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Becoming a Man

The Process

6/11/2009 3:53 PM PDT BY TMZ STAFF

Chastity BonoA lot is involved in the sex reassignment process. Here's the lowdown, according to Dr. Gary Alter from "Dr. 90210" -- he's an expert. Here's what Chastity Bono is going through right now.

-- First step ... A psychiatrist evaluates the patient. If appropriate, the doctor prescribes male hormones.

-- The hormones change the body makeup, which includes hair growth. The clitoris also grows larger.

-- Removal of breasts. Dr. Alter said most states will recognize the person as a male once this occurs. A hysterectomy can also be performed during this process.

-- Dr. Alter said the decision about changing the genitalia can take several years, while the patient is taking hormones. Dr. Alter says most people stop at this point.

-- Dr. Alter says if the patient goes forward, the surgeon often makes a small penis out of the clitoris and a scrotum by joining both labia majors. Testicle implants can then be inserted. The most sophisticated option is microsurgery in which skin, arteries and nerves are taken from the forearm and made into a phallus.

As for cost, Dr. Alter said it's all over the place, depending on how far the person wants to go. We've spoken to people who have had it done, and they say the full deal costs more than $100,000.

71 COMMENTS

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31.

who gives a shit    

Chaz Boner that's a good one, ha, ha!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

1770 days ago
32.

pj    

to 'daughter of a transsexual' - me too!! M-F though. Did you get to keep up a relationship with your parent? Mine, unfortunately, had issues way deeper than gender...

1770 days ago
33.

the_writer    

Just like Queen Latifah -- she will come out and say that she was molested -- and that is why she wants to be a man. Why can't these chicks just get some D$#% therapy like the rest of molested women and move on with their lives? Why be gay? Like those relationships are normal and safe. She's a freak /// now she'll be an abnormal freak.

1770 days ago
34.

Audrey    

Good for Chaz. I hope he finds peace and has a chance to live a fulfilled life. For the moronic and godbotic posters here - you have a right to your opinions regardless of how ignorant they prove you to be.

1770 days ago
35.

cwazy    

I agree a lot of these are harsh. It's one thing to state your opinion but its another to call her names and make fun of her weight or other things. That is just rude. Some people obviously were not taught any manners by their parents..shame on those who can't be nice in responding with their opinions.

1770 days ago
36.

Michelle Ann    

It absolutely amazes me the level on non-understanding of transgender issues. For anyone that has posted to this page to say its wrong and against God , needs to look a gender variance for what it is , A BIRTH DEFECT. Researchers all around the world have determined that transgenderism is a birth defect , a mis-connection in the mothers body hormone levels, when the baby is developing. Would a parent fix a cleft lip on a baby, yes they would . Its a birth defect , just like being transgender.
NO_ONE chooses to be a transgendered person, the road to be true to who we are is very hard, especially with how some people in the world look at it. They do not have the education about the subject or know the pain and hardship that transgender people go through to finally be true to their soul.
No -one would put themselves through this , unless it is absolutely necessary. Don't judge another person until you know the facts and have walked in their shoes.

To Chasity, we wish you the best in your transition to be true to who you are. We are here for you.

1770 days ago
37.

Cammie    

Please, doctors, remove Chastity/Chaz' ovaries, fallopian tube, and womb. What is occurring with she/he Thomas should not be permitted to ever happen, again, in the future of humanity. If a female chooses to be altered into a male, then it should be required that a full hysterectomy being performed.

1770 days ago
38.

Joanne    

I always thought she looked more masculine than feminine. I always felt sorry for her to go through life with the horrid name of Chastity. Like the names Matilda and Clementine and Apple. Ugh.

1770 days ago
39.

Linda    

With Cher as her mother; I am not surprised.

1770 days ago
40.

PEPSI Generation    

The age of the subject doesn`t make it plausible sHE should just run with what she`s got and get some help>it`s understandable at some levels but on other points it seems unrealistic.She wants some attention and doe`snt know how to get it.IF she must man up she will be a mutulated walking wounded and I don`t think she be happy there either.Want the life you have Don`t want something you can`t have

1770 days ago
41.

Benny Barnes    

I think Chastity is sick in the head and needs psychiatric help for her mental problems.

1770 days ago
42.

SUN    

Okay, if she keeps her vagina and has a monthly cycle and a small penis, what will this accomplish? The penis will not work like a mans, and she cannot ejaculate, they just use implants to create balls, like a woamn who has her breasts enlarged. I am not understanding how this will make her feel normal, if she keeps her vagina. The male hormones, may affect her cycles some, but those things are harsh, so not getting the point.

1770 days ago
43.

Glen Alan Garner    

I believe gay people are born that way, but they don't need to have what they want to do with themselves be publicly known, even if SHE does have famous parents. To me it's a sad commentary on the state of our society, but I think it should be kept private unless SHE wants it to be known. Just thought I'd express my take on the situation.

1770 days ago
44.

kosa! kosa! kosa!    

Whilst I understand that some people feel uncomfortable with their gender, shouldn't we help them accept who they are rather than support the mutilation of their bodies? Like what if a white man felt black or what if a 40 year old felt that they were truly a 10 year old? Don't we at all times feel like we should have been something else? Surgery is not the answer!!!

1770 days ago
45.

cwazy    

Whilst I understand that some people feel uncomfortable with their gender, shouldn't we help them accept who they are rather than support the mutilation of their bodies? Like what if a white man felt black or what if a 40 year old felt that they were truly a 10 year old? Don't we at all times feel like we should have been something else? Surgery is not the answer!!!

Posted at 10:30PM on Jun 11th 2009 by KOSA! KOSA! KOSA!


me: That is what im saying. I support her choice to be gay, its not about that, i just don't like the idea of surgery to change who a person is. Surgery may look easy but it takes a lot more emotional effort as well as physical to heal im sure.... Seriously, ellen & rosie didn't need to do sex changes & people support them. Its just weird she decides to do this now at 40. The older you get, the harder surgery can be for someone. Its a huge risk. And i sure wouldn't want to be castrated *which is basically what she is doing*

1770 days ago
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