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From Wikipedia, the free encyclopedia. A realigning election (often called a critical election or political realignment) is a term from political science and political history describing a dramatic change in the political system. Scholars frequently apply the term to American elections and occasionally to other countries.
These include psychotherapy, change in gender role, hormone therapy, and gender reassignment surgery. Gender reassignment surgery is a series of surgical procedures to change a personâs primary and/or secondary sex characteristics to conform to those of another gender.The number and sequence of these procedures varies from person to person, according to their individual needs. statement that the Qualified Mental Health Professional is available for coordination of care and that a plan for coordination of care is in place. 4. Guidelines for Medical Necessity Determination for Gender Reassignment Surgery 7.