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Males can have surgery that turns them into a female and vice-versa.

Those who undergo the surgery are first diagnosed with gender identity disorder or gender dsyphoria.

Prior to undergoing the surgery, they spend a large amount of time in counseling.

They also live as the opposite sex for a period of one year, which shows that they have the dedication and willingness to live as that gender.

I remember furtively clicking on thumbnail after thumbnail in an “Interns of the Month” gallery, watching spray-tanned haunches and balloon-taut breasts of girls posed around Oval Office interiors materialize, bit by it.

When my sister, searching for images of her favorite British pop stars, accidentally typed “Spicy Girls” into Yahoo, the search results made her run, shrieking, from the family computer. “It is probably no coincidence that this sea change comes on us at a time when AIDS lurks in the alleyways of our lives,” a writer for The Nation mused in 1993.

More recently, people pursuing SRS often identify as transgender instead of transsexual.

Those with HIV or Hepatitis C may have trouble finding a surgeon able (many surgeons operate out of small private clinics that cannot adequately treat potential complications in these populations) or even willing to perform surgery.

The author of The Joy of Cybersex, Deborah Levine, had spent several years counseling college undergraduates at the Columbia University Health Education program. Like earlier safe-sex activists, Levine used bullet-point lists to introduce the sites her readers should know and to teach them the language that they would need to thrive on them.Some surgeons charge higher fees for HIV and Hepatitis C positive patients (some surgeons in developing countries prefer to dispose of surgical instruments used on these populations).Other health concerns, such as diabetes, abnormal blood clotting, reasonably overweight patients, etc.Levine encouraged them to use their computers to flirt, start online relationships, and explore their farthest-fetched fantasies without taking real-world risk. The pages she cited ran the gamut from tutorials for geeks, like to resources for free lovers like the Open Hearts Project and “The driving source behind sex in the 1990s, whether you’re partnered or single, is the human imagination,” Levine declared. The place where imaginations go wild, anonymity is the rule, and desire runs amok.” Like earlier safe-sex educators, Levine used multiple-choice and fill-in-the-blank questionnaires to help readers take stock of what they wanted. The chapter “Overcoming Sexual Inhibitions,” for instance, started with a quiz intended to help you assess how uptight you are. If your best friend started unexpectedly talking about his or her sex life over coffee one day, you would:a. A service called Tri Ess connected heterosexual couples who were into cross-dressing.

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