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The review of more than 100 international medical studies of post-operative transsexuals by the University of Birmingham's aggressive research intelligence facility (Arif) found no robust scientific evidence that gender reassignment surgery is clinically effective.[1] Against the unreferenced note above of 1% and 2% the Report itself states: Paradoxically, a growing number of post-operative transsexuals are scathing about their medical care.

Hundreds of local hermaphrodites are ready to connect!Transsexualism (also known as transsexuality) is a complex condition that is defined differently by different people.Many terms have been proposed through the years to describe transsexual people and the processes they go through.Under the Harry Benjamin Standards of Care they are also required to live as members of their target sex for at least one year prior to surgery (so-called Real-Life Test or Real-Life Experience), although this time may be longer if the psychotherapist has concerns about the transsexual person's readiness.The intentions of the standard are to prevent people from transitioning when such a transition would be inappropriate (as a dramatic example, a person seeking to transition in order to veil their identity from police), or ill-advised (e.g., a strong crossdresser, who still identifies themselves as their assigned gender).[3]While such studies lend support for existing protocols concerning care of transsexuals, post-operative follow-up research is considered to be lacking.

However a note on a report in the UK Guardian Newspaper states: There is no conclusive evidence that sex change operations improve the lives of transsexuals, with many people remaining severely distressed and even suicidal after the operation, according to a medical review conducted exclusively for Guardian Weekend tomorrow.

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International research suggests that 3-18% of them come to regret switching gender.

The Guardian Saturday July 31, 2004 [2] Currently, the causes of transsexualism are unknown, and estimates of prevalence vary substantially.

Many transsexual people also desire various types of medical alterations to their bodies.