Gender dysphoria is characterized by incongruity between the birth and the desired gender. Transgenders are patients with gender dysphoria who want to undergo gender-confirming medical treatment. The medical care of people with gender dysphoria is multidisciplinary and according to the Standards of Care (SOC) of the World Professional Association for Transgender Health (WPATH). Based on shared decision making, the medical and operative treatments are set. The Urology department is jointly responsible for functional and aesthetic results of the genital gender confirming surgery in the transgender.