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Sex reassignment surgery SRSalso known as gender reassignment surgery GRS and several other names, is a surgical procedure or procedures by which a transgender person's physical appearance and function of their existing sexual characteristics are altered to resemble that socially associated with their identified gender. It is part of a treatment for gender dysphoria in transgender people. Professional medical organizations have established Standards of Care that apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender.
Most of us grew up with simplistic understandings of sex and gender. Mainly that there are only two sexes, male and female, and only two genders, man and woman. For trans or gender non-conforming people, the sex that they were assigned with at birth may not align with the gender that they know they are.
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Katy Janousek, Sexual Health Coordinator at the University Health Center, advises people to confront their significant others in-person rather than over text. Maintaining healthy communication is arguably one of the most important aspects of a romantic relationship. During moments of miscommunication, couples will last longer if they know how to convey feelings in a compassionate, clear way.
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Transgender people have a gender identity or gender expression that differs from their assigned sex. Being transgender is independent of sexual orientation :  transgender people may identify as heterosexual, homosexual, bisexualasexualor may decline to label their sexual orientation. The term transgender is also distinguished from intersexa term that describes people born with physical sex characteristics "that do not fit typical binary notions of male or female bodies".