The prevalence of transsexualism in the Netherlands was estimated by c
ounting all the subjects who were diagnosed as transsexuals by psychia
trists or psychologists and were subsequently hormonally treated and g
enerally underwent sex-reassignment surgery. At the end of 1990, 713 D
utch-born transsexuals received treatment (507 men, 206-women). This a
mounts to a prevalence of 1:11,900 for male-to-female transsexualism a
nd 1:30,400 for female-to-male transsexualism (population age 15 and a
bove in both groups). The sex ratio was about 2.5 men to 1 woman. The
most important reason for this relatively high prevalence seems to be
the benevolent climate for the treatment of transsexualism in the Neth
erlands.