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For those born female, the change to a masculine appearance may also include hormone therapy with testosterone, a mastectomy , a hysterectomy procedure, and perhaps additional cosmetic procedures intended to masculinize the appearance.

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A Critical Systematic Narrative Review.

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For most transgender individuals, the burden of financing the procedure s is the main difficulty in obtaining treatment.

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Description: Some patients seek sex reassignment surgery overseas as the procedures are often far less expensive in other countries.

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