Abstract
This case illustrates the use of psychological testing in assessing change over a period of eight years. Evaluations were done six years before transsexual surgery, after surgery, and at the completion of psychotherapy. The initial tests were rife with morbid suicidal and pathological content. Psychotherapy in a residential setting was recommended and accepted. Psychological testing after surgery revealed identity conflicts, guilt, and underlying depression. The final evaluation revealed remarkable changes. Her ego was good. She was not handicapped by defenses. She was using her intelligence for systematic thinking. Her anxiety level was within normal limits and concerns were realistic to her situation.

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