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Sex change is a process by which a person or animal changes sex — that is, by which female sexual characteristics are substituted for male ones or vice versa. Those documents told me how to care for the scars next to my labia so that they would fade over time. Also known as sex change or gender reassignment surgery, sex reassignment surgery is a procedure that changes genital organs from one gender to another. Images by Ashley Goodall. Here we reach out to those considering detransitioning.

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They look for all the world like images of an idyllic childhood.

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Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. For most cisgender straight people, the first time they have sex makes a relative degree of sense to them. Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery. I recently met a group of American women in their early twenties who are not supposed to exist. For high-school seniors like Skylar—who live in prosperous suburbs, have doting parents, attend good schools, and get excellent grades while studding their transcripts with extracurricular activities—the hardest part of the college application is often the personal essay.

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