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He inspects recycled canisters for flaws at a gas tank factory in western Cuba and cracks jokes with the other workers. Short and stocky, he has a deeply lined face and thick mustache. It was only two months ago that the year-old transsexual underwent gender reassignment surgery.

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Goldman Sachs's London staff have been told that they can now have free sex-change surgery and fertility treatments in the latest step to encourage more women to stay with the firm. The Wall Street bank, nicknamed the "great vampire squid" for its powerful grip on the world's banking -industry, told London staff last week that sex-reassignment surgery and IVF treatment had been added to its -employee benefits plan. The bank fights to change its reputation as a conservative old boys' club.

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When Gaines Blasdel decided in that he wanted surgery so his physical identity would match the male character he'd long had in his head, his health insurance wouldn't cover it — not even student coverage at Hampshire College, which he admits with a laugh is the "social justice warrior capital of the world. Blasdel went ahead in and had his breasts removed at his own expense, but by the time he wanted a phalloplasty to construct a new penis inthe insurance situation changed. The year-old Brooklyn resident, who works for Callen-Lorde Community Health Center, a trans advocacy group, had work-based insurance that covered gender-transition surgery.

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Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring. Federal prosecutors from Rio Grande do Sul state had argued that sexual reassignment surgery is covered under a constitutional clause guaranteeing medical care as a basic right. The Health Ministry said it would be up to local health officials to decide who qualifies for the surgery and what priority it will be given compared with other operations within the public health system.

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The report documents experiences of transgender people who faced difficulties in getting the procedure done. Lack of access to sex reassignment surgeries SRS for transgender people has been a major concern for the community members, which they feel is a violation of their right to self-identification of gender. Addressing this, doctors and experts from NIMHANS, along with the community members, have come out with a report recommending that the government ensure such surgeries are conducted for free in all government hospitals.

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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 HRTand, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including facial feminization surgerybreast augmentationand various other procedures.

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Jump to navigation. InBrazil announced free sex-reassignment surgeries for its transgender community followed by Cuba. Brazil said 28 people in the country want to undergo sex change operation and therefore the government must make it free.

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Requirements for genital reconstructive surgery i. Gender-specific services may be medically necessary for transgender persons appropriate to their anatomy. Examples include:.

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Sex reassignment surgery SRSalso known as gender reassignment surgery GRS and several other names, is a surgical procedure or procedures by which a transgender person's physical appearance and function of their existing sexual characteristics are altered to resemble that socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender.

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The search for publications intentionally identified only studies reported in English or German. Studies of trans persons who were under age were excluded too. During the study selection process we excluded according to the mentioned criteria those studies that were not able to contribute to answering our research question figure.

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