Implementing a knowledge management program is no easy feat. 1  You will encounter many challenges along the way including many of the following: 2  Inability to recognize or articulate knowledge; turning tacit knowledge into explicit knowledge. 3  Geographical distance and/or language barriers in an international company.
It's about soul, not sex. SRS or GRS-Reassignment Surgery takes from 4 to 12 hours for the first portion and may include a second surgery that also could be 4 to 12 hours. There are also breast implant surgeries, facial feminiziation surgeries and more.
Gender Reassignment Surgery. If significant medical or mental health concerns are present, they must be reasonably well controlled. Note that a trial of hormone therapy is not a pre-requisite to qualifying for a mastectomy. Twelve months of living in a gender role that is congruent with their gender identity (real life experience).