Care of the child with the desire to change genders - part III: male-to-female transition.

In Part I of this three-part article, the psychological and medical care of the child wishing to change gender was described. In Part II, preparation for surgery for young adults who were genetically female and undergo surgery to transition to male identity was presented. This third part presents the surgical treatments for gender reassignment procedures for a genetic male wishing to reassign as female. Discussion is included about how parents are responding to these wishes from their prepubescent and teenage children.