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Published on: January 10, 2025
Current Concepts in Masculinizing Gender Surgery.
Bauback Safa1, Walter C Lin1, Ali M Salim1
1From The Buncke Clinic; the Department of Surgery, Kaiser Permanente Medical Center; and the Deschamps-Braly Clinic.
This article reviews gender-affirming care, focusing on surgical options for facial, chest, and genital masculinization. It covers treatment guidelines, key surgical steps, and potential risks for transgender and gender-nonconforming individuals.
Area of Science:
- Medical Science
- Surgical Procedures
- Gender Studies
Background:
- Gender identity may conflict with assigned sex at birth.
- Increased societal acceptance and medical advances drive demand for gender-affirming care.
- The World Professional Association for Transgender Health provides global guidelines.
Purpose of the Study:
- To review key terminology and standards of care in gender-affirming procedures.
- To provide an overview of masculinizing gender-affirming surgical options.
- To discuss preoperative considerations, surgical techniques, and potential complications.
Main Methods:
- Review of current literature and clinical guidelines.
- Discussion of established surgical techniques for masculinization.
- Emphasis on preoperative mental health and hormonal treatment.
Main Results:
- Facial, chest, and genital masculinization surgeries are available.
- Chest-wall contouring and phalloplasty involve specific anatomical considerations.
- Understanding risks and complications is crucial for patient safety.
Conclusions:
- Gender-affirming surgery is a critical component of care for transgender individuals.
- Adherence to established guidelines ensures appropriate and safe surgical interventions.
- This review aims to enhance understanding and application of masculinizing surgeries.
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