Gender affirming surgery: The future lies in data


  • Emma Loy UBC Faculty of Medicine, IMP


In 1957, a great plastic surgeon wrote on gender-affirming surgery, "The surgeon is concerned with the plastic provision of a functioning organ of reasonable form ... The ethical problem of thus directing gender must, in the first instance, rest with the philosopher."1 Since then, the philosophers have spoken, and the verdict is out: gender-affirming surgery is shown to alleviate some or all of the stress associated with gender dysphoria.2 The field of gender-affirming surgery has a rich history of progress, but the field lags due to a lack of high-quality research on surgical techniques and outcomes data.