Archives of Sexual Behavior

, Volume 25, Issue 5, pp 515–525 | Cite as

The outcome of sex reassignment surgery in Belgrade: 32 patients of both sexes

  • Zoran Rakic
  • Vladan Starcevic
  • Jovan Maric
  • Katarina Kelin


Several aspects of the quality of life after sex reassignment surgery in 32 transsexuals of both sexes (22 men, 10 women) were examined. The Belgrade Team for Gender Identity Disorders designed a standardized questionnaire for this purpose. The follow-up period after operation was from 6 months to 4 years, and four aspects of the quality of life were examined: attitude towards the patients' own body, relationships with other people, sexual activity, and occupational functioning. In most transsexuals, the quality of life was improved after surgery inasmuch as these four aspects are concerned. Only a few transsexuals were not satisfied with their life after surgery.

Key Words

transsexualism sex reassignment follow-up quality of life 


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  1. Abramowitz, S. I. (1986). Psychosocial outcome of sex reassignment surgery.J. Consult. Clin. Psychol. 54: 183–189.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association. (1987).Diagnostic and Statistical Manual of Mental Disorders, 3rd, ed. rev. (DSM-III-R), American Psychiatric Association, Washington, DC.Google Scholar
  3. Benjamin, H. (1967). Transvestitism and transsexualism in the male and female.J. Sex. Res. 3: 107–127.CrossRefGoogle Scholar
  4. Blanchard, R., Legault, S., and Lindsay, R. N. W. (1987). Vaginoplasty outcome in male-to-female transsexuals.J. Sex. Marital Ther., 13: 265–275.PubMedGoogle Scholar
  5. Clemmensen, L. H. (1990). The “real-life test” for surgical candidates. In Blanchard, R., and Steiner, B. W.,Clinical Management of Gender Identity Disorders in Children and Adults, American Psychiatric Press, Washington, DC.Google Scholar
  6. Fahrner, E. M., Kockott, G., and Duran, G. (1987). Die psychosoziale Integration operierter Transsexueller.Nervenarzt 58: 340–348.PubMedGoogle Scholar
  7. Green, R., and Fleming, D. (1991). Outcome of sex assignment surgery.Annual Review of Sex Research, Society for the Scientific Study of Sex.Google Scholar
  8. Green, R., and Money, J. (1969).Transsexualism and Sex Reassignment, Johns Hopkins University Press, Baltimore, MD.Google Scholar
  9. The Harry Benjamin International Gender Dysphoria Association. (1985). Standards of care: The hormonal and surgical sex reassignment of gender dysphoric persons.Arch. Sex. Behav. 14: 79–90.CrossRefGoogle Scholar
  10. Hunt, D. D., and Hampson, J. L. (1980). A standardized psychosocial rating format for the evaluation of results of sex reassignment surgery.Arch. Sex Behav. 9: 255–263.PubMedCrossRefGoogle Scholar
  11. Junge, A. (1987).Behandlungsverlauf und Katamnese von operierten weiblichen Transsexuellen. Diss. Phill. Hamburg.Google Scholar
  12. Kuiper, A. J. K., and Cohen-Kettenis, P. T. (1988). Sex reassignment surgery: A study of 141 Dutch transsexuals.Arch. Sex. Behav. 17: 439–457.PubMedCrossRefGoogle Scholar
  13. Lief, H., and Hubschman, L. (1993). Orgasm in the postoperative transsexual.Arch. Sex. Behav. 22: 145–155.PubMedCrossRefGoogle Scholar
  14. Lindemalm, G., Korlin, D., and Uddenberg, N. (1986). Long term follow-up of sex change in 13 male-to-female transsexuals.Arch. Sex. Behav. 15: 187–210.PubMedCrossRefGoogle Scholar
  15. Lundström, B. (1981).Gender Dysphoria: A Social-Psychiatric Follow-up Study of 31 Cases Not Accepted for Sex Reassignment. Report from the Department of Psychiatry and Neurochemistry, St. Jorgen's Hospital, University of Gothenborg. Hisings Backa, Sweden.Google Scholar
  16. Mate-Kole, C., Freschi, M., and Robin, A. (1990). A controlled study of psychological and social change after surgical gender reassignment in selected male transsexuals.Br. J. Psychiat. 157: 261–264.CrossRefGoogle Scholar
  17. Pauly, I. (1968). The current status of the change of sex operation.J. Nerv. Ment. Dis. 147: 460–471.PubMedCrossRefGoogle Scholar
  18. Pauly, I. (1981). Outcome of sex-reassignment surgery for transsexuals.Aust. N.Z. J. Psychiat. 15:45–51.CrossRefGoogle Scholar
  19. Ross, M. W., and Need, J. A. (1989). Effects of adequacy of gender reassignment surgery on psychology and adjustments: A follow-up of fourteen male-to-female patients.Arch. Sex. Behav. 18: 145–153.PubMedCrossRefGoogle Scholar
  20. Tsoi, W. F. (1990). Developmental profile of 200 male and 100 female transsexuals in Singapore.Arch. Sex. Behav. 19: 595–605.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Zoran Rakic
    • 1
  • Vladan Starcevic
    • 2
  • Jovan Maric
    • 3
  • Katarina Kelin
    • 1
  1. 1.Department of PsychiatryClinical and Hospital Center “Dr. Dragisa Misovic,”BelgradeYugoslavia
  2. 2.Institute for Mental Healthaffiliated with the Belgrade University School of MedicineBelgradeYugoslavia
  3. 3.Clinical Center of SerbiaBelgrade University School of Medicine, Institute of PsychiatryBelgradeYugoslavia

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