THE EMERGENCE OF THE TRANSSEXUAL IN SURGERY: A GENEALOGICAL ANALYSIS

THE EMERGENCE OF THE TRANSSEXUAL IN SURGERY: A

GENEALOGICAL ANALYSIS

By Amanda L. Hallett

Thesis Advisor: Dr. Nathan Stormer

A Lay Abstract of the Thesis Presented

in Partial Fulfillment of the Requirements for the

Degree of Master of Arts

(in Communication)

May, 2012

Keywords: Transsexual, Sex reassignment surgery, Pre-surgical, Post-surgical, Genealogy

Sex reassignment surgery (SRS) has become synonymous with transsexuality as both a symptom and treatment.  While a patient’s request to undergo surgical modification to ‘change sex’ is documented beginning in the early 20^th century, the acceptance of SRS as a viable treatment did not occur until 1972.  This project traces the struggle within medicine to make transsexuality visible, define it as a disease and formulate a course of treatment.  A genealogical analysis of journal articles and books from 1930-1987 demonstrates the shifting relationship of surgery to transsexuality, as surgeons and psychiatrists negotiated, constructed and produced the transsexual body.  Surgery changes from a symptom of transsexuality to treatment to confirmation of diagnosis.  This change was perpetuated by surgery’s failure to successfully treat all patients diagnosed with transsexuality, which made possible the categorization of the ‘true’ transsexual.  It also pushed for a standardized criteria within the institution of medicine, which ultimately organized the transsexual body into three distinct stages. Each stage has its own goals, limitations and measures of success.  The ultimate rhetorical argument for surgery was to allow the patient to be happy.