Surgical Satisfaction, Quality of Life, and Their Association After Gender-Affirming Surgery: A Follow-up Study

Abstract

We assessed the outcomes of gender-affirming surgery (GAS, or sexreassignment surgery) 4 to 6 years after first clinical contact, and the associations between postoperative (dis)satisfaction and quality of life (QoL).

Evaluating Patient Benefit From Laryngochondroplasty

“…22 A long-term study by van de Grift et al looked at postoperative satisfaction 4 to 6 years after the first clinical contact in 236 transgender patients who received gender-affirming surgery, and showed that overall satisfaction was 94% to 100% depending on the type of surgery performed. 24 The eight patients in the study (6%) who were unsatisfied with their surgery 4 to 6 years later were associated with either self-reported surgical complications or preoperative psychological symptoms. 24 In the KPNC transgender system, patients are required to have a rigorous mental health evaluation prior to pursuing surgery to determine if there are any preoperative psychological symptoms that may lead to dissatisfaction with surgery.…”

“…24 The eight patients in the study (6%) who were unsatisfied with their surgery 4 to 6 years later were associated with either self-reported surgical complications or preoperative psychological symptoms. 24 In the KPNC transgender system, patients are required to have a rigorous mental health evaluation prior to pursuing surgery to determine if there are any preoperative psychological symptoms that may lead to dissatisfaction with surgery. As such, many of the patients in this study also had or are scheduled for other transgender procedures.…”

Trans People, Transitioning, Mental Health, Life, and Job Satisfaction

“…In the literature studies found that transitioning can positively affect a person's life satisfaction through positive changes in appearance, attractiveness, body satisfaction, sex life, health-related quality of life, family and social relationships, partner relations, achievements in life, personal goals, self-confidence, identity and spirituality (van de Grift et al, 2017;Bockting et al, 2016;Costa and Colizzi, 2016;Köllen, 2016;Dhejne et al, 2016;White Hughto and Reisner, 2016;Cardoso da Silva et al, 2016;Schmidt, and Levine, 2015;Castellano et al, 2015;Ruppin and Pfäfflin, 2015;Brewster et al, 2014, Manieri et al, 2014Hess et al, 2014;Brewster et al, 2012, Salvador et al, 2012, Gorin-Lazard et al, 2012Colton-Meier et al, 2011;Johansson et al, 2010;Parola et al, 2010, Weyers et al, 2009Imbimbo et al, 2009;Nelson et al, 2009;Kraemer et al, 2008;Gijs, and Brewaeys, 2007;Lobato et al, 2006, De Cuypere et al, 2006, Smith et al, 2005Michel et al, 2002). 2013found that cross-sex hormonal treatment was linked to a better quality of life.…”

“…(ii) Trans people who were dissatisfied with or regretful about their gender reassignment surgery's outcomes scored lower in terms of quality of life than general populations (van de Grift et al, 2017).…”

“…International quantitative and qualitative studies suggested a positive relationship between transitioning and mental health (Cardoso da Silva et al, 2016;Brewster et al, 2014, Callan, 2014, Brewster et al, 2012, Dhejne et al, 2016, Murad et al, 2010, De Cuypere et al, 2006, Lobato et al, 2006, Smith et al, 2005, De Cuypere et al, 2005, Green, 2005, transitioning and life satisfaction (van de Grift et al, 2017;Bockting et al, 2016;Brewster et al, 2014, Brewster et al, 2012, Salvador et al, 2012, Parola et al, 2010, Lobato et al, 2006, De Cuypere et al, 2006, Smith et al, 2005) and transitioning and job satisfaction (Martinez et al, 2017;Brewster et al, 2014;Brewster et al, 2012;Scottish Transgender Alliance and Stonewall Scotland, 2012;Morton, 2008).…”