At present, the standards and requirements for operation are different, and the traditional operation is still too harsh because there are many defects. Personally, I think human rights should be respected, and we can have sex change if we want. After the operation, the household registration office and the society should immediately recognize its social attributes. The evolution of scientific names and gender reconfirmation are one of the effective measures to correct psychological and physical dislocation. When there is psychological and physical inconsistency, I'm afraid we can only change the latter. This is the so-called "a leopard cannot change his spots". After the appearance of ovarian transplantation and penile inversion, the shape and function of transsexual surgery are more consistent. At present, the standards and requirements for operation are different, and the traditional operation is still too harsh because there are many defects. Personally, I think human rights should be respected, as long as I want to be transsexual. After the operation, the household registration office and the society should immediately recognize its social attributes. Only in this way can we embody the social-psychological-biomedical model. You don't have to stick to all kinds of rules and regulations, but you are pushing a distorted life and making these patients miserable. The operation condition is 1, transsexuality; 2. Voluntary request; 3. Patients have lived and worked openly according to their psychological gender; 4. Psychotherapy is ineffective; 5. The psychiatrist proves that his mental state is normal; 6. The household registration department conducts judicial appraisal and agrees to change the gender on the ID card after the operation; 7, the patient is very clear about what may happen after the operation, and sign the informed consent; 8. There are no surgical contraindications. The operation requirement is 1, and the reconstructed female vulva is vivid and lifelike; 2. The vagina has enough depth and width after operation; 3. The clitoris and vagina have sensitive sexual sensory functions; 4. The breasts are natural, harmonious and symmetrical; 5. The Adam's apple and beard disappear, and the craniofacial contour is feminine; 6, postoperative abdominal spots should not exceed 65438±0cm；; After the operation, the patient's physiology and psychology were completely unified, and she successfully lived, worked and studied as a woman. The surgical methods mainly include penis and testis excision, urethral displacement, artificial vaginoplasty, facial bone feminization surgery such as breast augmentation and nose plastic surgery, chin plastic, cheekbone and cheek surgery, thyroid cartilage reduction and plastic surgery, tone adjustment, electrolytic or surgical hair removal, ovarian transplantation, etc. Of course, not every patient needs to do all the above operations, and usually several operations are selected according to the actual situation. Surgical procedures: 1, penis orchiectomy, urethral transfer, artificial vagina and vulvoplasty: the patient took the lithotomy position of bladder and performed the operation under general or epidural anesthesia. (1) Suprapubic cystostomy, sterile urine bag and catheterization. ⑵ Formation of scrotum and penis flaps. ⑶ Excision of testis and epididymis. ⑶ The urethral cavernous body was separated, and the glans remained about 65438±0cm, which was located in the normal clitoris position. 5] Excision of corpus cavernosum. [6] Under the supervision of laparoscopy, the penis skin was turned over to fix the vagina. Once the female vulva is reconstructed and reshaped. Being the vagina is full of molds, and the dressing in the operation area is shaped and bandaged. 2, breast augmentation, autologous fat breast transplantation breast augmentation. Prosthesis implantation is invalid. 3, ovarian transplantation, hormone replacement therapy is not effective. 4. Feminization surgery of the lower contour of the mirror: After the overall design of the whole face, it will be carried out step by step: forehead plastic surgery, nose plastic surgery, chin plastic, cheekbone and cheek plastic surgery and other facial bone and soft tissue plastic surgery. 5. Thyroid cartilage reduction and plastic surgery under microscope: design an incision under the armpit and separate the thyroid cartilage under the microscope. After the thyroid cartilage is fully exposed, the most prominent part of the wing plate of the thyroid cartilage on both sides (that is, the Adam's apple) is exposed and removed. The difference in operation mode is 1. The penis is turned upside down to make vagina, which cancels the traditional colon method to replace vagina, and it is easy to get orgasm after operation, avoiding complications and sequelae such as intestinal leakage, leucorrhea and abdominal scar. 2. Under the supervision and guidance of laparoscope, make a hole to fix the vagina, shorten the operation time and avoid collateral damage. 3. Autologous fat transplantation of breast is realistic, and there is no complication of prosthesis compression. 4. Thyroid cartilage reduction and feminization of the lower contour under the microscope have no scars. 5, ovarian transplantation instead of taking estrogen, so that patients become real "women."