brad dided not thave a penis constructeomy his female genitalia are intact, d he is capable of having an orgasm. like most female-tmale transsexuals, brad has always beenattrac. this is not an easdecision cause it's a rather irreversible step once you go through hormonal and sex resignment. and this person, because of family influence, social influence, is very reluctant abou pursuing that and spends a lot of time trying to consider if that was really the right solution for her. unlike brad, many people with gender dysphoria often seek out surgery as the awer to their problem, a situation dr. coleman utions against. too many patients who ve gender dysphoria, or discomfort with tir own gender, have aot of other problems that may be related to their gender dysphoria or not, and one of theblems is th they start developing an obsessive thought that somehow this gender change is going to gically solve a lot their problems in the life. and it's a rude awakenin when they complete surgery and discover that tre are still a lot of problems for them. so in ouapproach here in our clinic, we like