Meyer J K, Reter D J
Arch Gen Psychiatry. 1979 Aug;36(9):1010-5. doi: 10.1001/archpsyc.1979.01780090096010.
Although medical interest in individuals adopting the dress and life-style of the opposite sex goes back to antiquity, surgical intervention is a product of the last 50 years. In the last 15 years, evaluation procedures and surgical techniques have been worked out. Extended evaluation, with a one- to two-year trial period prior to formal consideration of surgery, is accepted practice at reputable centers. Cosmetically satisfactory, and often functional, genitalia can be constructed. Less clear-cut however, are the characteristics of the applicants for sex reassignment, the natural history of the compulsion toward surgery, and surgery's long-term effects. The characteristics of 50 applicants for sex reassignment, both operated and unoperated, are reported in terms of such indices as job, education, marital, and domiciliary stability. Outcome are reviewed. The results of long-term follow up data are discussed in terms of the adjustments of operated and unoperated patients.
尽管医学界对那些采用异性穿着和生活方式的人的关注可以追溯到古代，但外科手术干预却是过去50年的产物。在过去15年里，评估程序和外科技术已经得到完善。在声誉良好的中心，通常的做法是在正式考虑手术前进行一到两年的试验期，进行全面评估。可以构建出在外观上令人满意且通常具有功能的生殖器。然而，变性申请者的特征、手术冲动的自然发展过程以及手术的长期影响却不太明确。本文报告了50名变性申请者（包括已接受手术和未接受手术的）在工作、教育、婚姻和家庭稳定等指标方面的特征，并对结果进行了回顾。根据已接受手术和未接受手术患者的调整情况，讨论了长期随访数据的结果。
