Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, However, she died three months after her last operation. When changing anatomical sex from male to female, the testicles are removed .
Lili Ilse Elvenes (28 December – 13 September ), better known as Lili Elbe, was a The second operation was to implant an ovary onto her abdominal . Later edition: Man into woman: the first sex change, a portrait of Lili Elbe – the .
Karl M. Baer, who underwent a female-to-male sex-change operation in Germany in 'Memoirs of a Man's Maiden Years'.