Gender-Affirming Surgery: Perioperative Medical Care

Sangyoon Jason Shin, Anish Kumar, Joshua D. Safer

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Objective: Gender-affirming surgeries are becoming increasingly common in the United States. For many transgender and gender-diverse patients, gender-affirming surgery is a critical aspect of their overall health and wellness and has a significant impact on their social functioning. Although often the role of the primary care provider, endocrinology specialists may also need to counsel their patients and collaborate with surgical teams. Methods: This narrative review provides an overview of the preoperative assessment and perioperative management for the most common gender-affirming surgeries. Results: Preoperative assessment prior to gender-affirming surgeries can resemble assessment for other surgeries. Conclusion: In the absence of data specific to gender-affirming surgeries, risk stratification and amelioration must use surrogate data from other populations.

Original languageEnglish
Pages (from-to)420-424
Number of pages5
JournalEndocrine Practice
Issue number4
StatePublished - Apr 2022


  • mastectomy
  • perioperative care
  • phalloplasty
  • postoperative care
  • transgender
  • vaginoplasty


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