Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Gender-affirming surgery: Don’t be too quick to sharpen the knife
Gender-affirming surgery: Don’t be too quick to sharpen the knife

Sexual health specialist Massimo Giola discusses a standard re-referral for a transgender patient wanting surgery, which turns out to be not so straightforward
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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1. Coleman E, Radix AE, Bouman WP, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health 2022;23(Suppl 1):S1–259.
2. Callander D, Wiggins J, Rosenberg S, et al. The 2018 Australian Trans and Gender Diverse Sexual Health Survey: Report of Findings. Sydney, NSW: Kirby Institute, UNSW Sydney; 2019.
3. Byrne JL, Tan KKH, Saxton PJ, et al. PrEP awareness and protective barrier negotiation among transgender people attracted to men in Aotearoa New Zealand. J Int AIDS Soc 2022;25(Suppl 5):e25980.