Procedures and Indications

There is no such medical procedure as "transsexual surgery." Indeed, this is a diagnosis, not a procedure. It singles out one particular diagnosis and says that even if the procedures are medically necessary and even if they would be covered for anyone else they are not covered for transsexuals.

This table shows the various procedures that may be involved for surgical correction of the anatomy of a transsexual. Most of these procedures would be covered for other diagnoses and are excluded only for transsexuals. Other reasons that may indicate these surgical procedures are shown in the third column.

Medications Prescribed

Procedure	Description	Indications
hormone replacement therapy (HRT)	estrogens or testosterones	menopause

Male to Female Procedures

Procedure Description Indications

orchiectomy the removal of testicles. prostate cancer
penectomy the removal of the penis. cancer of the penis
vaginoplasty the formation of a vagina vaginal agenesis
vaginal cancer (following vaginectomy)
intersexual children
injury
augmentation mammaplasty breast enlargement breast cancer

Female to Male Procedures

Procedure	Description	Indications
mastectomy	breast removal	breast cancer gynomastica
hysterectomy	removal of the uterus	many reasons including cancer
salpingo-oophorectomy	the removal of the ovaries and fallopean tubes	ovarian cancer
vaginectomy	the removal of the vagina	vaginal cancer
metoidioplasty	release of clitoris from hood - simple outpatient procedure	intersexual children
scrotoplasty	the formation of a scrotum and testicular implants - simple outpatient procedure	injury
urethroplasty	the rerouting of the urethra	hypospadia injury urethral stricture
phalloplasty.	the formation of a penis	injury (e.g. John Wayne Bobbitt)