The link between seeking a sex change and [[sexual orientation]] is hotly disputed in the political arena of Western countries, where sex changes have had the most attention and debate. The medical field has established the mental disorder of [[Gender identity disorder]] in order to establish a diagnosis for treatment of people seeking to get a sex change. Many people use this medical diagnosis, in order to justify sex change therapies, but the treatment of a psychiatric condition by giving in to a patient, as well as treating them with physical surgery are the most controversial issues.
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The link between seeking a sex change and [[sexual orientation]] is hotly disputed in the political arena of Western countries, where sex changes have had the most attention and debate. Some transgendered individuals consider themselves homosexual and some are heterosexual.