Patient Preferences and Perceptions Regarding Their Gender-Affirming Plastic Surgeon

Area of Science:

• Plastic and Reconstructive Surgery
• Gender-Affirming Care
• Patient Preferences

Background:

• Transgender and gender diverse (TGD) patients require specialized care, including gender-affirming plastic surgery.
• Understanding patient preferences for surgeon characteristics is crucial for providing optimal care.

Purpose of the Study:

• To investigate TGD patients' preferences for the professional qualities and gender identity of their gender-affirming plastic surgeon.
• To determine if TGD patients prefer surgeons who identify as part of the lesbian, gay, bisexual, transgender, queer, and other sexual or gender minority (LGBTQ+) community.

Main Methods:

• An online survey was distributed to TGD patients within a specific plastic surgery practice.
• The survey collected data on patient preferences regarding surgeon gender identity, sexual orientation, and associated attributes.
• Qualitative responses were also gathered to provide deeper insights.

Main Results:

• A significant majority (71.4%) of respondents felt more comfortable with an LGBTQ+ surgeon, citing perceived empathy and comfort.
• While most patients had no preference for surgeon gender (67.7%), those with a preference favored female surgeons (88.4%).
• Respondents indicated that cultural competency and respectful bedside manner are vital for quality care, regardless of surgeon identity.

Conclusions:

• TGD patients generally feel more comfortable with surgeons from the LGBTQ+ community.
• Cultural competency and a respectful approach are paramount for effective gender-affirming care, irrespective of the surgeon's identity.
• The field of plastic and reconstructive surgery must prioritize educating and diversifying its workforce to meet the needs of the TGD community.