Every year around 150 sex change interventions are carried out in Spain. Patients are people with gender identity problems who have chosen to adapt their primary and secondary sexual characteristics to the sex to which they feel they belong.

Based on the Law / 2007, of March 15, regulating the registration rectification of the mention regarding the sex of the people, gender identity problems must be verified by a psychiatrist, a psychologist, and an endocrinologist, who will confirm that the patient does not have pathologies such as schizophrenia, and they will verify that he does suffer from gender dysphoria. The application process for sex reassignment surgery can take 2 years.

After the psychiatric evaluation, the endocrine hormone and psychological therapy take place that will help the patient to assume his new sexual identity.

A man who feels wife and decides to live in a natural way d Êbêra follows a hormonal treatment throughout his life, which will include weekly injections, pills, and creams daily.

This therapy, which is intended to inhibit male hormones and introduce female hormones, is not without side effects, such as mood swings and liver problems.

In some cases the treatment is sufficient to make the breast grow, influencing the quality of the skin and hair, and varying the distribution of body fat, but the results are subjective. The voice, as a general rule, does not change due to the effect of hormones, although it is possible to carry out an operation or exercise it to achieve a more adequate tone of voice.

To obtain the complete reassignment of sex, it is mandatory to undergo a vaginoplasty surgery, while other changes depending on the requirement of the patient, such as breast augmentation mastoplasty, reduction of Adam’s apple, and the removal of the last two ribs for a more sinuous waist.

The vaginoplasty intervention lasts between six and seven hours. It takes place in two phases: the first consists of the removal of the male genital organs, and the second is reconstructive. Between the rectum and the bladder, there is a cavity in which a neovagina is created with the skin of the penis, while with a portion of the glans a sensitive clitoris is built. Finally, the small and large vaginal lips are created with the scrotal tissue and the mons pubis is modeled to achieve a shape that is as close as possible to the female organ. Subsequently, a small outpatient modeling intervention can be performed.

Vaginoplasty is a complicated operation, it requires an average hospital stay of ten days, but it ensures optimal results from both an aesthetic and functional point of view.

After the surgical intervention and the treatment, all in charge of the health service, the sex change that the law provides and that will affect the legal documents takes place, although this change can also be made before the operation.