Transsexuality and health: Access and integral care status in the Brazilian public health

 In 1997, through resolution 1482, the Federal Council of Medicine authorized in Brazil the accomplishment of sex reassignment in transsexuals patients considering that this procedure would have a therapeutical character, since "the transsexual patient has a permanent psychological deviation of sexual identity with rejection of fenotype and inclination to self-mutilation or self-destruction". Establishing the rules that had become condition to have medical and legal assistance in these cases, the sexual conversion became a legal procedure in the country since the treatment follows a rigid program that includes an evaluation by a multidisciplinary team and appointment with the psychiatric for two years to confirm the diagnostic. Since that the demand of medical aid on the part of transsexuals had increased and many hospital institutions had to organize a specific space of attendance to these patients and constituted interdisciplinary programs to this people who started to look the public services of health with direct demand for surgical treatment, telling intense psychic suffering.

It is possible to notice that the institutionalization of this assistencial practice directed to transsexuals is absolutely conditioned to a psychiatric diagnosis that at the same time where it allows to the access to the treatment and the exercise of citizenship, is also a vector of  stigma, that many times assigne a psychiatric clutter to the patient without questioning the historical questions, subjective politics and of this definition. So, this work has as objective develop a reflection about the definition of transsexuality as psychiatric patology through an analysis about the effect of the diagnosis of Gender Identity Disorder in the health practices, discuting the transsexual's access and integral care in the brazilian public health.