Gender Reassignment Surgery Involves a Relatively Irreversible Process of Changing

Gender reassignment surgery involves a relatively irreversible process of changing the body's physical characteristics to be consistent with the individual's feelings of gender.The lead-up to surgery is approached in a gradated way.Which of the following are stages of gender reassignment surgery?

A) At least 3-months of counselling or psychotherapy
B) Hormone treatment to initiate physical changes
C) Dress and present themselves as their preferred gender for at least 1 year
D) All of the above

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