497 reason, and justice tell me I ought to do." This may still be sage counsel, but to the list of humanity, reason, and justice should be added a fourth item: this book. was founded in 1976. In the ensuing ten years, approximately 120 gender reassignments have been performed. Motivated by the recent change in the climate of opinion surrounding sex reassignment surgery and by the growing popula...

evaluates them, and relates them. He offers some new interpretations of old information and suggests some new directions for research. Over 500 references are offered, divided into a list of specific references to work cited in the text and a selected bibliography. The rigorous definitions of epidemiological terms that are given will be helpful to readers unfamiliar with their use. A few weakne...

A person with a Gender Identity Disorder (GID) is a person who strongly identifies with the other sex. The individual may identify with the opposite sex to the point of believing that he/she is, in fact, a member of the other sex who is trapped in the wrong body. The treatment option is sex reassignment surgery. In Pakistan There is no specialized facility sex reassignment surgery. This case re...

TO THE EDITOR: Joost à Campo, M.D., et al. (1) reported that a high proportion of subjects with cross-gender identification suffers from comorbidity with other psychiatric disorders and concluded that their sex reassignment will eventually lead to regret. We are sensitive to the issue that patients may regret their sex reassignment (2, 3). However, we have reason to disagree with the authors si...

An eighteen year old Christian male, diagnosed as Bipolar Affective Disorder, 2nd manic episode with mood congruent psychotic features presented during the episode with the explicit wish for sex reassignment surgery. He even claimed to be married to a local man. With effective management of the manic episode, his wish for sex reassignment surgery has completely subsided. This report discusses t...

Congenital aphallia or penile agenesis is a complex urogenital malformation and an extremely rare condition in the medical literature with reported incidence of 1 in 30 million live births. The condition is apparent at birth and is almost never missed. Objectives behind the study were to present the management and solve the dilemma with congenital aphallia. We present a retrospective study of t...

BACKGROUND The "Sex-Reassignment Surgery" is a solution that besides behavioral therapy has been suggested to people suffering from gender identity disorders in recent years. In Iran, this trend has become more popular over the past years due to the inclination to reach to the goal rapidly with less effort and also the surgery has attracted many patients with the problem. Religious clerics have...