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Creating an Inclusive Gender-Affirming Surgical Environment.

Meg Quint1, John Henry Pang2, Thomas Satterwhite3

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Gender-affirming surgery (GAS) requires special attention due to patient stigma. This study provides practical guidance for creating trauma-informed, affirming surgical environments and improving access to care for transgender and gender diverse (TGD) individuals.

Keywords:
Gender-affirming careGender-affirming surgeryInclusiveMultidisciplinaryPatient-centeredTransgenderTrauma-informed

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Area of Science:

  • Medical Specialties
  • Surgical Care
  • Patient Advocacy

Background:

  • Gender-affirming surgery (GAS) serves a heavily minoritized and stigmatized patient population.
  • Specialized perioperative care is essential for transgender and gender diverse (TGD) individuals undergoing GAS.
  • Existing literature and clinical experience highlight the need for trauma-informed approaches.

Purpose of the Study:

  • To offer practical considerations for creating trauma-informed, comprehensive, and affirming surgical environments for GAS patients.
  • To provide recommendations for improving access to care and community support for TGD individuals.
  • To advocate for TGD individuals within the broader healthcare landscape.

Main Methods:

  • Literature review focusing on GAS and trauma-informed care.
  • Incorporation of personal experiences from community members and plastic surgeons.
  • Development of practical guidelines for surgical environments and patient support.

Main Results:

  • Affirming environments, robust social supports, and trauma-informed interactions are crucial.
  • Empowering GAS patients as experts in their own experiences enhances care.
  • Recommendations extend beyond the clinical setting to community connection and advocacy.

Conclusions:

  • Creating inclusive and affirming surgical settings is paramount for GAS patients.
  • Addressing systemic barriers and advocating for TGD individuals is vital for equitable healthcare access.
  • A multi-faceted approach encompassing clinical practice, community support, and advocacy is necessary.