By delaying the onset of puberty, those children who go on to gender reassignment "have the lifelong advantage of a body that matches their gender identities without the irreversible body changes of a low voice or beard growth or breasts, for example,". The Act was widely welcomed by civil society organizations. On the other hand, the 6th and the 7th versions of the standards of care for the health of transsexual, transgender, and gender non-conforming people of World Professional Association for Transgender Health WPATH recommend that transgender adolescents Tanner stage 2, [mainly 12 to 13 years of age] are treated by the endocrinologists to suppress puberty with gonadotropin-releasing hormone GnRH agonists until age 16 years old, after which cross-sex hormones may be given. This condition may cause clinically significant distress or impairment in social, occupational or other important areas of functioning. These investigators carried out a search for studies in PubMed, Web of Science, Science Direct, EBSCOhost, Google Scholar, and the references in retrieved manuscripts, using as keywords "transsexual" or "transgender" combined with terms related to voice surgery. The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. The U. Under local anesthesia, a Skate flap is elevated at the site selected for the nipple reconstruction and constructed. SRS may encompass any surgical procedures which will reshape a male body into a body with a female appearance or vice versa, or more specifically refer to the procedures used to make male genitals into female genitals and vice versa. On the other hand, some clinics provide hormone therapy based on informed consent alone. McHugh succeeded in ending it at the university during his time. McHugh , professor of psychiatry and former psychiatrist-in-chief at Johns Hopkins University, has studied transgenderism and sex-reassignment surgery for 40 years. These researchers only had 2 cases of stricture in the neo-vagina in group B, but no stricture was recorded for group A. All patients considering treatment need counseling and medical monitoring.