Archives of Sexual Behavior

, Volume 18, Issue 2, pp 145–153

Effects of adequacy of gender reassignment surgery on psychological adjustment: A follow-up of fourteen male-to-female patients

  • Michael W. Ross
  • Jillian A. Need

DOI: 10.1007/BF01543120

Cite this article as:
Ross, M.W. & Need, J.A. Arch Sex Behav (1989) 18: 145. doi:10.1007/BF01543120


The relationship between the adequacy of surgical result and postoperative psychopathology was examined in 14 male-to-female transsexuals selected for the absence of preoperative psychopathology. Data indicated that the best predictors of postoperative psychopathology as rated on Hunt and Hampson's (1980) Standardized Rating Format were breast scarring, erectile urethral meatus, current social supports, family reaction, urinary incontinence, and need for extra surgery. Together, these accounted for 98% of the variance in postoperative psychopathology. These data suggest that factors which make it difficult for postoperative transsexuals to “pass” or which continue to remind them of their gender-reassigned status are associated with adjustment difficulties. Surgical results may be a major determinant of postoperative psychopathology.

Key words

transsexualsex reassignment surgerypostoperative adjustmentfollow-up

Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Michael W. Ross
    • 1
  • Jillian A. Need
    • 2
  1. 1.Department of PsychiatryFlinders University Medical SchoolAdelaideSouth Australia
  2. 2.Department of Obstetrics and GynaecologyFlinders University Medical SchoolAdelaideSouth Australia