Okay.

Gender reassignment treatment (encompassing psychotherapy, surgery and hormone therapy) is both healthy (psychological treatment) and not *that* healthy (surgical interventions.) Lets only talk about males-to-females.

First with regards to surgical treatments:
ANY surgery has risks, even the most minor ones. You can think of surgery as “bad” for you, but it’s a cost-benefit thing. Routine complications include sepsis, both at the surgical site and in the respiratory system (the patient will likely be intubated.) Sepsis can be fatal. Nerve damage can easily occur – this can include loss of sensation across small or large areas and loss of bodily functions like continence, among other things. There’s risk of venous thromboembolism – clots than can cause heart attack, stroke, etc. The Journal of Sexual Medicine (Belgium) finds that “Surgical satisfaction was high, despite a relatively high complication rate” 8 years after gender reassignment surgery among 49 transsexual men. Keep in mind that successful surgeries often achieve functional results and yield very happy patients.

With regards to CSHT (Cross-Sex Hormone Therapy):
Males-to-Females will receive Estrogen and a GnRH analogue (sort of a double-whammy to reduce the biological action of male androgens.) In the past one of the therapeutic hormones was linked with venous thrombosis and cardiovascular problems but treatment has shifted to a safer alternative. Again via Journal of Sexual Medicine – survery of 169 individuals: CSHT alters the serum lipid profile of male-to-female transsexuals in a manner that is “significant” via raising blood triglycerides, total cholesterol and HDL, although female-to-male patients showed higher incidence of atheroma formation (arterial plaques essentially: think cardiovascular disease, heart attack.) Data on this has been called “inconclusive” by other journals. There is evidence that CSHT leads to meningioma formation (usually benign tumors of the brain meninges.) Multiple studies have shown that the risk of developing osteoporosis using long-term CSHT is low, as long as the patient sticks to the prescribed hormone regimen.

So quickly: Any surgery is not good for you. Hormone therapies pretty benign from what I’ve seen. Normally I’d say “drugs r bad” because they’re chemicals, and they need to be carefully considered, but administering hormones is different from administering pharmaceuticals.

Without digging through lots of information, and in the interest of being as brief as possible, psychotherapy is going to be incredibly beneficial to these patients.

YES

“I may be a woman but I still put my pants on one leg at a time, if y’know what I mean…”

Whatever man. Everybody knows there’s nothing wrong with what Gabel is doing. There’s no reason to jump all over the writer’s nuts. I simply took the post as an expression of surprise and confusion. Who wouldn’t? It’s news that is both surprising and confusing.

Y’all need to chill out. And that’s the double truth, Ruth.

HOW AM I 6 DOWNVOTES AWAY FROM THE “BUTCHERED WINKIE” GUY!?? lol too close for comfort?

Don’t mind the lo-fi sound, the mixing, or the new aesthetic. Don’t mind that he dropped the falsetto because I actually like these vocals. Just think this song is plain boring. Halfway through it I was tired of it and had no desire to listen to the rest. Now that I’m done I have no desire to listen to it again anytime in the near future.

I really liked Manners because everything on it grabbed you. I feel like there’s nothing here. It’s just vanilla. It’s alright for vanilla but there’s nothing else. And the chorus is incredibly underwhelming. You took a walk? Did you?

Fucking boring.

Clearly reigns king amongst the myriad Hip-Hoperas.

Agree. “We kind of said ‘fuck you’” – no, no I’m sure you said nothing remotely resembling “fuck you” to anyone. Which is fine. I’d like you more if you quit trying so hard and were honest about the fact that you politely declined.