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Under the Harry Benjamin Standards of Care they are also required to live as members of their target sex for at least one year prior to surgery (so-called Real-Life Test or Real-Life Experience), although this time may be longer if the psychotherapist has concerns about the transsexual person's readiness.

The intentions of the standard are to prevent people from transitioning when such a transition would be inappropriate (as a dramatic example, a person seeking to transition in order to veil their identity from police), or ill-advised (e.g., a strong crossdresser, who still identifies themselves as their assigned gender).

These standards are open to the criticism of being ineffective, or being too strict, discouraging genuinely transsexual people from seeking treatment.

It is claimed that Meta-reviews of post-operative transsexuals prior to 1991 reveal a rate of serious regrets of less than 1% for transsexual men and less than 2% for transsexual women, while studies published after 1991 have reported a decrease in the rates for both, likely due to improved psychological and surgical treatments.

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Transsexualism is a condition in which a transsexual person self-identifies as a member of the gender opposite to the one assigned to them at birth.

Dutch researcher Peggy Cohen-Kettenis estimates that 40% of untreated transsexual people are either institutionalized or die prematurely.

Transsexualism (also known as transsexuality) is a complex condition that is defined differently by different people.

Many terms have been proposed through the years to describe transsexual people and the processes they go through.

It has become more widely known in Western nations in the late 20th century due to the sexual revolution, but remains a highly controversial topic.

Transsexualism often manifests itself as a dysphoria toward one's biological birth sex, as well as conflict living in one's social role.

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International research suggests that 3-18% of them come to regret switching gender.

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