In a recent article in Newsweek, Borreli noted that sex change increased by 20 percent from 2015 to 2016 in the U.S., with more than 3,000 operations performed in 2017. She also reported that some male to female transsexuals felt they would never be liked or accepted as real women. Borreli also reported that there is a lack of pre and post counselling, and that a significant number of male to female trans wanted to reverse the procedure.
A group of researchers in Swedendiscovered that the mental health of transsexuals after surgery was not what we would expect it to be. In a follow-up survey of 324 sex-reassigned persons (191 male-to-females, 133 female-to-males), they discovered that the overall mortality, particularly death from suicide, for sex-reassigned persons was higher during follow-up than for controls of the same birth sex. Sex-reassigned persons also had an increased risk for suicide attempts and psychiatric treatment. They concluded that physically changing the birth sex may not be sufficient for treating transsexualism, and advocated for improved psychiatric care after sex reassignment.
With the increased frequency of sexual reassignment and the data on mental wellbeing after transition, one must take a long serious look at this life-changing procedure. Many of the people involved in sex reassignment have been previously married and in a heterosexual relationship. In my mind this makes them bisexual, or to put it more accurately, bi-gender. Many do not make the transition for sexual reasons with little or no desire to experience sex in their new sexually reversed bodies. Most of the issues are gender related not sexual. As we have seen, gender feelings come from a genetic predisposition and then shaped and molded by life and cultural experiences. Perhaps it is enough to be like the hijra and just take on the clothing and gender roles without the sex change.
More and more of the sexually reassigned are young people, many of them in their teens. This may not be a good time for a sex change. Sexuality seems to be quite fluid at this age with many, especially women, experimenting with bisexuality. They may need to resolve these feelings and explore their gay or lesbian nature before deciding on a sex change. They may also want to experiment with gender role change before starting hormone treatments.
Sexual reassignment begins with hormone treatment. One person Borreli interviewed felt it was the hormones that made him act impulsively and go for the surgery that he later regretted. Hormone treatments affect the whole body not just the genitals. They also serve as neuromodulators thus affecting the neural circuits of the brain causing a major shift in mental functioning. These dramatic physical and mental changes may lead to massive confusion in the creation and changing of neural pathways. This may lead to depression, anxiety, and suicidal thoughts.
My five applications for bisexuals:
- Look for clarity in our sexuality. We can define ourselves sexually as heterosexual, bisexual, gay or lesbian. We can then seek sexual gratification based on this knowledge.
- Look for clarification in our gender roles. Are we masculine, or feminine, or are we bigender with fluid flow from male to female feelings of orientation? If we feel we are a man in a woman’s body, or a woman in a man’s body, or if we alternate from one gender role to another, we can explore and enjoy same sex and opposite sex relationships by changing our gender roles without hormones or sexual reassignment.
- If we truly want and need to experience sex, not as gay or lesbian, but truly as our transgender nature, than proceed with the sex change.
- If we are in a love relationship or we want to experience a love relationship according to our transgender nature, then have a sex change.
- Give it time. Be absolutely sure that this is how you want to live the rest of your life. Seek pre and post transition counselling. Make sure you have a professional and personal support system in place before starting the hormone transition.
 Borreli,Lizette. Transgender Surgery: Regret Rates Highest in Male to Female Reassignment Operations. Newsweek. April, 2018.
 Dhejne, Cecilia; Boman,Marcus; Joohansson,Anna l.; Langston,Niklas; and Landen, Mikael. Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden. Plos. February 22, 2011.