Gender-affirming surgery: Don’t be too quick to sharpen the knife

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Sexual health

Gender-affirming surgery: Don’t be too quick to sharpen the knife

By Massimo Giola
Pink and Blue
Gender-diverse people can have diverse sexual orientations, meaning one size does not fit all when it comes to gender-affirming surgery [Image: Pawel Czerwinski on Unsplash]

Sexual health specialist Massimo Giola discusses a standard re-referral for a transgender patient wanting surgery, which turns out to be not so straightforward

Key points, A crucial shared decision in transgender medicine is if and when to refer for gender-affirming genital surgery. Don’t assume things – some gender-id, Pract Green w Pale Yellow
References

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.