Transsexualism is a sexual identity disorder that causes the individual who suffers from it to feel a gap between their biological sex and the gender to which they believe they belong. If the change of sex appears to be the ultimate solution, it is a difficult process. transexual or transexual, how to change sex today in France?

His physical appearance and his biological constitution link him to a feminine or masculine gender, while he considers himself to be closer to the other: the transexual cannot detach himself from this conviction. In practice, transsexualism is detected very early on and results in behaviors connoted opposite to biological sex: the ways of dressing and behaving as well as the tastes of the little boy and the little girl are considered to be in effect. mismatch with his sexual gender. Over time and puberty arrives, the individual who suffers from this disorder finds himself hating his sexual attributes – breasts and feminine pubis for the transexual woman, penis and hair for the transgender man – to the point of trying to cover them up. .

To the personal suffering of the transexual is added the weight of social pressure: transsexualism is frowned upon in current French society, and sex change is the subject of heated debate. If changing sex is now allowed under certain conditions, the subject remains largely taboo. 

Before considering a change of sex, the transexual must be the subject of a psychiatric follow-up. This long step in the sex reassignment procedure allows the psychiatrist to confirm or deny transsexualism. It is also an opportunity for the individual suffering from a discrepancy between his physical sexual identity and his sexual personality to ascertain his motivations. The hormonal treatments and the surgical operations to be undertaken in order to change sex are heavy, risky, expensive and generate significant side effects. In this context, the decision to change sex should not be taken lightly by the transexual or the transexual.

1st phase which makes it possible to observe visible results of sex change, the hormonal treatment follows the psychiatric follow-up of the transexual. Its goal: to attenuate certain visible characteristics of its biological sex – hairiness and erections in men, chest and high voice in women – and to reveal the physical attributes of the opposite sex – developed musculature, hair and deep voice for the transexual, distribution of fat around the hips and breasts for the transexual.

To achieve the expected results:

• The transsexual – biologically a man, psychically a woman – undergoes treatment with anti-androgens and estrogen, in order to gradually take on a feminine appearance.
• The transexual – biologically a woman, psychically a man – mainly takes testosterone to boost her masculinity.

Hormonal treatments, however, are not always enough to allay the transsexualism disorder: the transexual still has a male penis and genitals, and the transexual still suffers from vision of her pubis and chest. Beyond the visual aspect, the subsistence of gender organs is a brake on sexuality. 

Final change of sex, the operation of sex reassignment surgery consists of:

• For the transexual, in the removal of the testicles and in the fabrication of female genitalia – vagina, clitoris, labia and breast implants.
• For the transexual, removing the ovaries and uterus and building a penis. 

Changing sex does not automatically entitle the transsexual to the modification of his marital status, but the change of sex in the civil status has been simplified by the law modernizing the justice of the XNUMXst century.

To change civil status – and first name – the transsexual must file a free request with the Tribunal de Grande Instance (TGI) of his place of residence or his municipality of birth. The modification of his marital status is not subordinated to surgical operations or to prior hormonal treatments.