Long-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy
View abstract on PubMed
Summary
This summary is machine-generated.This study found very low decisional regret and high satisfaction after gender-affirming mastectomy. Validated instruments showed minimal regret, indicating positive long-term outcomes for patients.
Area Of Science
- Medical research
- Surgical outcomes
- Patient-reported outcomes
Background
- Legislative interest in gender-affirming surgery is rising, partly due to concerns about decisional regret.
- Previous estimates of regret after gender-affirming surgery (GAS) relied on non-validated instruments.
- Understanding long-term patient satisfaction and regret is crucial for informed decision-making and policy.
Purpose Of The Study
- To evaluate long-term decisional regret and satisfaction with the decision following gender-affirming mastectomy.
- To utilize validated instruments for assessing patient-reported outcomes after gender-affirming mastectomy.
Main Methods
- A cross-sectional survey was administered to patients who underwent gender-affirming mastectomy between 1990 and 2020.
- Validated instruments, including the Satisfaction With Decision Scale and Decision Regret Scale, were used.
- Patient-reported outcomes and medical records were analyzed using descriptive statistics and univariable analysis.
Main Results
- The study included 139 responders with a median follow-up of 3.6 years.
- Responders reported a median Satisfaction With Decision score of 5.0 and a median Decision Regret score of 0.0.
- No patients requested or underwent reversal procedures, and statistical analysis for predictors of regret was limited by a lack of variation in responses.
Conclusions
- Validated instruments show low decisional regret and high satisfaction following gender-affirming mastectomy.
- The findings underscore the positive long-term outcomes and patient contentment with gender-affirming mastectomy.
- Further research may require condition-specific instruments to better assess nuanced outcomes in GAS.

