AI Article Synopsis
- The demand for gender-affirming surgery (GAS) among transgender adolescents is on the rise, leading to specific technical, legal, and ethical challenges in their surgical care.
- A scoping review analyzed literature focused on these unique factors, identifying twelve relevant articles that addressed ethical concerns, informed consent, insurance coverage, and the implications of puberty blockers on surgical outcomes.
- Future research is essential to better understand the functional and psychosocial outcomes for adolescents undergoing GAS after puberty blockers.
Article Abstract
Background: The number of transgender adolescents seeking gender-affirming surgery (GAS) in increasing. Surgical care of the adolescent transgender patient is associated with several unique technical, legal, and ethical factors. The authors present a review of the current literature on gender-affirming surgery for individuals under the age of legal majority and propose directions for future research.
Methods: A scoping review of recent literature was performed to assess evidence on gender-affirming surgery in individuals under the age of legal majority. Articles were included that examined either ethical or technical factors unique to pediatric GAS. Study characteristics and conclusions were analyzed in conjunction with expert opinion.
Results: Twelve articles were identified that met inclusion criteria. Ten of these articles discussed ethical challenges in adolescent GAS, seven discussed legal challenges, and five discussed technical challenges. Ethical discussions focused on the principles of beneficence, nonmaleficence, and autonomy. Legal discussions centered on informed consent and insurance coverage. Technical discussions focused on the effects of puberty blockade on natal tissue.
Conclusions: Surgical care of the adolescent transgender patient involves important ethical, legal, and technical considerations that must be addressed by the clinical team. As the population of individuals seeking GAS after puberty blockade increases, future research is needed describing functional and psychosocial outcomes in these individuals.
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| http://dx.doi.org/10.1097/PRS.0000000000010325 | DOI Listing |
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