Original ArticlesGender Affirmation Surgery From a Public Health Perspective Advances, Challenges, and Areas of OpportunityWilliams, Eva A. MS; Patete, Carissa L. BS; Thaller, Seth R. MD, DMDAuthor Information University of Miami Miller School of Medicine, Miami, FL. Address correspondence and reprint requests to Eva A. Williams, MS, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, University of Miami Miller School of Medicine, Clinical Research Building, 1120 NW 14th Street, Miami, FL 33136; E-mail: firstname.lastname@example.org Received 12 December, 2018 Accepted 3 January, 2019 The authors report no conflicts of interest. Journal of Craniofacial Surgery: July/August 2019 - Volume 30 - Issue 5 - p 1349-1351 doi: 10.1097/SCS.0000000000005367 Buy Metrics Abstract Gender affirmation surgery (GAS) is sought out by approximately 20 to 40% of transgender individuals. These patients possess unique mental and physical health needs. These are compounded by prejudices and lack of education about transgender individuals within the medical system and society at large. Societal and medical barriers are associated with increased risks of violence, suicide, and sexually transmitted infections. This combination of high medical needs and barriers to accessing appropriate care may give rise to a self-perpetuating cycle of risk exposure, stigmatization, prejudice, and eventually poor health outcomes. It is imperative that plastic and reconstructive surgeons understand GAS from a public health perspective, so that they may provide the highest quality of care and help alleviate these disparities. The authors describe unique public health topics in GAS. These are specifically related to healthcare access, surgical education, cultural sensitivity, as well as mental health outcomes for patients who undergo GAS. © 2019 by Mutaz B. Habal, MD.