Abstract
A gender reassignment poses a significant phase of a complex care of transsexual persons. Systemic development of reconstructive surgery of genitalia and urethra focused on surgical gender reassignment enables cosmetic and functional results of relevant surgeries.
The outcome of the gender reassignment in patients with male-to-female transsexualism is very accurate imitation of female genitalia enabling an intercourse with orgasm. The outcome of an inverse reassignment depends on the used technique, preserves possibility of an orgasm and can bring possibility of micturition in standing position and satisfactory neopenis appearance.