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Here are answers to some of the questions surrounding this issue. The Williams Institute, a think tank at the UCLA School of Law dedicated to research on sexual orientation law and public policy, estimates that 700,000 Americans are transgender.

But a good piece last year on noted that there are no national surveys. The Encyclopedia of Surgery says that "the number of gender reassignment procedures conducted in the United States each year is estimated at between 100 and 500.

Bowers said that only two of the 1,300 people she has operated on have wanted to go back to their old bodies.

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(Another is cost.) In male to female surgery, the testicles and most of the penis are removed and the urethra is cut shorter.Some of the skin is used to fashion a largely functional vagina.Dedicated to verified college students and alumni (via education database). Alumni cannot initiate or respond to contact or post status updates. Members only see intersection of what they are looking for and what other members are looking for. Free messaging and status posting for undergraduates (5 messages/day limit).Fred Ettner, a physician in Evanston, Ill., who works with people going through transition, estimated that only about 25 percent to 30 percent of transgender people have any kind of surgery.

How does one begin the process of changing one's sex?Insurance is just beginning to cover some of the costs.Last year, Medicare lifted a 33-year ban on coverage for gender reassignment surgery, and the surgery was performed on 74-year-old Army veteran. Anecdotal accounts of regret abound, but overall it appears to be rare.Under the standards of care adopted by the World Professional Association for Transgender Health (WPATH), the first step usually is meeting with a mental health professional for a diagnosis and psychotherapy.A diagnosis of gender identity disorder or gender dysphoria and a letter of recommendation from the therapist allows a person to begin hormone therapy with a doctor.The registry will allow you to choose a county in Indiana and enter any local address in that county.