Most transgender patients in this national sample undergoing inpatient gender-affirming surgery were classified as self-pay; however, an increasing number of transgender patients are being covered by private insurance, Medicare, or Medicaid. As coverage for these procedures increases, likely so will demand for qualified surgeons to perform them.

Key Points Question What is the optimal patient-centered approach to collecting sexual orientation and gender identity information in the emergency department? Findings In this matched cohort study of 540 adults, sexual and gender minority patients reported significantly higher patient satisfaction with registrar form collection compared with nurse verbal collection. Non–sexual and gender minority patients, in addition to those for whom sexual orientation and gender identity information was not collected, reported no worse outcomes with registrar form collection. Meaning Registrar form collection is the optimal patient-centered approach to collecting sexual orientation and gender identity information in the emergency department.

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