Ultimately trans sexual surgery reinforces social conformity by encouraging the individual to become an agreeable participant in a role-defined society, substituting one sex role stereotype for the other. The medical solution becomes a. “social tranquillizer” reinforcing sexism and its foundation of sex-role conformity. With the increased medicalization of transsexualism, a certain group of people are encouraged to channel gender dissatisfaction into surgery. As previously mentioned, there is a continuum of surgeries, such as silicone breast implantation, designed to treat other forms of gender dissatisfaction. Since the 1950s, women who are dissatisfied with their bodies or parts of them, in this case the size of their breasts—in reality their gender image—have been encouraged to have them augmented by breast surgery and silicone implants, leading to Introduction to the 1994 Edition to disastrous health and safety consequences. In the 1980s and 1990s, the plastic surgery industry, including the association of plastic surgeons, led a campaign to convince women that having small breasts was actually a physical deficiency. According to the American Society of Plastic and Reconstructive Surgeons, small breasts are not only a deformity but “a disease which in most patients results in feelings of inadequacy.” Thus millions of women have been led to change their breasts, not their image of themselves. Likewise, the medicalization of transsexualism promotes the ideology that the problem of gender dissatisfaction needs the intervention of the medical and surgical specialties to remedy the dissatisfaction by constructing a body of the opposite sex.[117]