Gender Dysphoria Surgical Interventions
For individuals seeking hormone-surgical transformation for gender dysphoria, the process involves several steps :
Evaluation and support phase conducted by psychologists and psychiatrists
- Confirmation of the presence of gender dysphoria through a bio-psycho-social analysis
- Exclusion of differential diagnoses requiring other treatments :
• Psychotic episode
• Feeling of non-conformity to behavioral stereotypes related to gender roles
• Transvestism within the context of paraphilia
• Body dysmorphia unrelated to gender
• Desire for body transformation unrelated to gender issues - Screening and management of prognostic factors associated with dissatisfaction or frustration :
• Idealization of hormone-surgical transformation
• Psychological or psychiatric disorders (personality disorder, suicidal behaviors, psychosis, autism spectrum disorders..)
• Major emotional and familial deprivation
• Severe social precarity
• Adaptive vulnerabilities
Collegial confirmation of eligibility for hormonal treatment request
> support for transformations induced by feminizing or masculinizing hormone therapy by the endocrinology team.
- Screening for sexual differentiation anomalies (sexual ambiguities), congenital adrenal hyperplasia, androgen insensitivity syndrome
- Informing the individual about the modalities, benefits, limitations, and risks of such therapies.
- Long-term follow-up
Collegial confirmation of eligibility for surgical treatment request
> surgical interventions and post-operative follow-up.
- Male to Female (MtF) Reassignment Surgery :
- Facial and neck feminization
- Breast augmentation
- Penis amputation and testicle removal
- Aidoiopoiesis (vaginoplasty) : vaginal cavity lined with penile skin, vascularized and sensitive neo-clitoris, urethral meatus
- Female to Male (FtM) Reassignment Surgery :
- Breast, uterus, and ovary removal
- Phallopoiesis (phalloplasty)
The care for these individuals will be provided by a multidisciplinary team according to the recommendations of the WPATH (World Professional Association for Transgender Health).
