affirmation Transgender Emasculation occurs voluntarily within the transgender community as a form of gender reassignment surgery, allowing recipients to renounce their masculine characteristics and bring their body into closer alignment with their identified gender. It may be sought by trans women (those born male who identify as female), who wish to assume their femininity, or by non-binary transgender individuals (those born male who identify as neither male nor female), who want to locate themselves outside of traditional gender categories. For trans women, emasculation surgery may be performed with or without the creation of a vagina. When a vagina is created, the procedure is called a vaginoplasty, and where it isn't, the procedure is called a cosmesis or cosmetic vulvoplasty. For non-binary transgender persons, the purpose of emasculation is to make the body less congruent with one's biological sex without the subsequent assumption of femininity. These individuals may identify as non-binary, a third-sex, eunuch, or another gender. Some adopt the term 'nullo,' meaning someone whose gender has been nullified. In some instances, transgender persons may seek emasculation outside of medical facilities (i.e. self-emasculation). Self-inflicted Transgender Occasionally self-emasculation is practiced by transgender persons. When compared with the general population, transgender persons are at a higher risk of engaging in acts of genital self-mutilation, including self-emasculation. The inability to acquire gender-affirming surgery by a medical professional has prompted people to resort to self-emasculation. Mental disorder There are reports of self-emasculation cases resulting from mental disorder. Some academics claim that a majority of self-emasculations are a result of psychosis, although this finding has been challenged. Nonetheless, there are several reported cases of people with schizophrenia engaging in self-emasculation. Skoptic syndrome, or Klingsor syndrome, is a condition where people mutilate their genitals as a result of psychotic religious delusions. For example, a person with Skoptic syndrome is reported to have mutilated his genitals after experiencing auditory hallucinations telling him he would only be allowed into the Kingdom of Heaven if he emasculated himself. Body integrity dysphoria, or xenomelia, is another mental disorder that may drive a person to seek emasculation. People with this disorder are distressed by the presence of a limb that they don't identify as part of their body, including the genitals. Emasculation in this context alleviates their distress, enabling them to become 'whole'. However, the amputation of healthy limbs by medical professionals is highly controversial. The inability to acquire medically administered emasculation