transsexuality and the process of sexual reassignment from the perspective of male transsex a qualitative study objective to understand the process of sexual reassignment from the perspective of people who undergo this procedure to know how their body image influences their day to day life and the impact on their sexuality and to learn from transgender male experiences in order to guide the health care teams involved so that they can provide care in a more adjusted way to actual needsmethod qualitative study with a total of 7 male transsexuals over 18 years of age undergoing at least one surgery intervention for sexual reassignment using data collection techniques such as individual semi structured open audio recorded interviews and writing of reflective diariesresults decision making to undergo surgery to change their body image and sexual identity is complex factors influencing this decision are related to the need to accept their own body the experience with hormonal treatments the relationship with the family and social context and with the partner management of their own fears the organization of health care services the relationship and communication with the health care professionals and the economic aspectsconclusions both professionals and health services should consider and delve into the topic with the goal to understand the meaning of sex reassignment procedures to ensure better care for transsexualism