Sex reassignment surgery SRS is known by a variety of names, including gender reassignment surgery GRS , sex change surgery, sex affirmation procedures, and genital reconstruction surgery. Author information: Was this page helpful? Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. Complications and results were similar to those in earlier case series. For some, a chondrolaryngoplasty, commonly known as a "tracheal shave," can help reduce the prominence of the Adam's apple. In , the United States Defense Health Agency for the first time approved payment for sex reassignment surgery for an active-duty U. Talk to people who have already had the procedure and ask about their experience and their surgeon. Each patient is unique and the procedures that are done are based on the individual need and budget, but facial feminization often includes softening the brow line, rhinoplasty nose job , smoothing the jaw and forehead, and altering the cheek bones. Let's look at what is required to be a candidate for these surgeries, the potential positive effects and side effects of hormonal therapy, and the types of surgeries that are available. What are your concerns? Factors important for success of sex-reassignment operations include patient age less than 30 years old at operation and ability of the patient to handle a vaginal dilator correctly after the surgical conversion. Stan J. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in U. The procedures that change the genitalia are rarely performed without other procedures, which may be extensive.