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Differentiation between various gender identity disorders (transsexuality; dual-role transvestism; gender identity disorders in children; gender identity disorders in children of transsexual, trans-role, unspecified type; other gender identity disorders including unspecified) can in some cases be extremely complicated, especially for children’s psychiatrists and psychologists. The lecture describes features of the clinical picture, medical and social procedures in cases of transsexualism, indications and contraindications for the change of passport sex, and the procedure for the issue of a document confirming sex reassignment by a medical facility. The Russian legal documents regulating medical help for patients with gender identity disorders are listed. The questions of patient rehabilitation, adaptation to the new role, and prognosis are discussed.

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