Regret after Sex Reassignment Surgery in a Male-to-Female Transsexual: A Long-Term Follow-Up

  title={Regret after Sex Reassignment Surgery in a Male-to-Female Transsexual: A Long-Term Follow-Up},
  author={Stig-Eric Olsson and Anders R M{\"o}ller},
  journal={Archives of Sexual Behavior},
This case report describes a four-decade presentation of a non-homosexual gender dysphoric male patient. The case material was collected from two main sources. One of the authors had weekly therapy sessions with the patient over a period of 2 years almost 15 years after sex reassignment surgery. Information was also gained from the patient's medical records covering the period from the early 1960s to the early 1990s. Over the years, the patient fulfilled the criteria for different diagnoses… 
Reversal Surgery in Regretful Male-to-Female Transsexuals After Sex Reassignment Surgery.
Reversal surgery in regretful male-to-female transsexuals after SRS represents a complex, multistage procedure with satisfactory outcomes and further insight into the characteristics of persons who regret their decision postoperatively would facilitate better future selection of applicants eligible for SRS.
Postoperative regrets after sex reassignment surgery: A case report☆
The scientific literature shows that the risk of regret is higher among men who have experienced a long heterosexual life, whose request for sex reassignment comes late in life, and who do not receive the support of family and friends.
Sex reassignment surgery is a process which includes a decision to change one’s biological sex through the use of medical intervention. Trans-sexualism is a condition in which a person experiences
Male-to-Female Transsexual Individuals' Experience of Clinical Relationships: A Phenomological Study
This phenomenological study was designed to gain insight into male-to-female transsexual clients' experience of clinical relationships. Transsexual clients who enter into a clinical relationship have
Quality of Life Changes in Iranian Patients Undergoing Female-to-Male Transsexual Surgery: A Prospective Study.
As the results of the present study highlight, FTM GD patients have a low QOL before surgery that is significantly improved after surgery, which is significantly better than the general population.
The Application of Self-Discrepancy Theory to the Mental Health Outcomes of Transsexuals who are Living in their Preferred Gender
Gender Identity Disorder (GID) is a mental health diagnosis that is currently treated through a triadic medical model which involves hormone therapy, the real life experience, and various forms of
Sexual functioning in transsexuals following hormone therapy and genital surgery: a review.
Based on the available literature, transsexuals appear to have adequate sexual functioning and/or high rates of sexual satisfaction following SRS, and transsexualism does not appear to be associated with a hyposexual condition.
Self-made women: The (re) construction of self following male to female gender reassignment surgery
The findings of the current study suggest that from a psychological perspective, surgical gender reassignment has complex implications for both the patient and those around them, such that it is perceived as both life-changing yet ultimately limited as an intervention.
Surgical Treatment of Gender Dysphoria in Adults and Adolescents: Recent Developments, Effectiveness, and Challenges
Abstract In 1990 Green and Fleming concluded that sex reassignment surgery (SRS) is an effective treatment for transsexuality because it reduced gender dysphoria drastically. Since 1990, many new
Gender Dysphoria: Bioethical Aspects of Medical Treatment
This work reviews the recent literature with respect to any new information on bioethical aspects related to medical treatment of people with gender dysphoria and discusses the most frequent bioethical questions in transgender medicine.


Long-term follow-up of “sex change” in 13 male-to-female transsexuals
One striking finding is that overall sexual adjustment is often unchanged by genital surgery, and psychosocial adjustment showed a slight improvement after surgery.
Transsexualism—General outcome and prognostic factors: A five-year follow-up study of nineteen transsexuals in the process of changing sex
Ninetten transsexuals, approved for sex reassignment, were followed-up after 5 years and female transsexuals had a slightly better outcome, especially concerning establishing and maintaining partnerships and improvement in socioeconomic status compared to male transsexuals.
Prognostic factors vs. outcome in male‐to‐female transsexualism
Completed military service, a history of typically masculine, hard jobs, and a comparatively late first request for surgery, were found to be negative prognostic factors in sex‐reassignment evaluations.
Sex reassignment surgery in male to female transsexuals.
There was only 1 patient who regretted having had the operation, and all the others were well pleased and content that their external sexual organs at last fitted their body image.
Outcome of sex reassignment surgery
Genuine transsexuals as a group seem to have a better prognosis for successful outcome of sex reassignment than a group of secondary transsexuals (i.e. transvestites and effeminate homosexuals).
Factors predictive of regret in sex reassignment
The results of logistic regression analysis indicated that two factors predicted regret of sex reassignment, namely lack of support from the patient's family, and the patient belonging to the non‐core group of transsexuals.
A follow‐up study of operated transsexual males
  • T. Sørensen
  • Psychology, Medicine
    Acta psychiatrica Scandinavica
  • 1981
Since 1951, when the first operation on a transsexual took place, the Rigshospital has had a thorough pre‐operative knowledge of a total of 29 transsexual males who have all obtained official status as females and who have subsequently been followed up.
The line between transvestism and transsexualism drawn by many authors has been and still is all too obscure. As long as no definite criteria are employed to differentiate these two groups’ progress
The she-male phenomenon and the concept of partial autogynephilia.
  • R. Blanchard
  • Psychology, Medicine
    Journal of sex & marital therapy
  • 1993
Some patients with a persistent desire for women's breasts but no or conflicted desires to live as women full-time or undergo vaginoplasty may be pacified with mildly feminizing doses of estrogenic hormones.
Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery
  • A. Lawrence
  • Medicine, Psychology
    Archives of sexual behavior
  • 2003
The physical results of SRS may be more important than preoperative factors such as transsexual typology or compliance with established treatment regimens in predicting postoperative satisfaction or regret.