CHANGE in GENDER
a. a change in a person's physical sexual characteristics to those of the opposite sex, often achieved by surgery
b. ( as modifier ): a sex-change operation
c. The modification of biological sex characteristics, by surgery and hormone treatment, to approximate those of the opposite sex.
The surgical term for this is Gender Re-assignment Surgery, or Gender Re-alignment. (GRS)
The whole process, from changing ones name, through to living in ones preferred gender, to receiving Hormone Replacement Therapy (HRT), hair removal (in Male to female-MTF), voice training etc and finally GRS is known as Transitioning.
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