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Manning, who is serving a year sentence in the Fort Leavenworth Disciplinary Barracks in Kansas for leaking classified and sensitive material to the website WikiLeaks, was recommended for the surgery by a doctor in April, according to her attorneys with the American Civil Liberties Union. Many trans men considering the option do not opt for genital reassignment surgery [ citation needed ] ; more frequent surgical options include bilateral mastectomy removal of the breasts and chest contouring providing a more typically male chest shape , and hysterectomy the removal of internal sex organs. They also might incur additional costs for travel, hospital stays and psychological evaluations. Thailand is the country that performs the most sex reassignment surgeries, followed by Iran. The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. Going full-time refers to a person living one's everyday life as the gender one identifies with. Djordjevic expresses concern about the psychiatric evaluation and counseling that take place prior to the gender reassignment surgery. Asexual Bisexual Heterosexual Homosexual.
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Transgender woman shares VERY graphic account of gender reassignment surgery

Extended concentric circular technique. Related genital surgeries may also be performed on intersex people, often in infancy. People with HIV or hepatitis C may have difficulty finding a surgeon able to perform successful surgery.
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