Feminizing Gender-Affirming Surgery

Abstract

Many transfeminine individuals have undergone gender-affirming surgeries and require transgender-competent gynecologic care. Gynecologists are well-suited to provide breast and genital care to transfeminine patients, particularly those who are post-vaginoplasty. However, gynecologists have reported a deficiency of education on transgender health, and transgender patients have cited lack of provider competence as a barrier to accessing care. This review provides readers with an overview of gender-affirming surgeries for transfeminine people, with a focus on vaginoplasty genital surgeries, vaginoplasty aftercare, and neovaginal gynecologic examination. (J GYNECOL SURG 37:283)