Firstly, I ask that you please excuse my English, as I am quite out of practice. Secondly, I would like to introduce myself. My name is Brygida and I am clinical psychologist, now retired after 50 years of practice as psychotherapist. I specialized in the treatment of LGBT peoples, with subspecialty in the treatment of gender dysphoria. I do not wish to intrude into your conversation, but offer to provide some insight into this issue by answering to the best of my ability any questions you may have. This is obviously and understandably a quite difficult issue for most of us who do not feel this incongruence with regard to gender, however, I think we can develop inaccurate theories when we rely solely on our own speculation.
I will tell you that in my experience, sex reassignment surgery is not always the best course of action, but that very often, it is a most appropriate treatment. I have written many letters of authorization for SRS over the years,
I also believe that the regret expressed by individuals who have undergone SRS should not be ignored. To me this is a symptom of a failure to adopt a more multi-disciplinary approach. Gender dysphoria has largely fallen under the scope of surgeons and psychiatrists since the advent of SRS. And in this vane, it has largely been presented as a medical problem with a medical solution, with psychologists simply giving their stamp of approval for a medical procedure in many cases. While I agree with majority of my colleagues that gender dysphoria itself is not a pathology, that does not indicate that it should be treated as solely a medical condition. In my experience, it is the psychotherapist who ought to be at the helm and working in conjunction with surgeons, psychiatrists, and other practitioners, as SRS should be seen as just one component (a very important one), but just one component of an overall multi-disciplinary approach to treatment.