I am confused about this idea of sex reassignment surgery

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Alex337 said:
It may also help to remember that those who deal with dysphoria choose their treatment method. Also that there are many means of transitioning. It may be a social transition, with no medical intervention at all. It may be some medical intervention, or lots, it varies depending on the person.

Such a broad statement about whether transitioning works forgets that every case is different and every transition is different. It’s like asking whether treating depression works.
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Exactly why this thread is created, to help me understand both sides of this controversial topic
 
No matter what I say you will say it’s based on feelings, not facts. We are currently studying the differences in the biology of trans* peoples brains and how that impacts dysphoria; that’s not about feelings. We study how dysphoria impacts people and different therapy methods; for some people transition aids. I’m not sure how that’s based on feelings so much as on psychiatric research.
 
When you have a friend like this, you can listen to them and interact with them. It’s the best way to learn about it. Actually, talking to and interacting with people is always the best way to learn about anything having to do with people.
 
Alex337 said:
No matter what I say you will say it’s based on feelings, not facts. We are currently studying the differences in the biology of trans* peoples brains and how that impacts dysphoria; that’s not about feelings. We study how dysphoria impacts people and different therapy methods; for some people transition aids. I’m not sure how that’s based on feelings so much as on psychiatric research.
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Look, I agree that the dysphoria is real. What I disagree with is the source and treatment.
 
Okay. I’d suggest the first step is knowing that transition is a very, very broad term. One can transition purely socially with no medical interference.
 
Alex337 said:
Okay. I’d suggest the first step is knowing that transition is a very, very broad term. One can transition purely socially with no medical interference.
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Ok. I am speaking of then a specific transition. Medical transition in all medically related forms. I will change the title of this thread
 
phil19034 said:
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Alex337:
No matter what I say you will say it’s based on feelings, not facts. We are currently studying the differences in the biology of trans* peoples brains and how that impacts dysphoria; that’s not about feelings. We study how dysphoria impacts people and different therapy methods; for some people transition aids. I’m not sure how that’s based on feelings so much as on psychiatric research.
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Look, I agree that the dysphoria is real. What I disagree with is the source and treatment.
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I’m intrigued; what do you think is the source? I think it’s likely a problem of the biological brain, perhaps hormones in some cases though not all.

As I believe it’s the biology of the brain a physical transition makes the most sense to me. We cannot alter the brain yet, and to do so I this regard feels invasive on a persons very being.
 
Tis_Bearself said:
When you have a friend like this, you can listen to them and interact with them. It’s the best way to learn about it. Actually, talking to and interacting with people is always the best way to learn about anything having to do with people.
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And if they conclude the best form of treatment for them is medically related. How should I approach? Should I affirm? Should I disagree? Should I say nothing?

I can’t give medical advice but how should I approach this question? People at my school would try to ask questions that are controversial. I would hope to give them a detailed answer, and I hope that when this question pops up, I could be ready
 
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theCardinalbird said:
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Alex337:
Okay. I’d suggest the first step is knowing that transition is a very, very broad term. One can transition purely socially with no medical interference.
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Ok. I am speaking of then a specific transition. Medical transition in all medically related forms. I will change the title of this thread
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That’s still immensely broad. Even medical transition takes many forms.

A transmasculine person may decide to have a mastectomy; this helps avoid breast cancer and helps their dysphoria. Is there any problem with this?

A transfeminine person may decide to have laser hair removal to get rid of facial hair, but not do anything else. Is this a problem?
 
Alex337 said:
A transmasculine person may decide to have a mastectomy; this helps avoid breast cancer and helps their dysphoria. Is there any problem with this?

A transfeminine person may decide to have laser hair removal to get rid of facial hair, but not do anything else. Is this a problem?
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Fine, Sex reassignment surgery is what I am specifically talking about
 
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I’d talk with them politely. Odds are good they have considered it in depth. I know in Australia in order to pursue medical transition you need the okay from a GP, psychiatrist and endocrinologist. It’s not done lightly.

If they’re comfortable talking with you, you could discuss risks. All surgery had risks. And ways of mitigating them.
 
theCardinalbird said:
I am trying to comprehend where this idea that someone should transition from man to woman, woman to man, etc
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I’m just as confused now about this as when I first saw Christine Jorgensen discuss it with Joe Pyne and David Susskind back in the day.
 
theCardinalbird said:
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Alex337:
A transmasculine person may decide to have a mastectomy; this helps avoid breast cancer and helps their dysphoria. Is there any problem with this?

A transfeminine person may decide to have laser hair removal to get rid of facial hair, but not do anything else. Is this a problem?
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Fine, Sex reassignment surgery is what I am specifically talking about
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I don’t mean to be a pedant but even that is broad. And this is the thing that people don’t understand when talking about transition, I think it’s why people get so hung up on it; they assume transition is always massive, always the same.

Sex reassignment takes multiple forms. It includes “top surgery” which can be a mastectomy for transmasculine folks.

I assume you mean “bottom surgery”. Even that takes many forms. A transman could have a metoitioplasty for instance; this simply helps lengthen and release the clitoris. They may move the urethra, they may not. They may have a hysterectomy, they may not. They may close the vaginal opening, they may not.

You see how broad the topic is?
 
I skimmed the report, it looked like the control group were cisgendered?
 
Alex337 said:
Sex reassignment takes multiple forms. It includes “top surgery” which can be a mastectomy for transmasculine folks.

I assume you mean “bottom surgery”. Even that takes many forms. A transman could have a metoitioplasty for instance; this simply helps lengthen and release the clitoris. They may move the urethra, they may not. They may have a hysterectomy, they may not. They may close the vaginal opening, they may not.

You see how broad the topic is?
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I am speaking about all forms of sex reassignment surgery Alex. The question is what is the evidence that it is healthy for such a transition to take place and that these people (who should be given empathy as they are struggling with something) are not suffering from some sort of delusion. It doesn’t matter whether it is top or bottom, but thanks for distinguishing.
 
Alex337 said:
I skimmed the report, it looked like the control group were cisgendered?
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No, it says:

Participants​

All 324 sex-reassigned persons (191 male-to-females, 133 female-to-males) in Sweden, 1973–2003. Random population controls (10∶1) were matched by birth year and birth sex or reassigned (final) sex, respectively.
 
theCardinalbird said:
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Alex337:
I skimmed the report, it looked like the control group were cisgendered?
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No, it says:

Participants​

All 324 sex-reassigned persons (191 male-to-females, 133 female-to-males) in Sweden, 1973–2003. Random population controls (10∶1) were matched by birth year and birth sex or reassigned (final) sex, respectively.
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Those would be cisgendered folk they’re being compared to.
 
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