变异的性行为

性少数: 7. 易性癖者

“变性”

通俗用语“变性(sex change)”是容易引起误解的，因为这个用语忽视了生物性别（sex）与性别（gender）之间的区别。正如我们早前所提及的那样，我们在此正在商讨对策的问题不是“生物性别的问题（sexual problem）”，而是性别的问题（gender problem）。个人的染色体性别和作为男性或女性的性自认并不会改变，而且，身体与性自认是协调一致的。通过激素疗法和一系列的整形手术可以做到这一点。整形手术会消除次级性征和初级性征，以至于用另一个性别的这两个性征给予替换。这被称为“性别指派手术(sex reassignment surgery)”，而且最终有两种手术类型——“男变女(M-F)”和“女变男 (F-M)”。因为显而易见的原因，“男变女”手术通常更为成功，因为要构建人工阴道比构建人工阴茎要来的容易。不过，现代外科技术已经有可能使手术结果让病人感到相当满意。

Variations in Sexual Behavior

Sexual Minorities: 7. Transsexuals

“Sex Change”

The popular term “sex change” is misleading, because it ignores the crucial distinction between sex and gender. As mentioned before, one is dealing here not with a “sexual”, but with a gender problem. The person’s chromosomal sex and self-identification as male or female do not change, but the body is brought into harmony with that self-identification. This is done through hormonal treatments and a series of cosmetic operations which remove the secondary and primary characteristics of one sex and, as far as possible, replace them with those of the other sex. This is called “sex reassignment surgery”, and it comes in two varieties - “male to female (M-F)” and “female to male (F-M)”. For obvious reasons, the “male to female” operations are, as a rule, more successful, because it is easier to construct an artificial vagina than an artificial penis. Nevertheless, modern surgical techniques have made results possible that are quite satisfactory to the patients.