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Most transwomen also require things such as facial hair removal, voice training, and sometimes, facial feminization surgery, to be passable as females. Many feel that these things are more important than hormones to the passability of most transwomen. The most recent revision of the HBIGDA transgendered personals Standards of Care recognize this limitation for some transgendered personals transgender people. Therefore, the SOC state that patients may be approved for treatment after either a period of successful cross-living or a period transgendered personals of diagnostic psychotherapy - generally at least three months. Some doctors may prescribe hormones to any patient who requests them; however, most physicians are extremely reluctant to do so, especially for FTM transsexuals.
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