This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.

This report has been prepared in response to a request for information on sex reassignment surgery in relation to applications for funding of such procedures. In particular, information was sought on generally accepted criteria for vaginoplasty.

Vaginoplasty is one of a number of approaches to management of gender dysphoria in male to female transsexuals. There is no single model of treatment of transsexualism. An effective model of treatment will utilize hormone therapy and surgical reconstruction, and also include counselling, psychotherapeutic approaches, electrolysis and speech therapy.

Reviews of results give strong evidence of the effectiveness of reassignment surgery.