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When do names and pronouns change: when the person has sex reassignment surgery or when they begin the transition process?

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When do names and pronouns change: when the person has sex reassignment surgery or when they begin the transition process?

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Generally, names and pronouns change when a person starts living in the new gender, rather than when they have sex reassignment surgery (SRS). The medical protocols require that SRS can only occur after one year of living in the new gender, which includes use of opposite sex name and pronouns.

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