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Theory and concepts. Transgender portal. Surgery The History of Surgery: See also: Rhinoplasty may be done to narrow the nose and refine the tip. Breast development Loss of erection Shrinkage of testicles Decreased acne Decreased facial and body hair Decreased muscle mass and strength Softer and smoother skin Slowing of balding Redistribution of fat from abdomen to the hips, thighs, and buttocks.

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According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation

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Voice feminization lessons are available to train trans women to practice feminization of their speech. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress. Society and culture.

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Many surgeons require two letters of recommendation for sex reassignment surgery.

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