### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi sir.... i m tom am 18years old... i stay in Bangalore ( India, Karnataka) from birth i m grown like a boy... n from my 7th std i started getting more taughts like i should be a complete boy..i wanna dress like a man...walk talk do things like a man..etc... this feeling grew bigger n later in 10th i met docter an endocrinologist he told this s a complicated surgery it requires years of treatment n patience n al.. he said 1st i must get a psycatrist concern bt i also started getting tht consulted..but due to my examz it got dropped. now i cant wait any more.. am 18 now n i have to be a man as soon as possible...plz guide me..help me.. in getting it done! sir........... n also i neva neva dress like a girl........ love walking like a man..dress lik man( pant t.shirt...shirts..etc) i want mustach..beards ....... in short i wanna be a man... please help me... :(

### output:

Hello and thanks for writing in. I understand that you are having these intense, sustained feelings of wanting to be a man and are quite uncomfortable with being a woman. This condition is called a Gender Identity Disorder. This is a condition where a person strongly feels that he or she should be the opposite sex. They often feel "trapped" in their bodies and experience a lot of discomfort with their present gender. You have mentioned that you want to undergo sex change surgery. But, like your previous doctor has mentioned, this is a very major step and hence is a long Chat Doctor.  First you need to have a detailed psychological assessment and counselling from a psychiatrist. Then, if you are deemed to be a suitable candidate for sex change surgery, this has to be planned in stages. You may have to take long term hormonal medication. So, as you can see, this is a very complicated and long 