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We somehow got our hands on this sneak peak. Well maybe George RR Martin should call him up. While the WPATH standards of care generally require the patient to have reached the age of majority, they include a separate section devoted to children and adolescents. Quality of Life Research. However, almost all surgeons practicing in North America and Europe who perform genital reassignment surgery require letters of approval from two psychotherapists; most Standards of Care recommend, and most therapists require, a one-year real-life test prior to genital reassignment surgery, though some therapists are willing to waive this requirement for certain patients.

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Generally speaking, physicians who perform sex-reassignment surgery require the patient to live as the members of their target gender in all possible ways for at least a year "cross-live"prior to the start of surgery, in order to assure that they can psychologically function in that life-role.

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Namespaces Article Talk. Jacobson and Alf B. Many prepubescent children with cross-gender identities do not persist with gender dysphoria. Email Address never made public. Hormone replacement therapy trans. The vast majority functioned quite well psychologically, socially and sexually.

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