Article originally appeared on 04.29.16
Over 1,700 male-to-female gender confirmation surgeries were performed in 2016 in the U.S., according to The American Society of Plastic Surgeons, and around 40,000 post-op transgender people are currently living in the country. It’s an expensive and invasive procedure that allows people who are transgender to have their genitalia altered to match the gender they identify with.
The first medical gender confirmation surgery was in Germany in 1930, and it was performed on Danish artist Lili Elbe, whose story was recently brought to life on screen in the film “The Danish Girl.” The first American to have male-to-female surgery was World War II vet Christine Jorgensen in 1952.
To provide people with a clearer idea of what happens during a male-to-female sexual reassignment surgery, the European Society of Urology released the animated video above. During the surgery, the testes are removed from the scrotum and the tip of the penis is used to create a clitoris. Then the shaft of the penis and scrotum are formed to create the labia and vaginal canal. The surgery is also accompanied by psychotherapy, hormones, and often also a breast augmentation.
Watch the video from the European Society of Urology below:
Robin Williams performs for military men and women as part of a United Service Organization (USO) show on board Camp Phoenix in December 2007
Gif of Robin Williams via 
A woman conducts a online color testCanva
A selection of color swatchesCanva
A young boy takes a color examCanva 
Pictured: A healthy practice?
Will your current friends still be with you after seven years?
Professor shares how many years a friendship must last before it'll become lifelong
Think of your best friend. How long have you known them? Growing up, children make friends and say they’ll be best friends forever. That’s where “BFF” came from, for crying out loud. But is the concept of the lifelong friend real? If so, how many years of friendship will have to bloom before a friendship goes the distance? Well, a Dutch study may have the answer to that last question.
Sociologist Gerald Mollenhorst and his team in the Netherlands did extensive research on friendships and made some interesting findings in his surveys and studies. Mollenhorst found that over half of your friendships will “shed” within seven years. However, the relationships that go past the seven-year mark tend to last. This led to the prevailing theory that most friendships lasting more than seven years would endure throughout a person’s lifetime.
In Mollenhorst’s findings, lifelong friendships seem to come down to one thing: reciprocal effort. The primary reason so many friendships form and fade within seven-year cycles has much to do with a person’s ages and life stages. A lot of people lose touch with elementary and high school friends because so many leave home to attend college. Work friends change when someone gets promoted or finds a better job in a different state. Some friends get married and have children, reducing one-on-one time together, and thus a friendship fades. It’s easy to lose friends, but naturally harder to keep them when you’re no longer in proximity.
Some people on Reddit even wonder if lifelong friendships are actually real or just a romanticized thought nowadays. However, older commenters showed that lifelong friendship is still possible:
“I met my friend on the first day of kindergarten. Maybe not the very first day, but within the first week. We were texting each other stupid memes just yesterday. This year we’ll both celebrate our 58th birthdays.”
“My oldest friend and I met when she was just 5 and I was 9. Next-door neighbors. We're now both over 60 and still talk weekly and visit at least twice a year.”
“I’m 55. I’ve just spent a weekend with friends I met 24 and 32 years ago respectively. I’m also still in touch with my penpal in the States. I was 15 when we started writing to each other.”
“My friends (3 of them) go back to my college days in my 20’s that I still talk to a minimum of once a week. I'm in my early 60s now.”
“We ebb and flow. Sometimes many years will pass as we go through different things and phases. Nobody gets buttsore if we aren’t in touch all the time. In our 50s we don’t try and argue or be petty like we did before. But I love them. I don’t need a weekly lunch to know that. I could make a call right now if I needed something. Same with them.”
Maintaining a friendship for life is never guaranteed, but there are ways, psychotherapists say, that can make a friendship last. It’s not easy, but for a friendship to last, both participants need to make room for patience and place greater weight on their similarities than on the differences that may develop over time. Along with that, it’s helpful to be tolerant of large distances and gaps of time between visits, too. It’s not easy, and it requires both people involved to be equally invested to keep the friendship alive and from becoming stagnant.
As tough as it sounds, it is still possible. You may be a fortunate person who can name several friends you’ve kept for over seven years or over seventy years. But if you’re not, every new friendship you make has the same chance and potential of being lifelong.