1, penis orchiectomy and urethral transposition artificial vaginoplasty: 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. Anatomy and excision of bilateral testis and epididymis. ⑷ The urethral cavernous body was separated, and a long enough urethra was reserved for reduction. (5) Reconstruction of clitoris with island partial glans flap pedicled with neurovascular. [6] Cavernectomy. Once the vagina is reconstructed. (8) Reconstruction and shaping of female vulva. Levies iodoform gauze strips are filled in the vagina, and the dressing in the operation area is shaped and bandaged.

2, breast augmentation, silicone prosthesis implantation: male and female transsexuals, less breast tissue, wide chest, so generally choose a larger breast prosthesis. The incision was designed in the anterior axillary fold to cover the postoperative scar. The prosthesis was implanted under the pectoralis major muscle. The operation steps are basically the same as those of female breast augmentation.

3. Feminization of facial contour: After the whole facial design is completed, it will be gradually carried out: forehead plastic surgery, nose plastic surgery, chin plastic, cheekbone cheek plastic surgery and other facial bones and soft tissues feminization.

4. Thyroid cartilage reduction and plastic surgery: an incision was designed at the transverse skin of the base of the jaw and separated subcutaneously. 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, which is removed and the incision is sutured in layers.

Male gender remodeling surgery in love women mainly includes:

1, hysterectomy and bilateral ovariectomy

2. Excessive excision of breast tissue.

3. Testicular prosthesis implantation

4. Penile plasty: This is the most complicated and critical step in the operation of changing women into men. The penis after plastic surgery needs to meet the following requirements: 1) Provide a beautiful male feature in appearance; 2) The urethra passes through the penis normally; 3) Penile hardness required to adapt to postoperative sexual life; 4) Feel the existence

Transsexualization is a psychological phenomenon in which the biological gender and psychological gender of individuals are reversed. Sex-change surgery can coordinate the physiological gender and psychological gender of heterosexuals. If they are troubled by love and work problems, they will be in a state of psychological stress for a long time, which will make them show some negative emotional reactions such as emotional instability, anxiety and fear; Pessimism and loneliness, etc.