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Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form When changing anatomical sex from male to female, the testicles are removed, and the skin of Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve. Sex reassignment surgery or SRS is the surgical procedure (or procedures) by which a People who pursue sex reassignment surgery are usually referred to as transsexual (derived from "trans", meaning "across", "through", or "change", and ‎Different SRS procedures · ‎Standards of care · ‎Quality of life and physical.