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Transsexual people experience a gender identity that is inconsistent with their assigned sex, and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (including sex reassignment therapies, such as hormone replacement therapy and sex reassignment surgery) to help them align their body with their identified sex or gender. Text (d) upon receipt of a certified copy of an order of a court of competent jurisdiction indicating that the sex of an individual born in this state has been changed by surgical procedure and that the name of the individual has been changed, the certificate of birth of the individual shall be amended as prescribed by rules to reflect the changes. Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy (hrt) and, depending on the age at which hrt begins, facial hair removal. There are associated surgeries patients may elect to, including vaginoplasty. Many states already have protections that would nullify the effect of this rule. The statutory section 1557 has a private right of action that has been recognized by several court decisions to allow you to sue medical providers that discriminate on the basis of gender identity. Who offer male to female (mtf) and female to male (ftm) procedures, also known as gender confirmation surgery (gcs), sex reassignment surgery (srs) or gender reassignment surgery (grs). This page sketches the historical development and surgical details of vaginoplasty surgery (also often called sex reassignment surgery (srs) or gender reassignment surgery (grs )). Before reading this page, please read the introduction to the concepts of gender identity, transgenderism and transexualism elsewhere in this website, so that youll understand why transsexual women undergo. State health insurance exchanges the availability of transition-related care in individually purchased, commercially available plans varies from state-to-state. Some states have mandated coverage in plans available via the states health insurance exchange. For the first time, the organisers, the transgender association for the state of rio de janeiro (rio astra), are offering the winner a transsexual operation from male to female, in thailand.   i simply cannot fathom a transsexual person not wanting hrt. I can say without a doubt that she would not preform srsgcsgrs on someone that had no intention of transitioning,. The possibility for abuse of the system if anyone can simply skip all treatment and go straight to srs. The nations health law opens the door for transgender people to gain coverage for gender reassignment surgeries they previously could not afford.

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