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"It Has Transformed Living for Me": The Trajectory of Alignment, Comfort, and Social Connectedness After
Tyler Gaedecke1, Kasey Jackman1, Maureen George1
1Tyler Gaedecke, Kasey Jackman, Maureen George, and Walter Bockting are with the Center for Sexual and Gender Minority Health Research, Columbia University School of Nursing, New York, NY. Kasey Jackman is also with New York-Presbyterian Hospital, New York. Miriam Ryvicker is with the Center for Home Care Policy & Research, VNS Health, New York, NY. Walter Bockting is also with the New York State Psychiatric Institute/Columbia Psychiatry, New York.
Abstract:
Gender-affirming surgery can reduce distress about gender incongruence among transgender and gender-diverse adults, contributing to improved mental health and quality of life. However, a greater understanding of the psychosocial changes after surgery that influence well-being is needed to maximize these outcomes. In this analysis of interviews (conducted in New York City, January 2023-February 2025) with individuals in the first year after gender-affirming surgery, we identified one such mechanism: an increased sense of connection to one's body fosters the stability, comfort, and environmental awareness to live freely and connect with others. (Am J Public Health. 2026;116(2):205-209. https://doi.org/10.2105/AJPH.2025.308263).
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