Ross Maeghan Boyd, Wesseling Sanne, Mullender Margriet, Kreukels Baudewijntje P C, van de Grift Tim
Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Centers (location VUmc), Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Department of Medical Psychology, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers (location VUmc), Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Transgend Health. 2024 Aug 16;9(4):326-338. doi: 10.1089/trgh.2022.0118. eCollection 2024 Aug.
This study aimed to explore in what ways the preoperative expectations of transgender individuals regarding gender-affirming surgery (GAS) align with experienced postoperative outcomes and, subsequently, how these expectations can best be managed to support optimal outcomes.
In the parent study, interviews were conducted to understand the health care experiences of a group of trans individuals that had or wanted to have gender-affirming surgical care. In this secondary analysis, we focused specifically on the individuals' expectations and experiences about the gender-affirming procedures they desired or underwent. Recruitment occurred from August 2018 to October 2018 at the Amsterdam University Medical Center (VUmc) in the Netherlands. Axial coding and theory-informed thematic analysis were used to assess preoperative expectations and postoperative.
The data regarding expectations related to GAS (n=273) and postoperative experienced outcomes (n=292) yielded a total of four themes-(1) Procedure, recovery, and functional results; (2) Esthetic outcomes of GAS; (3) Improved body image in relation to one's gender role; and (4) Increased psychosocial and sexual wellbeing at large in relation to one's gender role. Each of the four themes were divided into two subthemes: (1) expectations, and (2) experienced outcomes.
Better understanding, education, and support in the decision-making process of trans individuals seeking gender-affirming surgical care is needed to manage expectations and overall outcomes of GAS procedures.
本研究旨在探讨跨性别者术前对性别肯定手术（GAS）的期望与术后实际体验结果的契合方式，以及如何最好地管理这些期望以支持最佳结果。
在母研究中，进行了访谈以了解一组接受过或希望接受性别肯定手术护理的跨性别者的医疗保健经历。在本次二次分析中，我们特别关注个体对他们期望或接受的性别肯定手术的期望和体验。招募工作于2018年8月至2018年10月在荷兰阿姆斯特丹大学医学中心（VUmc）进行。采用轴心编码和理论驱动的主题分析来评估术前期望和术后情况。
关于性别肯定手术的期望（n = 273）和术后体验结果（n = 292）的数据共产生了四个主题——（1）手术、恢复和功能结果；（2）性别肯定手术的美学效果；（3）与性别角色相关的身体形象改善；（4）与性别角色相关的整体心理社会和性健康状况改善。这四个主题中的每一个都分为两个子主题：（1）期望，和（2）体验结果。
在寻求性别肯定手术护理的跨性别者的决策过程中，需要更好的理解、教育和支持，以管理性别肯定手术的期望和总体结果。
