Before sex change operations are performed, a person must undergo a psychiatric evaluation. In addition, you will have to see several other specialists before you can be accepted by a reputable center that performs sex change operations. An initial evaluation will also include thorough medical tests to determine your hormonal and chromosomal status as well as your general health. Many clinics ask to interview family, friends and sexual partners as well, if they are willing.If you are accepted into a transexual program, the first step is to live and work successfully as a member of the opposite sex for one year. Then, to continue a successful life style while being on hormone therapy for another. All this occurs before you undertake the irreversible surgical alterations of the reproductive organs and body. The full procedure varies, depending upon the clinic, and takes several years to complete. But, according to research, the time involved produces better results.Changing your physical sex is a complicated process. If you decide to pursue this course, you must be prepared to spend a great deal of time ( and perhaps money) working with specialists. Most transexual programs are located at medical schools and large hospitals. Call the department of endocrinology and ask if they treat transexuals or if they can refer you to the nearest place that does. Good luck in making your decision.