High Self-Reported Satisfaction After Top Surgery in Gender-Affirming Surgery: A Single-Center Study

Prevalence of Regret in Gender-Affirming Surgery

“…A study by Kuiper et al 24 found that in a small cohort of 10 patients, 6 decided to return to their original sex with 4 patients describing dissatisfaction in their transition due to the aesthetically disappointing surgical results. Another study by Day et al 26 found that among 84 MCS patients, 89.3% reported overall satisfaction when clothed, but dropped to 44.1% when unclothed, mainly because of dissatisfaction with postoperative scarring and nipple reconstruction.…”

“…The prevalence of regret in our combined cohort was 1.94%, well below definitions provided for clinical significance. Our results are 27 48 Park et al (2022) 28 3 Jedrzejewski et al (2023) 32 332 Cohen-Kettenis et al (1997) 33 5 van de Grift et al (2018) 36 33 22 18 Judge et al (2014) 23 15 Kuiper et al (1998) 24 8 Weyers et al (2009) 27 50 Park et al (2022) 28 6 Krege et al (2001) 29 31 Cohen-Kettenis et al (1997) 33 15 Olson-Kennedy et al (2018) 17 Judge et al (2014) 23 Kuiper et al (1998) 24 Tang et al (2022) 25 Day et al (2023) 26 Park et al (2022) 28 McNichols et al (2020) 11 Jedrzejewski et al (2023) 32 Cohen-Kettenis et al (1997) 33 van de Grift et al (2018) 36 Nelson et al (2009) 10 Total Phalloplasty Lobato et al ( 2006) 22 Judge et al (2014) 23 Park et al (2022) 28 Garcia et al (2014) 30 McNichols et al (2020) 11 Cohen-Kettenis et al (1997) 33 Boskey et al (2022) 34 van de Grift et al (2018) 36 Total Oophorectomy Kuiper et al (1998) 24 Baffo et al (2022) 31 Total Hysterectomy Mendiola et al (2020) 16 Olson-Kennedy et al (2018) 17 Kuiper et al (1998) 24 Baffo et al (2022) 31 McNichols et al (2020) 11 Jedrzejewski 36 comparable with ...…”

“…47,48 The most prevalent form of regret was medical regret particularly due to overall dissatisfaction with the functional and aesthetic results of the surgery. [16][17][18]20,23,24,26,32,36 Loss of nipple sensation, complaints of genital hair, inability to achieve orgasm, and postoperative pain were the most commonly reported associated concerns associated with medical regret. A survey by Olson-Kennedy et al 17 found that in a cohort of 68 mastectomy patients, 40 resulted had postoperative loss of nipple sensation with 22 patients having it long term.…”

“…In our review, half of the studies were conducted in the United States with a population of 2915 patients 11,[15][16][17][18]20,25,28,31,32,34,35 compared with 747 patients from studies performed in either Europe, Asia, or South America. 10,19,[21][22][23][24]26,27,29,30,33,36 The average age of transfeminine was older in the United States when compared with the rest of the world at 40.48 years and 32.41 years, respectively. In contrast, the average age of transmasculine patients was younger in the United States when compared with the rest of the world at 21.57 and 29.58 years, respectively, although neither comparison was statistically significant.…”

“…The most prevalent form of regret was medical regret particularly due to overall dissatisfaction with the functional and aesthetic results of the surgery 16–18,20,23,24,26,32,36 . Loss of nipple sensation, complaints of genital hair, inability to achieve orgasm, and postoperative pain were the most commonly reported associated concerns associated with medical regret.…”