The topic of sex change in our bisexual society touches upon not only main basis of human existence but also questions of evolution as a whole, of humankind persistence. Is sex change a humane act or do we herewith sacrifice the culture and health of human population for the sake of individual principles? Today, theproblem of sex change has turned from purely medical to a sociocultural one. It brings up a number of important and complex issues for physicians, and for (...) society as a whole. It is necessary to undertake the efforts upon their solution on miscellaneous levels ‐ from practical to general philosophic one. What is the principal difference in surgical sex change and other body changes, such as plastic operations etc? Is a person free to make decisions about changing his or her body like he or she is when changing hairstyle, clothes etc? Who is responsible for answering these questions? We offer another, in comparison with traditional, approach to determination of the indication to change sex in case of various dissociations of sexual identity (for instance, transsexualism). The presented strategy is designed with some elements of synergetic modeling. A different cultural and ideological approach to the problem of sex change lies in the foundations of this strategy. Since we are referring not just to sexual, but also sexual. (shrink)