ABSTRACT
If gender reassignment surgery is offered to carefully selected patients, reversion to the former gender role is rare. Reversions can best be thought of as sustained returns to a former gender role, and are to be distinguished from brief returns for 'special occasions'. Reversions in this setting have seemingly been isolated to patients who were Jehovah's Witnesses prior to contact with a gender identity clinic. Reversion motivated by a relationship or its breakdown is a common reason for a reversion to a former gender role when it happens earlier in the course of a real life experience. A failure to establish a proper diagnosis of transsexualism but treatment with gender reassignment surgery nonetheless results in reversion to the former role. After gender reassignment surgery, PL tried to live in a female role, making two very short and half-hearted sexual relationships with men before settling into a lesbian role.
