In 1930, Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.
In 1923, Hirschfeld introduced the (German) term "Transsexualismus", Benjamin went on to popularize the term in his 1966 book, The Transsexual Phenomenon, in which he described transsexual people on a scale (later called the "Benjamin scale") of three levels of intensity: "Transsexual (nonsurgical)", "Transsexual (moderate intensity)", and "Transsexual (high intensity)".
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Male-to-female transsexualism has sometimes been called "Harry Benjamin's syndrome" after the endocrinologist who pioneered the study of dysphoria.
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What would be the situation after corrective surgery has been performed and the sex anatomy now resembles that of a woman? Many sources, including some supporters of the typology, criticize this choice of wording as confusing and degrading.
Biologist Bruce Bagemihl writes ".point of reference for "heterosexual" or "homosexual" orientation in this nomenclature is solely the individual's genetic sex prior to reassignment (see for example, Blanchard et al.
1987, Coleman and Bockting, 1988, Blanchard, 1989).
These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.