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Koo Sang-Hwan conducted the first sex-reassignment surgery for a male-to-female. As of late 2000, about 50 cases of sex-reassignment surgery have been reported. In 1990, the Korean Urology Association proposed 12 pb22 for cialis controindicazioni viagra surgery (SRS): Accurate psychiatric diagnosis. No success from long-term psychiatric treatment. Establishment of psychosocial adjustment for dosiwrung desired gender before SRS. No other psychiatric illness or depression. Sufficient period of hormone-replacement treatment with no side effects. Over 21 years old and past puberty. Physical appearance has to fit with the desired gender.

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