Gender reassignment, more appropriately termed sex reassignment, is a surgical procedure that alters genital and other other physical characteristics. Some transsexual and intersex people opt for reassignment surgery to better align their physical sexual characteristics with their emotional and psychological identity.
Reassignment surgery can cost between $10,000 and $20,000, not including the additional cost of pre and post therapy. Therapy includes hormone replacement, permanent hair removal, voice therapy and psychological counseling. It's recommended that patients live as a member of their identified gender for at least one year prior to surgery.
During this transition, persons that undergo sex reassignment surgery usually change their legal names and sex designation.