Abstract
This is a case of Klinefelter's Syndrome, complicated by homosexuality, transvestism, and drug addiction, with strong feminine drives. Castration and penile amputation was performed and this enabled the patient to dress, live and act as a woman legally. After three years there is no evidence that the patient's psychopathology has changed, or that the individual is functioning any better in the community. In retrospect it appears the guarded prognosis made prior to the operation was fully justified.
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