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.
However, the meaning of sex reassignment surgery has been clarified by the medical subspecialty organization, the World Professional Association for Transgender Health (WPATH), to include any of a larger number of surgical procedures performed as part of a medical treatment for gender dysphoria or transsexualism.