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Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study
Maeghan Boyd Ross1, Sanne Wesseling1, Margriet Mullender1
1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers (location VUmc), Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Transgender Health
|October 10, 2024
Summary
Managing expectations for gender-affirming surgery (GAS) is crucial. Understanding transgender individuals' preoperative hopes and postoperative experiences can improve outcomes through better education and support.
Area of Science:
- Transgender Health
- Surgical Outcomes
- Patient Expectations
Background:
- Gender-affirming surgery (GAS) is a critical component of care for transgender individuals.
- Understanding patient expectations is vital for successful surgical outcomes.
- Previous research highlights the need to align patient hopes with surgical realities.
Purpose of the Study:
- To explore the alignment between preoperative expectations and postoperative outcomes of gender-affirming surgery (GAS) in transgender individuals.
- To identify strategies for managing patient expectations to optimize GAS outcomes.
- To enhance the decision-making process for transgender individuals seeking GAS.
Main Methods:
- Secondary analysis of interview data from a parent study on healthcare experiences of transgender individuals.
- Focus on preoperative expectations and postoperative experiences related to desired or undergone gender-affirming procedures.
- Axial coding and theory-informed thematic analysis were employed.
Main Results:
- Four major themes emerged: procedure/recovery/functional results, esthetic outcomes, improved body image, and enhanced psychosocial/sexual well-being.
- Each theme was divided into subthemes of expectations versus experienced outcomes.
- Significant data were analyzed regarding expectations (n=273) and experienced outcomes (n=292).
Conclusions:
- Improved understanding, education, and support are necessary for transgender individuals undergoing GAS.
- Effective expectation management is key to optimizing overall outcomes of gender-affirming surgical care.
- Addressing the gap between preoperative hopes and postoperative realities can enhance patient satisfaction and well-being.
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