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Hysterectomy for the Transgender Man
Introduction The World Professional Association for Transgender Health (WPATH) considers hysterectomy with or without salpingectomy and/or oophorectomy a medically necessary gender-affirming surgery for trans men interested in the procedure. The reasons for surgery are diverse: a sense of organs feeling…
Gynecologic Care for Transgender Patients
Introduction: Role of the Gynecologist Obstetricians, gynecologists (OBGYNs), and other women’s health providers have a critical role in the care of transgender people. Transgender people, both transgender men and transgender women, have biophysiological and sociocultural needs, which can be addressed…
Primary and Preventative Care for Transgender Patients
Introduction Primary care clinicians can learn the skills to provide high-quality, affirming medical care to transgender patients the same way they learn to care for other patients with specific health needs. Clinicians may choose to provide the full spectrum of…
Genital Gender Confirmation Surgery for Patients Assigned Female at Birth
Acknowledgments This chapter is supported by Ministry of Science and Technical Development, Republic of Serbia, Project No. 175048. Introduction Patients suffering from gender dysphoria feel that their gender assigned at birth is in some way “wrong” and therefore seek to…
Genital Gender Confirmation Surgery for Patients Assigned Male at Birth
Introduction Gender confirmation surgery (GCS) for the male-to-female (MTF) individual fulfills a final, completive step in a process that, for most, has spanned years or decades. Completing this surgical journey is rate-limited historically by cost, by fears of complications, and…
Breast and Chest Surgery for Transgender Patients
Introduction Breast or chest surgery, specifically either augmentation mammaplasty or mastectomy/chest reconstruction, are commonly requested procedures in the transgender and gender diverse population. The overarching goal of such surgeries is to alleviate symptoms of gender dysphoria and to allow individuals…
Facial Feminization Surgery and Facial Gender Confirmation Surgery
Acknowledgments To our team, our families, and our patients. Introduction From a very early age, everyone is able to recognize whether a face is male or female, long before learning about genital differences. The perception of gender through facial features…
Overview of Surgery for Transgender Patients
Introduction Gender affirmation surgery (formerly called sex reassignment surgery) may be sought by transgender individuals to physically change their sexual characteristics to affirm their gender identity. While not all transgender individuals choose to undergo gender affirmation surgery, surgical treatment is…
Hormone Treatment for the Adolescent Transgender Patient
Foreword While it is still a different era than anyone born before 1965 can remember, much is left to be done to optimize care of transgender youth. Whether to include Gender Dysphoria as a psychiatric diagnosis in the next version…