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Perception of Surgery Among LGBTQ+ Medical Students.
Toyokazu Endo1, C Danielle Hopkins2, Bryant Reynolds3
1Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky.
The Journal of Surgical Research
|June 25, 2026
Summary
LGBTQ+ medical students perceive surgery as less tolerant and accepting, despite similar mistreatment levels. Fostering inclusivity and diverse role models in surgical training is crucial for recruitment and representation.
Area of Science:
- Medical Education
- Surgical Specialties
- LGBTQ+ Health
Background:
- Limited data exist on LGBTQ+ medical students' perceptions of surgical careers.
- This study addresses factors influencing specialty choice and views on surgery among LGBTQ+ and non-LGBTQ+ students.
Purpose of the Study:
- To explore the perceptions of surgical specialties among LGBTQ+ and non-LGBTQ+ medical students.
- To identify factors influencing specialty choice for LGBTQ+ students in surgery.
Main Methods:
- A survey was distributed to third- and fourth-year medical students at two allopathic institutions.
- Data were collected on demographics, LGBTQ+ identification, experiences, and specialty perceptions.
- Statistical analyses (Fisher's Exact, Wilcoxon Two-Sample tests) compared LGBTQ+ and non-LGBTQ+ groups.
Main Results:
- LGBTQ+ students perceived surgery as less tolerant of self-expression and less accepting of minorities.
- LGBTQ+ students reported their sexual orientation influenced specialty selection and valued role models.
- No significant differences were found in pursuit of future specialties or reported overt mistreatment.
Conclusions:
- LGBTQ+ students perceive unique barriers in surgical fields, impacting career choices.
- Fostering inclusivity and identifying diverse role models are key to improving LGBTQ+ representation in surgery.
- Targeted interventions may enhance recruitment and support for LGBTQ+ individuals in surgical training.
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