Gender Confirmation Surgery for the Endocrinologist

Sasha K Narayan; Tessalyn Morrison; Daniel D Dugi 3rd; Scott Mosser; Jens U Berli

doi:10.1016/j.ecl.2019.02.002

Gender Confirmation Surgery for the Endocrinologist

Endocrinol Metab Clin North Am. 2019 Jun;48(2):403-420. doi: 10.1016/j.ecl.2019.02.002. Epub 2019 Mar 27.

Authors

Sasha K Narayan¹, Tessalyn Morrison¹, Daniel D Dugi 3rd², Scott Mosser³, Jens U Berli⁴

Affiliations

¹ School of Medicine, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mail Code: L352A, Portland, OR 97239, USA.
² Department of Urology, Oregon Health & Science University, 3303 Southwest Bond Avenue, Mail Code: CH10U, Portland, OR 97239, USA.
³ Saint Francis Memorial Hospital, San Francisco, CA, USA.
⁴ Department of Surgery, Division of Plastic and Reconstructive Surgery, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mail Code: L352A, Portland, OR 97239, USA. Electronic address: [email protected].

PMID: 31027548
DOI: 10.1016/j.ecl.2019.02.002

Abstract

Endocrinologists are at the front line for providing gender-affirming care for transgender patients by managing hormone regiments before and after surgery. This article provides the endocrinologist with an overview of the surgical options for transgender and nonbinary patients considering gender confirmation surgery, including feminizing and masculinizing facial, chest, and genital reconstruction. Discussions of the impact of hormones on surgery, and vice versa, as well as information on surgical decision making are provided to help inform patient education via the endocrinologist.

Keywords: Gender confirmation; Mastectomy; Metoidioplasty; Phalloplasty; Sex-reassignment; Surgery; Transgender; Vaginoplasty.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Endocrinologists*
Gender-Affirming Surgery / methods*
Humans
Transsexualism / surgery*