Older medical texts often referred to transsexual people as members of their original sex by referring to a male-to-female transsexual as a "male transsexual"They also described sexual orientation in relation to the person's assigned sex, not their gender of identity; in other words, referring to a male-to-female transsexual who is attracted to men as a "male transsexual" This usage is considered by many to be scientifically inaccurate and clinically insensitive today.
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The "sexual identity" theory used by the court in the Schroer case may lead to a split between courts that view transgender status as a matter of surgery, and those that view it as a matter of self-determination of gender... 
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Critics of her terminology would point out that she has swung the pendulum too far in the other direction, now equating transsexuality to a "life-style choice", which often offends those transsexuals who feel that their condition has a biological origin.
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Sex reassignment therapy (SRT) is an umbrella term for all medical procedures regarding sex reassignment of both. 
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