Affiliation:
1. Department of Plastic and Oral Surgery Boston Children's Hospital Boston Massachusetts USA
2. Stanford University School of Medicine Stanford California USA
3. Harvard University John F. Kennedy School of Government Cambridge Massachusetts USA
4. Harvard Medical School Boston Massachusetts USA
5. UMass Chan Medical School Worcester Massachusetts USA
6. Department of Surgery Harvard Medical School Boston Massachusetts USA
Abstract
AbstractGender‐affirming care is treatment that recognizes and affirms the gender identity of transgender and gender‐diverse (TGD) individuals. Though not all TGD people choose to surgically transition, gender‐affirming surgeries (GAS) are an important part of many TGD people's transition. GAS can include a wide array of procedures aimed at aligning an individual's physical characteristics and gender identity. This review describes the most common procedures considered to be GAS, detailing important relevant considerations for each procedure. These include transfeminine procedures (i.e., breast augmentation, penile inversion vaginoplasty, orchiectomy, tracheal shave, and facial feminization); transmasculine procedures (i.e., chest masculinization, hysterectomy, phalloplasty, and metoidioplasty); and other procedures (i.e., fertility preservation and hair removal). Patient outcomes and the legal landscape for GAS are also discussed to contextualize these procedures within largest discourses surrounding gender‐affirming care.