“…Life satisfaction reflects individuals' quality of life, including well-being, self-esteem, family and social-relations, and personal achievements (Johansson & Bernspang, 2003). Studies suggest that sex reassignment surgery has a positive effect on family, social, romantic, and sexual relations, all of which are attributed to social, physical and health adaptation of transitioning individuals (Brewster et al, 2014;Brewster et al, 2012;Salvador et al, 2012;Parola et al, 2010;Udeze et al, 2008;Lobato et al, 2006;De Cuypere et al, 2006;Smith et al, 2005). In the international literature, these factors are constantly found to positively affect life satisfaction (Cheng & Smyth, 2015;Helliwell, 2003).…”