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Sally Hines, Transforming Gender: The RAND Corporation, which assisted the Pentagon in studying the issue, estimates there are between 4, and 12, transgender troops on active duty and in the reserves. Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. For many individuals, these may require a minimum duration of psychological evaluation and living as a member of the target gender full-time, sometimes called the real life experience RLE sometimes mistakenly referred to as the real life test RLT before genital reconstruction or other sex reassignment surgeries are permitted. Still, through her work at Sylvia's Place , an emergency shelter in New York, she sees that transgender people continue to face violence and that people who are unable to transition are more likely to feel depressed or attempt suicide. Unsourced material may be challenged and removed. For trans men, genital reconstruction may involve construction of a penis through either phalloplasty or metoidioplasty.
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Some transwomen will also have various genital surgeries to help their bodies more accurately reflect their inner conception of themselves and their gender. January Learn how and when to remove this template message. This is commonly performed on the ulnar aspect of the skin island.
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