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The Standards of Care (SOC), as laid out by the Harry Benjamin International Gender Dysphoria Association (HBIGDA), clearly show that breast augmentation is part of MTF transition. HBIGDA's website: _http://www.hbigda.org_ (http://www.hbigda.org) The 6th version (the most recent) of the SOC: _http://www.hbigda.org/Documents2/socv6.pdf_ (http://www.hbigda.org/Documents2/socv6.pdf) The first eight years of the International Journal of Transgenderism, the official journal of HBIGDA, can be found at: _http://www.symposion.com/ijt/index.htm_ (http://www.symposion.com/ijt/index.htm) John Otto In a message dated 5/22/2006 1:31:43 P.M. Pacific Daylight Time, [log in to unmask] writes: Does anyone have a references for any articles written about breast augmentation being part of male-to-female gender reassignment please? A friend of mine has had her surgery refused as it is being argued that this is not essential surgery. Any leads would be great! Thanks Lewis Dr Lewis Turner