Sex Change operation is getting more and more in demand. For those who are dissatisfied with the life style of a given sex, and are more happy and comfortable living in changed life style and they continue to live in for more than couple of years opt to under go 'Sex Change Operation' also know as 'Gender Reassignment Surgery'.

This is an IRREVSIBLE OPERATION, therefore, has to be performed with great caution. 

A detailed informed consent is required to signed by the patient.
Psychiatric Evaluation of the patient needs to be done.
Legal complications may not arise out of these surgical procedures in gender dimorphic patients has to taken care.

Female To Male: 

A female patient need to get mastectomy, hysterectomy with oophorectomy, and vaginal closure are few procedures which are performed along with 'Reconstruction of Penis and Scrotum containing testicular implants'. 

These patients need to take 'Male Hormones' for the life to come. However, they enjoy and remained satisfied sexually with their partners.

Male to Female:  

A male undergoing sex change to female requires 'Amputation of penis and scrotum, creation of Vaginal depth sufficient to accommodate enlarged penis to be satisfied sexually' Breast implants are required to give female figure on the chest. 

These patients need to take 'Female Hormones' for the life to come. However, they enjoy and remained satisfied sexually with their partners. 

Intersex Conditions: Requiring surgical procedures to have as normal anatomical structure of their sex organs to have sex pleasure with the partner . A detailed investigation followed by comprehensive surgical plan is worked out Vaginal Reconstruction may be required