0_Wizard
It's really common now to have gender reassignment surgery. Do you know anyone that has gone through the process?
Most commonly, however, the term is used for sex reassignment therapy, including sex reassignment surgery, carried out on humans.
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Sex change
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Sex reassignment therapy
Sex reassignment therapy is the medical aspect of gender transitioning, that is, modifying one's characteristics to better suit one's gender identity. It can consist of hormone replacement therapy (HRT) to modify secondary sex characteristics, sex reassignment surgery to alter primary sex characteristics, and other procedures altering appearance, including permanent hair removal for trans women. In appropriately evaluated cases of severe gender dysphoria, sex reassignment therapy is often the best when standards of care are followed. There is academic concern over the low quality of the evidence supporting the efficacy of sex reassignment therapy as treatment for gender dysphoria, but more robust studies are impractical to carry out; as well, there exists a broad clinical consensus, supplementing the academic research, that supports the effectiveness in terms of subjective improvement of sex reassignment therapy in appropriately selected patients.
Sex reassignment surgery
Sex reassignment surgery or SRS (also known as gender reassignment surgery, gender confirmation surgery, genital reconstruction surgery, gender-affirming surgery, or sex realignment surgery) is the 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. Related genital surgeries may also be performed on intersex people, often in infancy. A 2013 statement by the United Nations Special Rapporteur on Torture condemns the nonconsensual use of normalization surgery on intersex people.
Transgender rights
A person may be considered to be a transgender person if their gender identity is inconsistent or not culturally associated with the sex they were assigned at birth, and consequently also with the gender role and social status that is typically associated with that sex. They may have, or may intend to establish, a new gender status that accords with their gender identity. "Transsexual" is generally considered a subset of "transgender", but some transsexual people reject being labelled "transgender". Globally, most legal jurisdictions recognise the two traditional gender identities and social roles, man and woman, but tend to exclude any other gender identities, and expressions.
Transgender rights in the United States
Transgender rights in the United States vary considerably by jurisdiction. Birth certificates are typically issued by the Vital Records Office of the state (or equivalent territory, or capital district) where the birth occurred, and thus the listing of biological sex as male, female or otherwise on the birth certificate (and whether or not this can be changed later) is regulated by state (or equivalent) law. However, federal law regulates sex as listed on a Consular Report of Birth Abroad, and other federal documents that list sex or name, such as the U.S. passport. Laws concerning name changes in U.S. jurisdictions are also a complex mix of federal and state rules.
Transgender legal history in the United States
This article addresses the legal and regulatory history of transgender and transsexual people in the United States including case law and governmental regulatory action affecting their legal status and privileges, at the federal, state, municipal, and local level, and including military justice as well. Legal cases concerning LGBT issues were first raised in the United States in the 1960s, regarding questions of acquiring official change of name or sex on legal documents, protection against various forms of discrimination such as employment (job termination), civil rights issues, workplace discrimination and equal protection issues, Medicare and Social Security issues, on-the-job transition, who they could marry, military discharge level, health issues including medical malpractice, restroom discrimination, and housing discrimination.
Transgender personnel in the United States military
Transgender personnel in the United States military have been allowed to serve openly since June 30, 2016. On August 25, 2017, President Donald Trump signed the Presidential Memorandum for the Secretary of Defense and the Secretary of Homeland Security. On October 30, 2017, in the case of "Jane Doe v. Trump", Judge Colleen Kollar-Kotelly granted the plaintiffs a preliminary injunction on the provisions of the memorandum prohibiting open military service and enlistment of transgender people. On November 21, 2017, in the case of "Stone v. Trump", Judge Marvin J. Garbis granted the planintiffs a preliminary injunction on the entire Presidential Memorandum for the Secretary of Defense and the Secretary of Homeland Security.
Transsexual
Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex, and desire to permanently transition to the gender with which they identify, usually seeking medical assistance (including hormone replacement therapy and other sex reassignment therapies) to help them align their body with their identified sex or gender. "Transsexual" is generally considered a subset of "transgender", but some transsexual people reject the label of "transgender". A medical diagnosis of gender dysphoria can be made if a person expresses a desire to live and be accepted as a member of their identified sex, and if a person experiences impaired functioning or distress as a result of their gender identity.
1_Apprentice
I do not.  I didn't think it was that common to have the surgery though!
0_Wizard
It can include simply replacing hormones in someone but extends to reassignment at birth when you have intersex children. We live in a really amazing world! 
It can consist of hormone replacement therapy (HRT) to modify secondary sex characteristics, sex reassignment surgery to alter primary sex characteristics, and other procedures altering appearance, including permanent hair removal for trans women.
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Sex reassignment therapy
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Intersex human rights
Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals, that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies." Intersex people face stigmatisation and discrimination from birth, particularly when an intersex variation is visible. In some countries (particularly in Africa and Asia) this may include infanticide, abandonment and the stigmatization of families. Mothers in East Africa may be accused of witchcraft, and the birth of an intersex child may be described as a curse. Intersex infants and children, such as those with ambiguous outer genitalia, may be surgically and/or hormonally altered to fit perceived more socially-acceptable sex characteristics.
Intersex medical interventions
Intersex medical interventions are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes of making a person's appearance more normal and to reduce the likelihood of future problems. The history of intersex surgery has been characterized by controversy due to reports that surgery can compromise sexual function and sensation, and create lifelong health issues. Timing, evidence, necessity and indications for surgeries in infancy, adolescence or adult age have been controversial, associated with issues of consent.
Discrimination against intersex people
Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies"; "Because their bodies are seen as different, intersex children and adults are often stigmatized and subjected to multiple human rights violations". Discriminatory treatment includes Infanticide, abandonment, mutilation and neglect, as well as broader concerns regarding the right to life. Intersex people face discrimination in education, employment, healthcare, sport, with an impact on mental and physical health, and on poverty levels, including as a result of harmful medical practices.
Sexing the Body
Sexing the Body: Gender Politics and the Construction of Sexuality is a 2000 book by the biologist Anne Fausto-Sterling, in which the author explores the social construction of gender, and the social and medical treatment of intersex people. She stated that in it she sets out to "convince readers of the need for theories that allow for a good deal of human variation and that integrate the analytical powers of the biological and the social into the systematic analysis of human development." Fausto-Sterling mentions the most common types of intersex, congenital adrenal hyperplasia (CAH), androgen insensitivity syndrome (AIS), gonadal dysgenesis, hypospadias, and unusual chromosome compositions such as XXY (Klinefelter Syndrome) or X0 (Turner Syndrome).
Intersex and LGBT
Intersex people are born with sex characteristics, such as genitals, gonads, and chromosome patterns that, according to the UN Office of the High Commissioner for Human Rights, "do not fit the typical definitions for male or female bodies". LGBT, or GLBT, is an initialism that stands for lesbian, gay, bisexual, and transgender. The initialism has become mainstream as a self-designation; it has been adopted by the majority of sexuality and gender identity-based community centers and media in the United States, as well as many other countries. The relationship of intersex to lesbian, gay, bisexual and trans, and queer communities is complex, and many intersex people are not themselves LGBT, but intersex people are often added to LGBT to create an LGBTI community.
Gender
Gender is the range of characteristics pertaining to, and differentiating between, masculinity and femininity. Depending on the context, these characteristics may include biological sex (i.e., the state of being male, female, or an intersex variation), sex-based social structures (i.e., gender roles), or gender identity. People who do not identify as a man or a woman or with masculine or feminine gender pronouns are often grouped under the umbrella terms "non-binary" or "genderqueer". Some cultures have specific gender roles that are distinct from "man" and "woman," such as the hijras of South Asia.
History of intersex surgery
The history of intersex surgery is intertwined with the development of the specialities of pediatric surgery, pediatric urology, and pediatric endocrinology, with our increasingly refined understanding of sexual differentiation, with the development of political advocacy groups united by a human qualified analysis, and in the last decade by doubts as to efficacy, and controversy over when and even whether some procedures should be performed. Prior to the medicalization of intersex, Canon and common law referred to a person's sex as male, female or hermaphrodite, with legal rights as male or female depending on the characteristics that appeared most dominant.
1_Apprentice
Yes, have you read Middlesex by chance?
0_Wizard
I havent. I've heard it was a bestseller. Who wrote Middlesex?
The book is a bestseller, with more than four million copies sold since its publication.
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Middlesex (novel)
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Middlesex (novel)
Middlesex is a Pulitzer Prize-winning novel by Jeffrey Eugenides published in 2002. The book is a bestseller, with more than four million copies sold since its publication. Its characters and events are loosely based on aspects of Eugenides' life and observations of his Greek heritage. It is not an autobiography; unlike the protagonist, Eugenides is not intersex. The author decided to write "Middlesex" after he read the 1980 memoir "" and was dissatisfied with its discussion of intersex anatomy and emotions. Primarily a coming-of-age story ("Bildungsroman") and family saga, the novel chronicles the effect of a mutated gene on three generations of a Greek family, causing momentous changes in the protagonist's life.
Middlesex County Cricket Club in 2005
Middlesex County Cricket Club in 2005 played their cricket in Division One of the County Championship and Division Two of the totesport League. They started the season at 9-1 to win the County Championship title. In their first fixture of 2005 they beat Nottinghamshire comfortably in a rain-affected Sunday League game, and followed it up with a rain-affected draw in the County Championship against the same team. The second Sunday League game saw a thumping win against Lancashire at Lord's. They were then defeated in the Championship by Warwickshire County Cricket Club, before defeating Worcestershire in the Sunday League on 1 May to maintain their 100% record in the Sunday League.
6th Florida Infantry Regiment
The 6th Florida Infantry Regiment' was raised by the Confederate State of Florida for service to the Provisional Army of the Confederate States of America. Organized and released from state service in mid-April 1862, the regiment would leave the state in mid-June, 1862. It was assigned from June through August 1862 to the Army of East Tennessee (Department of East Tennessee), General Edmund Kirby Smith commanding. The Army of East Tennessee was redesignated as the Confederate Army of Kentucky on August 25, 1862, when General Smith led it into eastern Kentucky during the Confederate Heartland Offensive.
Middlesex
Middlesex (, abbreviation: Middx) is a historic county in south-east England. It is now entirely within the wider urbanised area of London. Its area is now also mostly within the ceremonial county of Greater London, with small sections in other neighbouring ceremonial counties. It was established in the Anglo-Saxon system from the territory of the Middle Saxons, and existed as an official unit until 1965. The historic county includes land stretching north of the River Thames from east to west of the City of London with the rivers Colne and Lea and a ridge of hills as the other boundaries. The largely low-lying county, dominated by clay in its north and alluvium on gravel in its south, was the second smallest county by area in 1831.
Bestseller
A bestseller is, usually, a book that is included on a list of top-selling or frequently-borrowed titles, normally based on publishing industry and book trade figures and library circulation statistics; such lists may be published by newspapers, magazines, or book store chains. Some lists are broken down into classifications and specialties (number one best selling new novel, nonfiction book, cookbook, etc.). An author may also be referred to as a bestseller if their work often appears in this category. Well-known bestseller lists in the U.S. are published by "Publishers Weekly", "USA Today", "New York Times" and the "Washington Post".
West Middlesex Area School District
The West Middlesex Area School District is a small, rural public school district serving the southwestern portion of Mercer County, Pennsylvania. It encompasses the communities of West Middlesex, Shenango Township, and Lackawannock Township. The West Middlesex Area School District encompasses approximately . The District operates on a single 40-acre campus. According to 2000 federal census data, it served a resident population of 7,527. By 2010, the District's population declined to 7,454 people. In 2009, the District residents’ per capita income was $16,870, while the median family income was $40,558.
National League Division One in 2005
The table, showing all completed matches is as follows:  Essex (4pts) beat Hampshire (0pts) by 16 runs (D/L method)  At the Rose Bowl, Hampshire Hawks batted first, scoring 175 for 9, as Tim Phillips took 3 for 31. It was a good day for spin, with Grant Flower also taking 2 wickets. In reply, Essex Eagles' Will Jefferson was 44 not out, and Essex 69 for 2 off 16 overs when rain put an end to play, leaving Essex the winners on the Duckworth–Lewis method. England's star one-day player of the winter, Kevin Pietersen, managed only 5 off 14 balls for Hampshire before being bowled. (BBC scorecard)  Match abandoned – Lancashire (2pts), Glamorgan (2pts)  Simon Jones took 3 for 19 for the defending champions Glamorgan Dragons took on Lancashire Lightning at Old Trafford.