when did the first male-to-female transsexual surgical transformation take place
Sex reassignment surgery (male-to-female) Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in 1930. She was the subject of five surgeries: one of penectomy and orchiectomy, one intended to transplant ovaries, two to remove the ovaries after transplant rejection, and vaginoplasty. However, she died three months after her fifth operation.
Vasectomy The traditional incision approach of vasectomy involves numbing of the scrotum with local anesthetic (although some men's physiology may make access to the vas deferens more difficult in which case general anesthesia may be recommended) after which a scalpel is used to make two small incisions, one on each side of the scrotum at a location that allows the surgeon to bring each vas deferens to the surface for excision. The vasa deferentia are cut (sometimes a section may be removed altogether), separated, and then at least one side is sealed by ligating (suturing), cauterizing (electrocauterization), or clamping.[28] There are several variations to this method that improve healing, effectiveness, and which help mitigate long-term pain such as post-vasectomy pain syndrome (PVPS) or epididymitis.