Transgender – sex reassignment surgery

When a person cannot identify with the gender assigned at birth, that person’s status is referred to as transgender (formerly transsexuality).
 
Primarily, transgender is not a problem per se, but simply the certainty of feeling you belong to a sex other than the one assigned to you, or to neither, and the wish to be acknowledged in that affiliation both socially and juridically.
 
There are a number of possible gender identities that come under the umbrella term ‘trans’ or stand alone. Ultimately, each of them is a very individual, alterable identity.
 
The road to sex reassignment has now been smoothed, though it does still feature some bureaucratic hurdles. Talk to us about it. We’ll help you find your own individual way forward, and we’ll be at your side to advise you.
 
Given that the medical services at the place where they live are often limited, many transident individuals are prepared to travel long distances, sometimes even going abroad, to adapt their phenotype, though the aftercare in such cases may not necessarily be assured to an appropriate degree. If you have already had surgery, we can offer post-operational care here at the practice and will advise you if there are any complications.
 
In Germany, the diagnosis of the transgender characteristic is geared to the International Statistical Classification of Diseases and associated health problems (ICD – transsexualism according to ICD F64.0) issued by the World Health Organisation (WHO).
 
Many transgender and non-binary individuals feel hurt when their gender feeling is classified as a disease or disorder. However, categorisation in ICD-10 and recognition as a disease pursuant to SGB V (Book V of the German Social Security Code) do at least have the advantage for those concerned that the health insurance providers meet the costs for diagnostics and treatment once the diagnosis has been confirmed.
 
If you are considering applying for the costs of sex reassignment surgery to be borne by your statutory health insurance provider, there are as a rule some conditions that need to be fulfilled.
Having said that, we would like to draw your attention to the fact that in our practice clinic we cannot perform any operations with reimbursement for out-patient care services as defined by the statutory health insurance providers (on the so-called standard assessment scale [EBM]). In individual cases, however, you may be able to come to a special agreement with your provider. For direct payers and privately insured patients, (depending on their individual contract profile), these restrictions do not apply.
 
As a rule, paramount to sex reassignment surgery is the removal of the protruding chest with the aim of adapting to an appearance that corresponds to the patient’s gender perception, or the construction of a protruding chest. A chest that does not fit in with the person’s sexual identity often constitutes the greatest visible stigma for the patient. Which surgical procedures are suitable in your particular case depends on your initial findings.
 
We can offer you either realignment to a flat chest for trans people assigned female at birth (AFAB), or the creation of a protruding chest for trans people assigned male at birth (AMAB). We can perform all the operations that are necessary to achieve an optimum result for you, so that you can get just that little bit closer to your long awaited goal of uniting your body with the way you feel.
 
We work together with a network of microsurgeons, gynaecologists, urologists and endocrinologists who will also advise and assist you.
 
In a detailed consultation, we can talk about the gender reassignment measures which will achieve the result that is best for you.

Ask our advice.

We’ll be glad to provide you with detailed information about this treatment. Simply get in touch with us now and obtain advice at an individual and absolutely personal level.

+49 30 - 94 041 144

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