[Transsexuality--standards of care]

Area of Science:

• Endocrinology
• Surgical Procedures
• Psychiatry

Context:

• The Harry Benjamin Standards of Care provide a framework for diagnosing and treating gender identity incongruence.
• Established protocols are essential for the safety and efficacy of gender affirmation treatments.

Purpose:

• To detail the diagnostic criteria for gender identity transposition.
• To outline the established surgical standards for female-to-male and male-to-female gender affirmation surgeries.
• To emphasize the importance of hormonal preparation and psychological support.

Summary:

• Diagnosis requires confirmation of an irreversible gender identity transposition by a qualified expert.
• Hormonal therapy, initiated at least six months prior to surgery, induces desired physical changes (virilization or effeminization).
• Standard female-to-male surgeries include breast transformation and removal of reproductive organs. Standard male-to-female surgeries involve castration, penile resection, neovagina creation, and labiaplasty, with breast augmentation if needed.

Impact:

• Provides a clear guideline for medical professionals involved in transgender healthcare.
• Ensures patient safety and optimal outcomes through standardized procedures.
• Highlights the necessity of comprehensive care, including psychological support and long-term hormonal management.