Coming out for Gays, Lesbians and Bisexuals as well as Trans genders is hard. “Hence, outwardly gender-conforming transgender individual usually proceed through the development stages of coming out later in life, often following a long period of pre-coming when years of hiding their cross-gender feelings take a different kind of toll (Etther)”. Gender reassignment is term that used for sex change for transgender. “Gender reassignment (which includes psychotherapy, hormonal therapy and surgery) has been demonstrated as the most effective treatment for patients affected by gender dysphoria (or gender identity disorder), in which patients do not recognize their gender (sexual identity) as matching their genetic and sexual characteristics (Gennario Selvaggi)”. Gender reassignment is a produce where the genitals or breast, or face gets removed or changed to fit the proper gender. “Genital procedures performed for gender dysphoria, such as vaginoplasty, clitorolabioplasty, penectomy and orchidectomy in male-to-female transsexuals, and penile and scrotal reconstruction in female-to-male transsexuals, are the core procedures in gender reassignment surgery. Nongenital procedures, such as breast enlargement, mastectomy, facial feminization surgery, voice surgery, and other masculinization and feminization procedures complete the surgical treatment available (Gennario…