TLDR Surgeons must understand the full care process for gender confirmation surgery to help transgender individuals effectively.
The 2017 document underscores the significance of gender confirmation surgery (GCS) for transgender individuals and the necessity for surgeons to be knowledgeable about the comprehensive care required, as outlined by the World Professional Association for Transgender Health Standards of Care. It discusses the increased demand for GCS following the US Department of Health and Human Services' decision to lift the Medicare coverage ban in 2014. The document details the pre-surgical requirements, such as mental health assessments and hormone therapy, and the various surgical options available. It also stresses the importance of primary care in managing hormone therapy and preventive screenings, as well as considering reproductive implications like cryopreservation. The expansion of third-party coverage is expected to provide more data on surgical outcomes, which could improve surgical practices. Despite most insurance companies deeming facial feminization surgery as cosmetic, it is noted to have a positive impact on alleviating gender dysphoria.
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June 2009 in “The Journal of Clinical Endocrinology & Metabolism” The guideline recommends mental health involvement in diagnosing gender identity disorder and outlines hormone and surgical treatment protocols, emphasizing safety, informed consent, and long-term monitoring.
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August 2012 in “The international journal of transgenderism/International journal of transgenderism” The guidelines recommend informed consent for gender-affirming treatments and stress the importance of personalized, culturally sensitive care for transgender individuals.
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May 2013 in “American journal of obstetrics and gynecology” Gynecologists should provide comprehensive care for transgender patients, including mental health evaluation, hormone therapy, and surgical options, while monitoring for side effects and ensuring patient safety.
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September 2021 in “Southern African Journal of Hiv Medicine” The guideline provides healthcare professionals in South Africa with instructions for comprehensive, multidisciplinary gender-affirming care, including HIV prevention and treatment for transgender and gender diverse individuals.
September 2023 in “Fides et Ratio” The safety and effectiveness of gender-affirming treatments for children are uncertain, with potential long-term risks like infertility.
July 2025 in “Indian Journal of Endocrinology and Metabolism” The guideline emphasizes a multidisciplinary approach and informed consent for gender-affirming hormone treatment, with regular follow-ups and individualized care.