Group therapy with gender-identity patients--a four-year study.

Group psychotherapy has proven to be an ideal setting for treatment, observation, and evaluation of gender-dysphoric patients prior to, during, and after sex reassignment surgery. Forty-three percent of the patients seen in the Case Western Reserve University group-therapy program elected nonsurgical solutions. The types of changes and adaptations observed in the 28 group-therapy patients are divided into four categories and discussed.