At one point, bibers operations brought about 1 million a year to the hospital, according to his estimates. The basic procedure costs about 11,000, with the hospital taking in a little more than half. At the height of his practice, biber performed about 150 transsexual operations a year. this video is for educational purpose only! This video is a collection of post operative results of dr kaushiks patients. Turning the word transgender into a noun is great way to leave out the fact that were humans, and also diminishes us into one aspect, when we are varied people who are more than a gender ident. Transsexual people experience a gender identity that is inconsistent with their assigned sex and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (including sex reassignment therapies, such as hormone replacement therapy and sex reassignment surgery) to help them align their body with their identified sex or gender. how things have changed, sexually, before hormones and transitioning, while taking hormones, and after sex reassignment surgery. gender-confirmation surgeriesthe name given to procedures that change the physical appearance and function of sexual characteristicsincreased by 20 percent from 2015 to. Sex reassignment surgery (abbreviation srs, also known as gender affirmation surgery or sex change operation). The first step in path of treatment journey of a transsexual (both male to female or female to male) is to get the diagnosis of gender identity disorder also known as gender dysphoria. six weeks after the operation, she was still so weak that she had to take the elevator at school instead of the stairs.