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.
Sexual reassignment surgery is often conducted outside of the United States. The number of gender reassignment procedures conducted in the United States each year is estimated at between 100 and 500. The number worldwide is estimated to be two to five times larger.