Getting to the Bottom of Patient Experiences with Genital Gender Affirmation Surgery: A Qualitative Analysis of Online Reviews

Moog, Dominic; Latack, Kyle R.; Adidharma, Widya; Haley, Caleb; Satterwhite, Thomas; Morrison, Shane D

doi:10.1007/s00266-021-02150-5

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…A study of online reviews from TGD individuals seeking gender-affirming surgery identified cultural sensitivity as most important to patient experience. 9 The provision of gender-affirming surgery necessitates additional training in LGBTQ+ health and sensitivity. Importantly, plastic surgeons offering gender-affirming surgery should demonstrate an authentic commitment to advancing the health of the LGBTQ+ community, becoming a trusted ally and advocate outside of the operating room.…”

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confidence: 99%

“…As the body of research analyzing the effects of cultural sensitivity on health outcomes and disparities grows, the surgical community must reevaluate the standards of care for TGD patients. A study of online reviews from TGD individuals seeking gender-affirming surgery identified cultural sensitivity as most important to patient experience 9 . The provision of gender-affirming surgery necessitates additional training in LGBTQ+ health and sensitivity.…”

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confidence: 99%

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Combating Health Equity Tourism in Plastic Surgery

Das

Drolet

2023

Ann Plast Surg

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D espite growing efforts to improve health care access, individuals from marginalized communities continue to face the effects of long-standing structural discrimination and inequity. The current sociopolitical climate, shaped by acts of racism such as the murder of George Floyd and legislative assaults on the rights of lesbian, gay, bisexual, transgender, and other sexual and gender diverse (LGBTQ+) identities, highlights the need to examine health care access for marginalized groups. It is estimated that health disparities driven by racial inequity alone will cost $50 billion annually by 2050. 1 This estimate does not account for the costs of disparities for LGBTQ+ persons and those with intersecting identities. Health equity research seeks to identify and address the mechanisms underlying disparities for marginalized populations. In response to the growing recognition of health care disparities, the National Institutes of Health has allocated more funds toward health equity research, and journals have increased calls for and publication of health equity-related work. These initiatives have similarly touched the plastic surgery community, promoting awareness for disparities in access to plastic surgery and outcomes.Importantly, health equity scholars and surgeon advocates with expertise in health equity and life experiences motivating them to pursue health disparities research should benefit from increasing financial and institutional support. However, their efforts and reputation are being usurped by surgeons and researchers, often well-resourced, without health equity training or exposure to diverse populations. This phenomenon is called "health equity tourism." A surgeon's identity is an important determinant of the kind of research they produce because an authentic clinical or personal interest in the subject matter under investigation strengthens the impact of the study's conclusions. For some of these newcomers, their motivations may be short term and superficial, seeking to enhance their research productivity and academic career without authentically engaging in discussions about advancing equity for the communities they publish about or serve. Others may have been moved by recent public events and are searching for an outlet to use their skills and resources to help.Unfortunately, the rapid colonization of the health equity space has affronted plastic surgeons from marginalized communities who have not only been investigating health disparities and advocating for change in their specialties for years but also share experiences of marginalization with the subjects of their research. Their efforts have pushed national organizations such as the Accreditation Council for Graduate Medical Education to mandate that diversity, equity, and inclusion become a priority for academic institutions and training programs. However, numerous scholars of color have come forward after studies conducted by all White, cisgender authors redocumenting known health disparities were published in high-impact journals that initia...

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confidence: 99%

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confidence: 99%

Combating Health Equity Tourism in Plastic Surgery

Das

Drolet

2023

Ann Plast Surg

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“…An analysis of online gender-affirming surgery reviews identified salient themes that characterize the experience of TGD patients seeking surgical care. Overall, interactions with staff and surgeon bedside manner were given greater attention than operative results, highlighting the importance of communication and language in high-quality surgical care 14. Furthermore, surgeons may express negative thoughts or inaccurate perceptions of a patient’s identity in encounter notes, which are now accessible by patients 15.…”

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confidence: 99%

“…Overall, interactions with staff and surgeon bedside manner were given greater attention than operative results, highlighting the importance of communication and language in high-quality surgical care. 14 Furthermore, surgeons may express negative thoughts or inaccurate perceptions of a patient's identity in encounter notes, which are now accessible by patients. 15 Often these transgressions are not explicit, but rather stem from a lack of information about the patient.…”

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confidence: 99%

Reevaluating Gendered Language in Surgery

2022

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A single-center cross-sectional study comparison between quality of life after penile inversion and sigmoid colon vaginoplasty in Thailand: a 20-year experience

Weerapakorn,

Chintavalakorn,

Kantagowit

et al. 2023

Eur J Plast Surg

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Background Penile skin inversion vaginoplasty (PIV) and sigmoid colon vaginoplasty (SCV) are both regarded as surgical options for gender reassignment surgery (GRS) to improve quality of life (QoL) in male-to-female (MTF) individuals. As no studies have compared the QoL between PIV and SCV techniques, this study aimed to evaluate the differences in QoL among MTF individuals who received PIV and SCV. Methods A cross-sectional study was conducted on patients who underwent GRS using PIV and SCV techniques at King Chulalongkorn Memorial Hospital (KCMH) from January 2002 to December 2022. The calibrated Thai version of Short-Form 36-Question Health Survey version 2 (SF-36v2) was used to assess QoL across eight health domains and to compare QoL between two surgical techniques. Results Of the 278 eligible MTF patients, who received GRS from 2002 to 2022, 57 completed the questionnaires; 37 and 20 MTF patients underwent PIV and SCV, respectively. Statistically significant difference was found in the Mental Component Summary (p-value = 0.02) of postoperative QoL between the two groups. SCV statistically outperformed PIV in seven out of eight domains. Conclusion In terms of QoL, MTF who underwent SCV showed better achievement than those who underwent PIV in most of the domains. Due to limitations of this study, further studies on a larger scale are needed to confirm the findings and compare other aspects of the surgical techniques. Level of Evidence: Level III, Therapeutic.

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Getting to the Bottom of Patient Experiences with Genital Gender Affirmation Surgery: A Qualitative Analysis of Online Reviews

Cited by 5 publications

References 23 publications

Combating Health Equity Tourism in Plastic Surgery

Combating Health Equity Tourism in Plastic Surgery

Reevaluating Gendered Language in Surgery

A single-center cross-sectional study comparison between quality of life after penile inversion and sigmoid colon vaginoplasty in Thailand: a 20-year experience

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