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J Sex Med. 2009 Apr;6(4):1018-1023. doi: 10.1111/j.1743-6109.2008.00799.x. Epub 2008 Mar 4.

Transsexualism in Serbia: a twenty-year follow-up study.

Author information

Belgrade Team for Gender Identity Disorders, Institute of Endocrinology, Clinical Center of Serbia, Belgrade, Serbia;. Electronic address: vujovics@EUnet.yu.
Institute of Endocrinology, Belgrade, Serbia.
Institute of Hygiene and Medical Ecology, Belgrade, Serbia.
University Children's Hospital, Belgrade, Serbia.
Gender Clinic, Vrije Universiteit University Hospital, Amsterdam, The Netherlands.



Gender dysphoria occurs in all societies and cultures. The prevailing social context has a strong impact on its manifestations as well as on applications by individuals with the condition for sex reassignment treatment.


To describe a transsexual population seeking sex reassignment treatment in Serbia, part of former Yugoslavia.


Data, collated over a period of 20 years, from subjects applying for sex reassignment to the only center in Serbia, were analyzed retrospectively.


Age at the time of application, demographic data, family background, sex ratio, the prevalence of polycystic ovarian syndrome (PCOS) among female-to-male (FTM) transsexuals, and readiness to undergo surgical sex reassignment were tabulated.


Applicants for sex reassignment in Serbia are relatively young. The sex ratio is close to 1:1. They often come from single-child families. More than 10% do not wish to undergo surgical sex reassignment. The prevalence of PCOS among FTM transsexuals was higher than in the general population but considerably lower than that reported in the literature from other populations. Of those who had undergone sex reassignment, none expressed regret for their decision.


Although transsexualism is a universal phenomenon, the relatively young age of those applying for sex reassignment and the sex ratio of 1:1 distinguish the population in Serbia from others reported in the literature.

[Indexed for MEDLINE]

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