When changing anatomical sex from male to female, the testicles are removed, and the skin of foreskin and penis is usually inverted, as a flap preserving blood and nerve supplies ( a technique pioneered by Sir Harold Gillies in 1951 ), to form a fully sensitive vagina ( vaginoplasty ).
12.
Scientists such as Ritch Savin-Williams support using the term in order to accurately describe adolescent youths who may not identify as any common culturally-defined sexual identity label ( lesbian, gay, bisexual, " et cetera " ) but who still have attractions towards those of the same anatomical sex as themselves.
13.
While individuals who have undergone and completed SRS are sometimes referred to as " transsexed " individuals, the term " transsexed " is not to be confused with the term transsexual, which may also refer to individuals who have not undergone SRS, yet whose anatomical sex may not match their psychological sense of personal gender identity.
14.
Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as " transsexed " individuals; however, the term " transsexed " is not to be confused with the term " transexual ", which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex ( still ) does not match their psychological sense of personal gender identity.
15.
However, the term " intersex " has also been challenged; the Lawson Wilkins Pediatric Endocrine Society and the European Society for Pediatric Endocrinology have adopted a nomenclature system based on disorders of sex development ( DSD ), which covers " congenital conditions in which development of chromosomal, gonadal, or anatomical sex is atypical " and thus replaces many disparate terms, including but not limited to those based on " hermaphrodite ."
