Transsexual people experience a gender identity that is inconsistent with their assigned sex and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance including sex reassignment therapies , such as hormone replacement therapy and sex reassignment surgery to help them align their body with their identified sex or gender. Transsexual is a subset of transgender , [1] [2] [3] but some transsexual people reject the label of transgender. Norman Haire reported that in [10] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld , which ended in with a successful genital reassignment surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark. In , Hirschfeld introduced the German term "Transsexualismus", [11] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and

As we chat, Hammond shifts between these two conflicting narratives of post-bottom surgery sex. No matter how progressive your sexual politics, it can be difficult not to get swept up in the idea that our first experiences of intimacy are still significant. Of course, for transfeminine people, virginity narratives can be a bit more complex.

The decision to have gender confirmation surgery GCS is a very personal, private matter, and not all transwomen will elect to undergo this procedure. It is important to keep in mind that GCS is not a requirement for transition, and many transwomen feel happy and content with their bodies without undergoing GCS. However, GCS can have a number of positive benefits for those patients who do choose to undergo the procedure, including decreased gender dysphoria and improvements in both mental health and sexual functioning. While there is no one right answer regarding GCS, working with your therapist can help you to decide whether undergoing GCS is the right decision for you.