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Jul 1, - How Going From A Woman To A Man Changed My Perspective (NSFW) . And then, my surgeon said, 'You should start taking T before you. Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and, as far as possible, the function of female genitalia. Before any surgery, patients usually undergo hormone replacement therapy Plastic surgery, since it involves skin, is never an exact procedure, and.