangement of the other sex.

Patients having male to female gender reassignment surgery retain a prostate — a gland in the male reproductive system just below the bladder. A tiny slit is made in the inverted penis near the base where it is still attached. Utilizing microsurgery, the stub of erectile tissue is pushed through the slit, forming the equivalent of a clitoris, and providing the opportunity for complete orgasm and sexual satisfaction after surgery. This neo-clitoris can be sensitive to sexual arousal. It has been reported that 70-80% of the male-to-female patients are capable of orgasm even during intravaginal intercourse. Many patients have testified that they are able to enjoy intimate relationships in their new body and are happy with the results.
1) http://news.yahoo.com/s/prweb/20071124/bs_prweb/prweb571407_1
2) http://www.bangkokplasticsurgery.com:80/blog/two-sex-change-surgery-patients-testify-post-surgical-orgasms ( Date: Monday, 26 /11/07)

Orgasm is possible because there is erogenous sensation, but most importantly, it is because the mental component is intact. Orgasm is more about the mental stimulation than the physical one. The key to sexual pleasure is to let it flow naturally and to love your new body. When focused too much on achieving orgasm, the intercourse can feel forced and unnatural. In a 1990 study of 14 transsexuals interviewed after a sex change surgery, only one said orgasm was very important for sexual satisfaction, six said it was somewhat important, and three said it was not at all important.

When speaking of sex change procedure, people only think about the change in the reproductive parts and perhaps the breasts which are the most distinctive feminine features. However, it is undeniable that the face is the most noticed part of a person. Therefore, for natural looking results, it is advised people who have undergone sex change operation consider facial feminization surgery as well because it helps them integrate socially as women.

The aim of facial feminization surgery is to eliminate or reduce many of the cross-gender-related deformities of the facial bones caused by late-pubertal testosterone masculinization in male-to-female transsexuals. The procedure involves various bony and soft tissue procedures and sometimes includes facial hair removal. The surgeon will focus on how to adjust the dimensional parameters of each face towards the normal female range, based on certain physical anthropological measurements.

According to anthropological researches, survival requirements over evolutionary time have adapted human males’ faces for protection in hunting and fighting, providing them with protruding brow ridges and heavy jaws/chins. However, human females’ faces have evolved (as have children’s faces) for better hiding/fleeing by having better unobstructed peripheral vision (with the eyes more forward in the facial structure, and with no brow ridge). These differences in secondary sex characteristics are caused by the different sex hormones present in the bodies of boys and girls after puberty.

The surgical procedures most frequently performed during facial feminization surgery include hairline correction, forehead recontouring, brow lift, rhinoplasty, cheek implants, chin and jaw recontouring, Adam’s apple reduction and lip filling. Other procedures might be suggested by the surgeon, depending on each person’s natural looks.

There are only a small number of surgeons globally who specialize in facial feminization surgery. Like any other cosmetic surgeries, patients should be confident that they are placing their image in the trustworthy and reliable hand. There are, of course, limitations to what a surgery can do. It is not a magical process that can 100 per cent transform a man’s face into a woman’s natural face. It is best to speak to the surgeon beforehand to make sure the results are what the patient is looking for as the features will stay with the patient permanently.

Transsexuality has existed since the ancient time. As medical advancement develops, options grow for those who wish to physically change their gender.  With the rapid advances in knowledge of sex hormones and plastic surgery, sex change operation finally became achievable. 

During the 1950’s, the use of newfound sex hormones helped a large number of transsexuals obtain the physical features of the desired gender - bigger breast, softer skin and a more feminine of masculine figure. And during the same period of time, in 1954, American transsexual Christine Jorgensen was among the first to undergo a sex change surgery. Due to the success, sex reassignment surgery, also known by its abbreviated form SRS, became increasingly popular.  

The most common purposes of such a surgery include: - To assign one sex to babies with gender identity disorder, or- To alter the sex for men and women who are physically a different sex than they are mentally. In this case, SRS is usually performed at the age of 18-21 when the patient is of a legal age to decide on medical treatment without having to ask the parents. 

Most cases are known to be successful, especially conversion from male to female. Babies with an ambiguous gender are usually assigned to the female gender unless the male organ is more obvious.  

Male to female surgery involves removal of the penis, reshaping genital tissue, creating labia majora,sensate minor and arousement with sensate clitoris with average 5-7 inches constructing a vagina. Conversion from female to male is more difficult due to the complication of creating a functioning penis from the female genitals. Besides the genital organs, the breasts need to be surgically altered (removal for a more male appearance, and enlargement for a female appearance). This stage is more easily accomplished. 

There has been a report of 68%-86% overall success rates for sex reassignment surgery.