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Current Concepts in Feminizing Gender Surgery

Safa, Bauback M.D., M.B.A.; Lin, Walter C. M.D.; Salim, Ali M. M.D.; Deschamps-Braly, Jordan C. M.D.; Poh, Melissa M. M.D.

Plastic and Reconstructive Surgery: May 2019 - Volume 143 - Issue 5 - p 1081e-1091e
doi: 10.1097/PRS.0000000000005595
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Learning Objectives: After reading this article and viewing the video, the participant should be able to: 1. Discuss appropriate treatment guidelines, including preoperative mental health and hormonal treatment before gender-affirmation surgery. 2. Name various surgical options for facial, chest, and genital feminization. 3. Recognize key steps and anatomy during facial feminization, feminizing mammaplasty, and vaginoplasty. 4. Discuss major risks and complications of vaginoplasty.

Summary: Transgender and gender-nonconforming individuals may experience conflict between their gender identity and their gender assigned at birth. With recent advances in health care and societal support, appropriate treatment has become newly accessible and has generated increased demand for gender-affirming care, which is globally guided by the World Professional Association for Transgender Health. This CME article reviews key terminology and standards of care, and provides an overview of various feminizing gender-affirming surgical procedures.

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San Francisco and Los Angeles, Calif.

From The Buncke Clinic; the Department of Surgery, Kaiser Permanente Medical Center, San Francisco; the Deschamps-Braly Clinic; and the Department of Surgery, Kaiser Permanente Medical Center, Los Angeles.

Received for publication October 22, 2018; accepted December 17, 2018.

Disclosure:The authors have no financial interest to declare in relation to the content of this article. No funding was received for this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Bauback Safa, M.D., M.B.A., The Buncke Clinic, 45 Castro Street, Suite 121, San Francisco, Calif. 94114,

Copyright © 2019 by the American Society of Plastic Surgeons