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(Another is cost.) In male to female surgery, the testicles and most of the penis are removed and the urethra is cut shorter.

Last year, Medicare lifted a 33-year ban on coverage for gender reassignment surgery, and the surgery was performed on 74-year-old Army veteran. Anecdotal accounts of regret abound, but overall it appears to be rare.Bowers said that only two of the 1,300 people she has operated on have wanted to go back to their old bodies.

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