{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:05:51Z","timestamp":1777896351974,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1995,1,1]],"date-time":"1995-01-01T00:00:00Z","timestamp":788918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:p>Prior to considering surgical reassignment, the key issue for the surgeon is to establish beyond reasonable doubt that the gender dysphoria or transsexual feeling is genuine and that surgical reassignment will be beneficial. For this he will need the expertise of a reputable behavioural scientist.<\/jats:p>\n                  <jats:p>To determine whether the patient is physically fit for surgery, the surgeon may lean on the expertise of an endocrinologist with substantial personal experience in the field of hormonal treatment of transsexuals.<\/jats:p>\n                  <jats:p>Sex reassignment for M\u2192F transsexuals may be completed in one operation, leading to acceptable cosmetic and functional results, provided the surgery and postoperative treatment are performed with a high degree of expertise.<\/jats:p>\n                  <jats:p>Present generation operative techniques for phalloplasty in F\u2192M transsexuals still do not meet all requirements. The term \u2018one-stage phalloplasty\u2019 is deceiving. Genital reassignment surgery in F\u2192M transsexuals can seldom be achieved in one stage. Prior to any form of this kind of surgery, this should be made clear to the patient. F\u2192M and M\u2192F transsexuals will become irreversibly infertile by the orchiectomy and the o\u00f6phoro-hysterectomy usually performed on them.<\/jats:p>\n                  <jats:p>Diagnosis of, and counselling and treatment for, gender dysphoria should be restricted to reputable gender teams. These teams should exchange information.<\/jats:p>","DOI":"10.1177\/002580249503500105","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T14:30:44Z","timestamp":1484922644000},"page":"17-24","source":"Crossref","is-referenced-by-count":26,"title":["Medical Requirements and Consequences of Sex Reassignment Surgery"],"prefix":"10.1177","volume":"35","author":[{"given":"J J","family":"Hage","sequence":"first","affiliation":[{"name":"Consultant Plastic Surgeon, Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1995,1,1]]},"reference":[{"key":"bibr1-002580249503500105","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198412000-00003"},{"key":"bibr2-002580249503500105","volume-title":"Transsexualismus","author":"Eicher W.","year":"1992","edition":"2"},{"key":"bibr3-002580249503500105","volume-title":"From Peniplastica Totalis to Reassignment Surgery of the External Genitalia in Female-to-male Transsexuals","author":"Hage J. 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Surg."},{"key":"bibr10-002580249503500105","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-73565-3_15"},{"key":"bibr11-002580249503500105","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31424-3"},{"key":"bibr12-002580249503500105","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-197907000-00007"},{"key":"bibr13-002580249503500105","first-page":"833","volume-title":"Controversy in Psychiatry","author":"Money J.","year":"1978"},{"key":"bibr14-002580249503500105","volume-title":"Standards of Care \u2014 The Hormonal and Surgical Sex Reassignment of Gender Dysphoric Persons","author":"Walker P. A.","year":"1990","edition":"4"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580249503500105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580249503500105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:18:57Z","timestamp":1777623537000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/002580249503500105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1995,1]]}},"alternative-id":["10.1177\/002580249503500105"],"URL":"https:\/\/doi.org\/10.1177\/002580249503500105","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,1]]}}}