[Psychiatric evaluation in accordance with the transsexualism regulation. An experience-based plea for guidelines and against arbitrary bias].

Today patients want to change their Christian names not so much for social support but in order to obtain sex change operations. For this reason among others we caution against casual and careless evaluations and plead for conscientiousness and thoroughness. The spectrum of 16 evaluation cases in the year 1995 is presented. Following this and looking for guiding principles, the most important aspects are discussed: the dilatable frame of the written law, the examiner's diagnostic process, the duty of being well informed, reconstruction of development as the first goal of examination, real-life self-testing and therapy, the obligation to report one's own findings, change of Christian name and indication of operation, evaluation for gender changing, problems of the judge-expert relationship and of future development.