For a man, surgical gender reassignment involves removing the testicles and muscle from the penis, creating a vagina-like hole and using the skin for the lips. The prostate gland enables a male-to-female transsexual to continue to have orgasms. Female-to-male operations entail attaching a penis, created using skin from another part of the body and inserting a flexible tube. The erection is achieved by repositioning the tube. It gives organisms by rubbing against the clitoris during sex.
In Belgium, as a married person it is impossible to get official approval of gender-change following an operation. This is because the law states that men may only marry women and vice versa. It is advisable for a married person to first get a divorce before requesting a legal gender-change.