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[–]MezozoicGaygay male 8 insightful - 1 fun8 insightful - 0 fun9 insightful - 1 fun -  (0 children)

In post-USSR to get legal "sex reassigment" surgery and to change sex in documents, person need to visit psychiatrist for at least a year, must be at least half a year or a year on treatment - to know if person really want it and if they don't have other issues, and fully comit to it as well.

In my country because of that - transsexuals often just going abroad for surgeries instead (so it is always middle class or rich people), and not changing legal sex in documents. Transgenders are not even trying anything and bying medicine abroad, as here you can';t buy it without medical prescription, and to get one you need to go for a treatment and check you if you don't have a ton of other issues. Cross-sex hormonal therapy also believed to be stressful and that if there other issues over gender dysphoria - can lead to strenghtening those issues that can lead to suicide.

Most transsexuals are still mostly homosexual people with very strong internalized homophobia, it is still present, even after USSR practices of forced transitioning and propaganda that gay men were just women born in wrong bodies - had stopped.