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Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience

Background  An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients. M...

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Autores principales: Hu, Allison C., Liu, Mengyuan T., Chan, Candace H., Gupta, Saloni, Dang, Brian N., Ng, Gladys Y., Litwin, Mark S., Rudkin, George H., Weimer, Amy K., Lee, Justine C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902078/
https://www.ncbi.nlm.nih.gov/pubmed/36755659
http://dx.doi.org/10.1055/s-0042-1758383
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author Hu, Allison C.
Liu, Mengyuan T.
Chan, Candace H.
Gupta, Saloni
Dang, Brian N.
Ng, Gladys Y.
Litwin, Mark S.
Rudkin, George H.
Weimer, Amy K.
Lee, Justine C.
author_facet Hu, Allison C.
Liu, Mengyuan T.
Chan, Candace H.
Gupta, Saloni
Dang, Brian N.
Ng, Gladys Y.
Litwin, Mark S.
Rudkin, George H.
Weimer, Amy K.
Lee, Justine C.
author_sort Hu, Allison C.
collection PubMed
description Background  An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients. Methods  A retrospective study of patients who self-identified as nonbinary from our institutional Gender Health Program was conducted. Patient demographics, clinical characteristics, surgical goals, and operative variables were analyzed. Results  Of the 375 patients with gender dysphoria, 67 (18%) were nonbinary. Over half of the nonbinary patients were assigned male at birth ( n  = 57, 85%) and nearly half preferred the gender pronoun they/them/theirs ( n  = 33, 49%). A total of 44 patients (66%) received hormone therapy for an average of 2.5 ± 3.6 years, primarily estrogen ( n  = 39). Most patients ( n  = 46, 69%) received or are interested in gender-affirming surgery, of which, almost half were previously on hormone therapy ( n  = 32, 48%). The most common surgeries completed or desired were facial feminization surgery ( n  = 15, 22%), vaginoplasty ( n  = 15, 22%), mastectomy ( n  = 11, 16%), and orchiectomy ( n  = 9, 13%). Nonbinary patients who were assigned male at birth (NB-AMAB) were more often treated with hormones compared to nonbinary patients assigned female at birth (NB-AFAB) (72% vs. 30%, p  = 0.010). Conversely, patients who were AFAB were more likely to complete or desire surgical intervention than those who were AMAB (100% vs. 63.0%, p  < 0.021). Conclusion  Majority of nonbinary patients were assigned male at birth. NB-AFAB patients all underwent surgical treatment, whereas NB-AMAB patients were predominantly treated with hormone therapy.
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spelling pubmed-99020782023-02-07 Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience Hu, Allison C. Liu, Mengyuan T. Chan, Candace H. Gupta, Saloni Dang, Brian N. Ng, Gladys Y. Litwin, Mark S. Rudkin, George H. Weimer, Amy K. Lee, Justine C. Arch Plast Surg Background  An increasing number of nonbinary patients are receiving gender-affirming procedures due to improved access to care. However, the preferred treatments for nonbinary patients are underdescribed. The purpose of this study was to investigate the goals and treatments of nonbinary patients. Methods  A retrospective study of patients who self-identified as nonbinary from our institutional Gender Health Program was conducted. Patient demographics, clinical characteristics, surgical goals, and operative variables were analyzed. Results  Of the 375 patients with gender dysphoria, 67 (18%) were nonbinary. Over half of the nonbinary patients were assigned male at birth ( n  = 57, 85%) and nearly half preferred the gender pronoun they/them/theirs ( n  = 33, 49%). A total of 44 patients (66%) received hormone therapy for an average of 2.5 ± 3.6 years, primarily estrogen ( n  = 39). Most patients ( n  = 46, 69%) received or are interested in gender-affirming surgery, of which, almost half were previously on hormone therapy ( n  = 32, 48%). The most common surgeries completed or desired were facial feminization surgery ( n  = 15, 22%), vaginoplasty ( n  = 15, 22%), mastectomy ( n  = 11, 16%), and orchiectomy ( n  = 9, 13%). Nonbinary patients who were assigned male at birth (NB-AMAB) were more often treated with hormones compared to nonbinary patients assigned female at birth (NB-AFAB) (72% vs. 30%, p  = 0.010). Conversely, patients who were AFAB were more likely to complete or desire surgical intervention than those who were AMAB (100% vs. 63.0%, p  < 0.021). Conclusion  Majority of nonbinary patients were assigned male at birth. NB-AFAB patients all underwent surgical treatment, whereas NB-AMAB patients were predominantly treated with hormone therapy. Thieme Medical Publishers, Inc. 2023-02-06 /pmc/articles/PMC9902078/ /pubmed/36755659 http://dx.doi.org/10.1055/s-0042-1758383 Text en The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Hu, Allison C.
Liu, Mengyuan T.
Chan, Candace H.
Gupta, Saloni
Dang, Brian N.
Ng, Gladys Y.
Litwin, Mark S.
Rudkin, George H.
Weimer, Amy K.
Lee, Justine C.
Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title_full Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title_fullStr Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title_full_unstemmed Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title_short Gender Affirming Surgery in Nonbinary Patients: A Single Institutional Experience
title_sort gender affirming surgery in nonbinary patients: a single institutional experience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902078/
https://www.ncbi.nlm.nih.gov/pubmed/36755659
http://dx.doi.org/10.1055/s-0042-1758383
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