性せい別べつ適てき合ごう手しゅ術じゅつMeaningsNoun1. sex reassignment surgery; sex change surgery; SRS; gender-affirming surgery; GASKanji used性nature (of a person)別separate適fitting合come together手hand術techniqueComposed of性せい別べつ(distinction of) sex; genderNoun適てき合ごうconformity; compatibility; adaptability; congruity; congruenceNoun手しゅ術じゅつsurgery; operation; procedureNoun