Abstract
The here-expressed considerations of the authors are based on their own personal work experience as members of the interdisciplinary team of the Servizio di Adeguamento tra Identita Fisica e Identita Psichica - SAIFIP - (Centre for the treatment of gender identity disorders and sex-reassignment therapy) operating within the framework of the Reconstructive and Plastic Surgery Unit at the San Camillo-Forlanini Hospital Complex in Rome, Italy since 1992. The SAIFIP team has set up a protocol that offers, within the Italian National Government Healthcare Plan, integrated and interdisciplinary clinical services for persons affected by gender identity disorders that lay emphasis on the psychological, medical-surgical and social-legal aspects implied in the process of sexreassignment therapy. Said protocol originates from the indispensable integration and coordination of the various reference theories and their models which form the training basis of the various healthcare providers and from the absolute necessity to organize the various therapeutic procedures (endocrinology therapy, surgery, counselling, psychotherapy, sociotherapy) in synchronization with the patient, with his/her family and with his/her extended ecosystem.
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