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Andalusia (Malaga) Gender Team: First Years Experience Treating Transsexuals in the First and Only Unit in the Spanish Public Health System GIRALDO, FRANCISCO Spain In February 1999 the Parliament of the autonomous Region of Andalusia in southern Spain officially approved complete medical care of patients with gender identity disorders at public expense for the first time in this country. To date, the Andalusia Gender Team working at Carlos Haya Regional Hospital in Malaga, is the first and only team in the Spanish Public Health System fully treating patients with gender identity disorders. Over the first year the Andalusia Gender Team initially evaluated a total of 140 persons with gender identity disorders, 98 Male-to-Female (MT) and 42 Female-to-Male (FT) ratio MT/FT=2:1, for a reference population in Andalusia of 4.882.007 persons aged 16-65 years. From March 2000 to March 2001 the surgical team has operated on 14 transsexual patients carrying out nine male-to-female sex reassignment surgeries, one female-to-male sex reassignment surgery, four bilateral subcutaneous mastectomies and one secondary procedure in a MT to correct a urethral stenosis. We present our first years experience in the surgical treatment of transsexuals and comment on the surgical protocol, techniques, results, complications and other associated aspects.
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