The population impact of severe mental illness on violent crime. Like non-transgender people, transgender people can have any sexual orientation. Regret may be due to unresolved gender dysphoria, or a weak and fluctuating sense of identity, and may even lead to suicide. Although this may still be insulting, it is very different from being "anti-trans" or "hateful toward transsexuals. Rights issues. InChile's public health plan was required to cover sex reassignment surgery. People who pursue sex reassignment surgery are usually referred to as transsexual.
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Supporters of colovaginoplasty state that this method is better than use of skin grafts for the reason that colon is already mucosal, whereas skin is not. But hormones and sex change genital surgery couldn't solve the underlying issues driving my gender dysphoria. Many medical professionals and numerous professional associations have stated that surgical interventions should not be required in order for transsexual individuals to change sex designation on identity documents. So even if you did have attractions for men, you might not engage with men or even indulge in fantasies about men until you can be witnessed as and interacted with in your affirmed gender.