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Finding A Gender Affirming Surgeon - Barriers To Care
Rose S. Maisner, B.S., Wess Cohen, M.D., Priya Mansukhani, B.S., Jonathan Keith, M.D., F.A.C.S..
Rutgers-New Jersey Medical School, Newark, NJ, USA.

PURPOSE: Gender affirmation surgery is increasingly common. Additionally, the majority of transgender patients utilize the internet for information before elective surgery. Therefore, it is imperative to explore potential online barriers such individuals face in seeking gender affirmation surgeries.
METHODS: We conducted a comprehensive review of public online transgender surgery directories for currently practicing surgeons that provide facial feminization, facial masculinization, MTF breast augmentation, FTM chest masculinization, vaginoplasty, metoidioplasty, and/or phalloplasty in the United States. Each surgeon's name, surgical specialty, the current practice's name, state, and zip code, and procedures provided were recorded. Chi-square analysis was used for comparisons of categorical variables.
RESULTS: There are currently 660 sexual reassignment surgeons in the US, with most specializing in plastic surgery, followed by otolaryngology and urology. 30.5% of surgeons practice in the West, 25.6% in the Northeast, 25.3% in the South, and 18.6% in the Midwest. The most common surgery provided was chest masculinization (70.2%), followed by facial feminization (42.7%) and chest feminization (42.6%).
CONCLUSION: Plastic surgeons are most likely to perform gender affirmation surgery compared to other specialities. Geographic distribution of surgeons, does not, however, match the distribution of patients. Additionally, we encountered significant hardship in confirming that a surgeon performs the procedure listed in their profile on popular online sexual reassignment surgeon directories.


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