A DSM-5 diagnosis of gender dysphoria requires completion of gender reassignment surgery.

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A diagnosis of gender dysphoria does not require completion of gender reassignment surgery. It is based on a persistent and marked incongruence between the individual's experienced/expressed gender and their assigned gender, with accompanying distress or impairment in social, occupational, or other areas of functioning. Treatment may include a range of options, such as hormone therapy, psychotherapy, and/or surgery, depending on individual needs and preferences.

A DSM-5 Diagnosis of Gender Dysphoria Requires Completion of Gender