"Pre-op" is short for pre-operative. When used as an adjective of a person, this term typically signifies that the person has not undergone Gender reassignment surgery (GRS) and still has his or her congenital genitals mostly intact.
A few cases of ambiguity may arise with this term. For example, a male to female transsexual post castration may sometimes refer to themselves as mid-op to reflect the in media res nature of their medical history. The term almost exclusively refers to a transsexual or an operative transgenderist as these are the only communities that regularly undergo genital operations.
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