In order to ensure the seriousness of the operation, everyone who wants to have sex-change surgery must first be a "transsexual" patient and have lived and worked under different surnames for some time. Secondly, eight certificates must be issued before the operation: namely, the certificate that the public security department agrees to the operation, including the personal application certificate of personal experience and determination to operate, the certificate that the family members agree to the operation, the certificate that the mental hospital excludes mental illness, the certificate that the work unit agrees to the operation, the certificate that the township government and the neighborhood Committee agree to the operation, and the married person must solve the spouse problem and issue the certificate of the court, the preparation of medical expenses and the proof of living security measures after the operation. When all the documents are ready, you can undergo sex-change surgery.
Possible complications of transsexual surgery
Surgery for degenerative diseases, like other surgical operations, will also have some complications. Generally speaking, it can be divided into two categories: (1) complications caused by the operation itself; ⑵ Complications related to improper case selection or poor surgical results.
Fertility problem
Strictly speaking, men and women who have sex-change surgery have not fully realized feminization or masculinity in physiology, anatomy and function. Both men and women can't have children, which is a difficult problem to be solved in the future of sex change surgery. To solve this problem, it is necessary to do organ transplantation or study abroad, so that men can have children in the next century. Put fertilized eggs and embryos into male abdominal cavity, get pregnant for a certain period of time, completely imitate the maternal environment, take medicine quantitatively, and form an estrogen environment. In this way, men can also get pregnant and have a caesarean section when pregnancy is about to expire. Therefore, I think that solving the fertility problem of transgender people can make a breakthrough in this respect. In addition, organ transplantation can also make a breakthrough. Male and female patients can transplant women's uterus, ovaries and glands; Female-to-male patients can transplant male penis and testicles. The Third Hospital of Beijing Medical University has carried out this kind of operation, but the basic medical research lags behind the clinical medicine and cannot solve the rejection of organ transplantation. Because of this, plastic surgery technology has reached the level that any organ of human body can be transplanted through microsurgery, but it still can't solve the problem of rejection.
Endocrine problems
Patients with transsexuality should take male or female hormones regularly after operation, so they can do organ transplantation or gland transplantation in the future, so that patients no longer need to take physiological doses of hormones. Moreover, how to administer hormones can best imitate the physiological conditions of men and women, and a complete and scientific method of administration needs to be explored through a lot of clinical experiments and research. The process of making patients adapt to physiological changes is also a difficult problem.