[Sex-adjusting surgery in transsexualism].

Surgery for sex reassignment is an established procedure in both female-to-male and male-to-female transsexuals. While good cosmetic and functional results can be achieved in most patients of the former group in 2 sessions, in the latter the best possible results necessitate numerous interventions and scarring is inevitable. Our own preferred surgical techniques are described in detail and illustrated. Such complex interventions should be done only in specialized centres in cooperation between urologists, gynecologists and plastic surgeons.