Your SlideShare is downloading. ×
Gender Reassignment Surgery
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

Gender Reassignment Surgery

483
views

Published on

MedicYatra provides the safe & best Gender Reassignment Surgery at its affiliate & trusted hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our …

MedicYatra provides the safe & best Gender Reassignment Surgery at its affiliate & trusted hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified doctors are extensively trained and vastly experienced and have performed hundreds of such surgery at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com

Published in: Health & Medicine

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
483
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
5
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Email: enquiry@medicyatra.comGender Reassignment Surgery Copyright @ Forever Medic Online Pvt. Ltd
  • 2. Email: enquiry@medicyatra.comOverview Background Distinctions Two ways to view gender dysphoria Ethical issues Further thinking Copyright @ Forever Medic Online Pvt. Ltd
  • 3. Email: enquiry@medicyatra.comBackground Assumptions Sex has three meanings  Genetic (XY, XX, XXY, etc.)  Phenopytic (what you look like physically)  Social (how you are raised, how you present) Gender has one (main) meaning: the social or behavior aspects of sexual identity. There is no 1:1 relationship between sex and gender Copyright @ Forever Medic Online Pvt. Ltd
  • 4. Email: enquiry@medicyatra.comBackground Assumptions Sexual dimorphism is part of the mental landscape in our culture.  First question when baby is born  “treatment” of intersex babies  As species go, we are not too dimorphic; variations within the sexes are greater than the variations between them. Copyright @ Forever Medic Online Pvt. Ltd
  • 5. Email: enquiry@medicyatra.com Background Assumptions There is a lot we don’t know about sexual and gender development  How genotype is translated into phenotype  What hormone surges (in utero and at puberty) do; what can go wrong  How people “feel” like women or men apart from social conditioning Copyright @ Forever Medic Online Pvt. Ltd
  • 6. Email: enquiry@medicyatra.comDistinctions  Heterosexual  Homosexual  Bisexual  Transvestite  Transsexual  Transgender Copyright @ Forever Medic Online Pvt. Ltd
  • 7. Email: enquiry@medicyatra.com Distinctions Heterosexual, homosexual, and bisexual describe sexual attraction, grounded in biology but affected by culture.  Medically speaking, these are not disorders.  Attraction is fluid and changing; most people think attraction is established before birth.  DSM-III (1974) Transvestite describes people who wear clothes of the other gender. Motives differ. Copyright @ Forever Medic Online Pvt. Ltd
  • 8. Email: enquiry@medicyatra.com Catholic Teaching: Sexual function has two purposes  Fun (aka “union”)  Babies (aka “procreation”) Double effect  Good or morally neutral act  One effect intended, one foreseen  Bad effect is not a means to the good Copyright @ Forever Medic Online Pvt. Ltd
  • 9. Email: enquiry@medicyatra.com Transsexual/Transgender terms refer to the same thing gender dysphoria (DSM-IV) Transgendered persons can self-identify as gay or straight. Some transgendered persons get married; some engage in homosexual relationships with members of their new sex. Copyright @ Forever Medic Online Pvt. Ltd
  • 10. Email: enquiry@medicyatra.comGender Dysphoria: one view  Objectively disordered  Psychiatric in nature  You don’t do surgery for psychiatric symptoms (unless you do; see Elliot)  Gender reassignment surgery mutilates and results in sterilization, therefore it is wrong. Copyright @ Forever Medic Online Pvt. Ltd
  • 11. Email: enquiry@medicyatra.comGender Dysphoria: other view Biological in nature; hormone surge in utero contributes to sexualization of fetus. Disruption can “cause” GD. Male and female brains differ; in some respects, m->f brains look like female brains and f->m brains look like male brains. Copyright @ Forever Medic Online Pvt. Ltd
  • 12. Email: enquiry@medicyatra.com GD: other view If GD is biological, then surgical correction is appropriate. Other surgical corrections:  Strabismus  Cochlear implant  Aortic repair  Lasik surgery; septoplasty Mutilation and sterilization are side effects. (see Double Effect) Copyright @ Forever Medic Online Pvt. Ltd
  • 13. Email: enquiry@medicyatra.comSurgery is last step in transition  Transition includes  Psychological counseling  Living as “the other”  Hormone treatments to affect secondary sex characteristics (hair growth, breast size, voice)  Plastic surgery to fashion new genital and urethral equipment; mastectomy for f->m; breast augmentation for m->f.* *cause of action in Seton lawsuit Copyright @ Forever Medic Online Pvt. Ltd
  • 14. Email: enquiry@medicyatra.comSome transitions are finishedwithout surgery  Expense  Mutilation  Irreversibility Copyright @ Forever Medic Online Pvt. Ltd
  • 15. Email: enquiry@medicyatra.com Ethical Issues Should surgeons be allowed to perform gender reassignment surgery? How do we take care of patients after surgery? How do we take care of transgendered persons in the hospital for other reasons? Copyright @ Forever Medic Online Pvt. Ltd
  • 16. Email: enquiry@medicyatra.com Allowing surgery for GRS Patient must be part of program Program must be rigorous Surgeon must have experience; double boarded in some cases (e.g., urology and plastic surgery) Treat these patients fairly Copyright @ Forever Medic Online Pvt. Ltd
  • 17. Email: enquiry@medicyatra.com Ethical IssuesRespect for transgendered persons means: Using the form of address and pronoun he or she chooses. How the person presents is the person’s social identity and should be honored. Protecting privacy, especially with regard to roommate if there is one. Private rooms are nice but not always possible. No one taking care of the patient should be surprised; confidence must be held carefully. Copyright @ Forever Medic Online Pvt. Ltd
  • 18. Email: enquiry@medicyatra.com Stoke your imagination Stories of Native Americans Middlesex by Jeffrey Eugenides Oscar-nominated film Transamerica Carl Elliot, “A New Way to Be Mad.” Atlantic Monthly, Dec 2000. Call Me Malcolm (UCC: Office of LGBT Concerns in Cleveland has copies) Copyright @ Forever Medic Online Pvt. Ltd