Reproductive endocrinology

Approach to the Patient: Navigating Body Mass Index Requirements for Gender-Affirming Surgery

J Clin Endocrinol MetabPublished Approach to the Patient article

Authors' conclusion

Multidisciplinary management considerations are offered for clinicians to assist TGD patients with obesity navigate BMI requirements to access GAS.

Study context

Population
Transgender and gender diverse (TGD) patients with obesity seeking gender-affirming surgeries (GAS) who must meet body mass index (BMI) requirements
Methodological detailsnarrative clinical review, multidisciplinary expertise, Combines expertise from gender-affirming hormone management, weight management, mental health, gynecology and plastic surgery
  • Narrative clinical review
  • Multidisciplinary expertise
  • Combines expertise from gender-affirming hormone management, weight management, mental health, gynecology and plastic surgery

Main finding

As reported in the abstract

  • BMI requirements for GAS are an obstacle to gender transition for many TGD people
  • TGD people have unique barriers and preferences in managing their weight
  • Multidisciplinary management considerations offered to help TGD patients with obesity navigate BMI requirements to access GAS

Original publication

Approach to the Patient: Navigating Body Mass Index Requirements for Gender-Affirming Surgery. J Clin Endocrinol Metab. Published 8 April 2024. doi:10.1210/clinem/dgae193

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