In Real Life, gender reassignment for a Transgender person is a lengthy process involving extensive hormone and psychological therapy. For example, in the United States, people need at least three months of therapy or "real life training" before hormones can be legally administered, and at least another year after that before genital surgery, which may itself involve a long time on a waiting list. Additionally, the physical changes brought about by hormones take several years to occur, as with puberty. Examples of Easy Sex Change include: