Management of transgender veteran patients 1 purpose: to establish guidelines for the safe, ethical, and appropriate management of transgender individuals within va boston healthcare system this policy applies to any (commonly referred to as sex reassignment surgery or srs. Sex reassignment surgery should only be considered as the last resort for a highly select group of diagnosed gender dysphoric patients as physicians learn new ways to diagnose and treat transsexualism, either sex reassignment surgery will be abandoned as a routine treatment modality or new predictive variables for choosing suitable patients. The original question and the description are two different issues #1 the legal implications of disclosing gender identity is different from #2 the legal implications of disclosing one's transition which may or may not include gender reassignment surgery. In this paper, i argue that in cases in which competent adult patients have been suffering from long-term gender identity disorders that interfere with their everyday life functions, gender reassignment surgery is a morally permissible treatment option.
By alice domurat dreger republished with kind permission from the hastings center report may/jun 1998, volume 28, issue 3 pages 24-35 subject terms: “medical ethics,” surgery, sexes, reproductive system, child development, babies abstract ethical issues in the treatment of intersexuality are examined. New medical options are allowing transgender children to start the process of transitioning at younger and younger ages but doctors tread carefully, lacking research on some of the long-term effects. Dr kathy rumer is a philadelphia-based surgeon who specializes in male to female gender reassignment surgery (mtf grs) specifically one-stage vaginoplasty dr kathy l rumer is trusted by her patients for ethical, high quality care.
Hume mc (2011) sex, lies, and surgery: the ethics of gender ious aesthetic surgeries overwhelmingly report increased reassignment surgery dialogue 53:140–148 psychological well-being after surgery [9. Sexual reassignment surgery (srs) violates basic medical and ethical principles and is therefore not ethically or medically appropriate (1) srs mutilates a healthy, non-diseased body to perform surgery on healthy body involves unnecessary risks therefore, srs violates the principle primum non nocere (first, do no harm). Sex reassignment surgery poses a challenging ethical question in that it requires the removal of healthy tissue, is generally irreversible, and can impact fertility clinicians who must abide by the principle of non-maleficence often find it challenging to conceive of such procedures as anything other than harmful. George jorgensen was an american army veteran who had sex reassignment surgery in denmark and returned to the us as a woman, christine jorgensen doctors removed his penis and testes, administered female hormones, and created an artificial vagina and surgery is obviously irreversible ethics.
What is gender reassignment surgery a medical assessment with a biblical appraisal 4 for an ethical response to issues related to intersex, goals of gender reassignment treatments and surgery the goals of gender reassignment therapies and surgeries differ among individuals generally, the. Jennifer hopkins dr mcdonald hu 101: ethics june 29, 2010 gender reassignment surgery: is it ethical i found this topic interesting because it is not often looked at from an ethical point of view. Functions, gender reassignment surgery is a morally permissible treatment option, provided that the patients requesting it are competent and are able to pay for the surgery out-of-pocket as an elective surgery without any serious financial detriment to their.
Disorders of sexual differentiation: ethical considerations surrounding early cosmetic genital surgery anderson s disorders of sexual differentiation (dsd) describe a number of genetically influenced congenital anomalies of the genitalia for which the previous standard of care has included emergent sex assignment and early genitoplasty and. The transsexual dilemma: a dialogue about the ethics of sex change feelings is to default to their feelings and proceed with sex reassignment surgery christians can respond that internal conflicts often remain after surgery, lessening the efficacy of reassignment surgery to. Yes, gender confirmation surgery meets the criteria established for the ethical treatment of medical patients it hasn't always been that way, and we're still in some ways fighting for better ethical medical handling, but the modern approach to a trans patient's treatment path is the most ethical one devised in all of human history.
No ethical difficulty with later attempts to establish appearance and function consistent adolescents may develop a clearer cross-gender identification and request sex-reassignment surgery or may continue in a chronic course of gender confusion or hormonal treatment and gender reassignment surgery would be. The ethical problem of sex reassignment surgery as a conflict among the individual, community, and society in: po-wah jtl (eds) cross-cultural perspectives on the (im)possibility of global bioethics. These ethics of gender assignment for children born with intersex conditions were presented by william reiner, md at the duckett memorial lecture, university of michigan, july 21, 2000dr reiner is a physician in the division of child psychiatry and in the division of pediatric urology at johns hopkins university.
Sex reassignment surgery is radical in that genitalia may be removed and replaced with reconstructed genitalia that may not have a completely normal appearance or function the surgeon operating in this arena must, first of all, believe that the condition of gender identity disorder is a real entity and that genital reconstruction is necessary. Hume, maggi colene (2011) sex, lies, and surgery: the ethics of gender reassignment surgery, res cogitans: vol 2: iss 1, article 5 this article is brought to you for free and open access by commonknowledge.
The inevitability argument states that the only viable option for transsexuals in resolving the conflict between their bodies and their feelings is to default to their feelings and proceed with sex reassignment surgery. How sex reassignment surgery for intersex infants became a routine recommendation of practitioners and how parents were persuaded to consent to such radical surgeries provide a cautionary tale that is relevant to both medicine and law (1992) katherine rossiter & shonna diehl, gender reassignment in children: ethical conflicts in surrogate. John money, phd was among the most prominent of these sexologists who redefined gender to mean ‘the social performance indicative of an internal sexed identity 10 in essence, these sexologists invented the ideological foundation necessary to justify their treatment of transsexualism with sex reassignment surgery and called it gender it is.