Q: Is it necessary for me to be in Guadalajara for all the months my treatment will take? A: Any or all the  stages previous to the actual GRS can be effected in your place of residence. A letter of certification from your sexologist or psychologist attesting that you have complied with adjustment therapy previous to your GRS is sufficient, as well as a treatment summary from your endocrinologist. Q: I have been continuosly living as a woman for some years. Do I still have to see a psychologist or sexologist? A: Not necessarily-in selected cases a personal or even a telephone interview or written survey will suffice. Q: Will I have pleasant sexual sensation and orgasms after my surgery? A: Most of our patients report full sensitivity in the genital area, as well as reaching orgasms some months postoperatively.  Q: How long must I remain in Guadalajara for my recovery? A: Two weeks is an average stay. Q: Is the surgery painful? A: You can expect to feel only tolerable discomfort, as Dr. Villaran makes it a point to avoid postoperative pain by the judicious use of pain medication. All medicines will be provided for you, as well as detailed instructions for their use. Q: Must I use a vaginal mold or conformer? A: Yes, for some 8 weeks. Q: How long before i can have sexual activity? A: Sexual activity is recommended after six weeks.