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InHirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.

InHirschfeld introduced the German term "Transsexualismus", [12] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and True transsexuals feel that they belong to the other sex, they want to be and function as members of the opposite sex, not only to appear as such. For them, their sex organs, the primary testes as well as the secondary penis and others are disgusting deformities that must be changed by the surgeon's knife. Beyond Benjamin's work, which focused on male-to-female transsexual people, there are cases of the female to male transsexual, for whom genital surgery may not be practical.

Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.

Their psychological sex, that is to say, the mind, is female. Another reason for objecting to the term transsexual is the concern that it implies something Trasesual do with sexualitywhen it is actually about gender identity. Trasxeual other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity. For example, a trans man is a person who was assigned the female sex at birth on the basis of his genitalsbut despite that assignment, identifies as a man and is transitioning or has transitioned to a male gender role; in the case of a transsexual man, he furthermore has or will have a masculine body.

Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as transsexed individuals; [36] however, the term transsexed is not to be confused with the term transsexual, which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex still does not match their psychological sense of personal gender identity. The terms gender dysphoria and gender identity disorder were not used until the s, [28] when Laub and Fisk published several works on transsexualism using these terms.

Male-to-female transsexualism has sometimes been called "Harry Benjamin's syndrome" after the endocrinologist who pioneered the study of dysphoria. Harry Benjamin said in What would be the situation after corrective surgery has been performed and the sex anatomy now resembles that of a woman?

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