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In a conversation with Dr. Varun Dixit, a qualified plastic and cosmetic surgeon practicing at Hinduja Hospital in Khar, the complexities of gender reaffirmation surgeries were discussed. These surgeries, which include bottom, top, and facial contouring, are intricate and often performed in stages.

Bottom surgery, particularly for those transitioning from male to female, is considered more complicated, with post-operative challenges that may arise, such as urinary issues requiring dilation. Top surgery, which typically involves breast implants for male-to-female patients, can also present risks, including changes in texture and the potential need for replacements. Dr.



Dixit emphasized the importance of thorough counseling and assessments by independent psychiatrists, ensuring patients have a clear understanding of the irreversible nature of these procedures and the benefits they may bring to their personal and social lives..

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