Comprehensive Gynecologic Care of the Transfeminine Patient

As visibility of transfeminine individuals increases, so does the need for inclusive and competent gender-affirming health care. Regardless of a patient's stage during their transition, gynecologists are essential health care providers for transfeminine patients. With the proper education and training, gynecologists can provide gender-affirming hormone therapy, assess and manage postoperative complications, and conduct routine health screening. The goal of this article is to provide an overview of available feminizing hormone therapies and effects, review feminizing surgical procedures, discuss the management of their complications, and highlight evidence-based screening recommendations for transfeminine patients.