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Surgery Referral Letters
The main surgeries a MtF TG or HBS/TS will need will be:
- Breast implant surgeries;
- Butt implant surgeries;
- Lyposuction and sculture;
- Adam's apple elimination;
- Face feminization - FFS;
- Sexual Reassignment - SRS.
The SRS we consider as a special referral letter, and we consider in another page. So here, for MtF's, the surgeries that may need a referral is a FFS (when we include Adam's apple elimination).
We include not here Orchiectomy - the elimination of testicles. We believe that is not a good solution, and we may consider it only in extreme situations. A bad orchiectomy may triggers a lot of difficulties for a future SRS. In that aspect almost all orchiectomy may be considered as a bad one. So, if the patient intends one day to have a SRS we never suggest an orchiectomy.
Only if the patient shows us the absolutely necessity of it - not only to diminish the intake of female hormones, for example, but due to a real necessity, we may consider an orchiectomy referral letter, considering the same conditions as for an FFS referral letter.
A successful FFS in Thailand (Suporn).
The main surgeries a FtN will need will be:
- Mastectomy - breasts elimination;
- Complete hysterectomy - ovaries, uterus and Phallopius elimination;
So we may prepare referral letters for Mastectomy and Complete Hysterectomy, when possible and when the patient is ready for it and it is necessary.
A good mastectomy result.
Before each surgery we discuss methods, procedures, alternatives and possibilities, depending on age, structure, size of the breasts, and so on.