The evaluation of psycho-social aspects of the caring of the Gender Identity Disorders (GID) with the evaluation of Quality of Life and with satisfaction criteria after the surgery for sex reassignment shows a high rate of satisfaction, which seems to justify this kind of treatment (in the current knowledges). However, the analysis of literature points out the importance of factors such as risk of depression, of social phobia, and lost of self-confidence. We could suppose that harmonising the psychological and physical dissociation should make the disorder disappear, but psychiatrists still experience other problems towards the population suffering from GID, therefore our caring should rely not only on the diagnosis of this dissociation, but also on other aspects. Indeed, from our point of view, some other psycho-social aspects must be codified in the follow-up of these patients.
During this follow-up, the assessment of patient’s abilities to adaptation for a successful transformation, and a new way of life, should be considered as a psycho-social factor enabling to predict their future. Sex reassignment leads to a change of fundamental references, and the adaptation mechanisms are highly involved, which requires that the factors of individual vulnerabilities be slightly involved. This change process may also affect near relations who should be considered with care, because their own balance is necessary for the various interactions of the social and affective environment and their supporting role for the person experiencing sex reassignment.
This relational factor should be taken into account. This requires that supportive care and attention be made and combined with the caring towards: – Family – Partner – Eventual children – Professional position – Self body image – Law procedures for changing sex gender – the concept of psychotherapy, its objectives and methods be better defined. Consequently, we will propose an integrative caring pattern.