Sex Reassignment Surgery (SRS) and Happiness

People are happy after sex reassignment surgery (SRS)

Bruce Jenner

People who undergo sexual reassignment surgery (SRS) intent on transitioning from man to woman are generally pretty happy—with a whopping 96 percent wanting even more surgery!

Although several studies have examined SRS outcomes, few have been done in the United States.  Instead, Europeans have done much of the research specifically regarding satisfaction after SRS.

In my estimation, the research on this subject, albeit well done, suffers from a couple of major limitations.

The first limitation is power or deficient number of participants (small sample sizes). We must keep in mind, however, that sample sizes of even a few hundred participants can yield statistically significant results. Moreover, the global prevalence or worldwide number of transgender people is small, with a highest-end estimate of only one in 11,900 male-to-female individuals and one in 30,400 female-to-male individuals.

Another limitation with SRS research is sampling bias. For example, researchers distributed questionnaires, and sometimes only half those who had undergone SRS responded.

Once again, overwhelmingly the research suggests that a healthy majority of male-to-female patients are pleased with SRS, and, as I already mentioned, many would opt to have it done again. Moreover, orgasm is achievable for a vast majority of these people.

Here are some of my more notable findings based on my own sampling of the research done on male-to-female SRS:

  • More than 90 percent of people who have undergone SRS claim to be generally satisfied with the procedure.
  • A majority of people who undergo SRS experience improved quality of life measures.
  • Seventy-eight percent of participants are satisfied with the aesthetic appearance of their new genitalia.
  • Between 56 and 84 percent of participants are happy with the functioning of their new genitalia.
  • About 82 percent of participants could achieve orgasm during both masturbation and sexual intercourse.
  • Orgasm is experienced differently after surgery. Specifically, orgasms tend to be shorter and more intense in male-to-female patients.
  • In many, sexual activity increased after surgery including vaginal intercourse.
  • Some people who had SRS complain of pain after the procedure.
  • Researchers suggest that people with SRS receive psychological support after the procedure.

From a medical treatments perspective, the findings above are highly encouraging. I would go out on a limb and say that many other surgeries that are non-sexual in nature often fail to boast such high levels of contentment—let alone an overwhelming desire to go through surgery again. The success of SRS is a real testimonial to our advances in plastic surgery.

Despite advances in the engineering of sex reassignment surgery, however, organized psychological support for this patient population is deficient. For example, in the United States, we not only fail to fund such research but also fail to provide a reliable and dependable health care infrastructure to provide such treatment.

One definite shift that must occur in the American consciousness in order to better embrace and empathize with transgender issues revolves around perceived need. Many Americans fail to assess that people who desire SRS and hormone therapy need it, too.

Bruce Jenner is lucky; Jenner can afford it. Unfortunately, not everybody has deep enough pockets to undergo SRS procedures, which are often done abroad. Even if you were to scrape enough money together to fly to Bangkok or Europe for such surgery, there would likely be little money left over for robust follow-up and psychological support and monitoring—integral pieces of the puzzle.

Note: At the time that this article was originally published, Caitlyn Jenner had yet to inform the world of her name or preference for feminine pronouns. 


Hess J. Satisfaction With Male-to-Female Gender Reassignment Surgery Results of a Retrospective Analysis. Deutsches Ärzteblatt International. 2014.

Wierks K. Quality of Life and Sexual Health after Sex Reassignment Surgery in Transsexual Men. International Society for Sexual Medicine. 2011.

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