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Published on: January 10, 2025
Current Concepts in Feminizing Gender Surgery.
Bauback Safa1, Walter C Lin1, Ali M Salim1
1From The Buncke Clinic; the Department of Surgery, Kaiser Permanente Medical Center, San Francisco; the Deschamps-Braly Clinic; and the Department of Surgery, Kaiser Permanente Medical Center, Los Angeles.
This article reviews feminizing gender-affirming surgeries for transgender individuals, covering treatment guidelines, surgical options for facial, chest, and genital feminization, and key procedural steps.
Area of Science:
- Medical Science
- Surgical Procedures
- Gender Affirming Care
Background:
- Transgender and gender-nonconforming individuals often experience gender dysphoria.
- Advances in healthcare and societal acceptance have increased access to gender-affirming care.
- The World Professional Association for Transgender Health provides global guidelines for care.
Purpose of the Study:
- To review key terminology and standards of care in gender-affirming procedures.
- To provide an overview of various feminizing gender-affirming surgical options.
- To educate healthcare professionals on preoperative guidelines and surgical techniques.
Main Methods:
- Review of current literature and professional guidelines.
- Discussion of established surgical techniques for facial, chest, and genital feminization.
- Integration of preoperative mental health and hormonal treatment considerations.
Main Results:
- Feminizing surgeries include facial, chest (mammaplasty), and genital (vaginoplasty) procedures.
- Key steps and anatomical considerations are crucial for successful outcomes.
- Understanding major risks and complications, particularly for vaginoplasty, is essential.
Conclusions:
- Appropriate preoperative mental health and hormonal treatment are vital.
- A range of surgical options exist for facial, chest, and genital feminization.
- Knowledge of surgical anatomy and potential complications ensures safe and effective gender-affirming care.
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