[Sex reassignment and other kinds of treatment in case of transsexualism].

This report discusses the recent literature on the sex reassignment and psychotherapy in the case of patients with transsexualism. On the basis of a literature review, the author provides guidelines for evaluating, referring to and treating patients who request surgical operation (e.g. hormonal reassignment, monitored "real life test"). Medical and psychological risk of the sex surgery is indicated. The status of psychotherapy in the treatment of severe gender dysphoria (transsexualism) is also presented. Psychoanalytical, behavioral or cognitive therapy is rather rarely recommended as the possible alternative in the treatment of transsexuals. Sometimes psychotherapy is included as a part of treatment both before and after surgery. Although the outcomes of the sex surgery still remain unclear it is a widely used method of curing transsexualism.