Sex reassignment surgery FTM refers to the female to male sex change procedure. This type of surgery alters the female genitalia and other female characteristics and gives them a masculine appearance. The majority of sex reassignment patients, female to male, choose to have the surgery because they feel they should have been born male. The entire process includes several different surgical procedures and other related therapies. Hormone replace, voice training, and psychological therapy are some of the non-surgical elements of the process. Hormone therapy is important in FTM sex change surgeries for the development of secondary sex characteristic such as hair growth. In addition to the various procedures involved in sex reassignment surgery there is also a specific terminology. For example, a transgender is a person who has the genitalia of a female but identifies with males while a transsexual FTM is in the process of beginning or completing sex change surgery from female to male. Surgeons call this process transitioning.