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跨性别者医疗保健:性别肯定性整形手术的历史叙事

Transgender Healthcare: A Historical Narrative of Gender-Affirming Plastic Surgery.

作者信息

Sparks Payton J, Bozigar Caden, Shah Krish V, Wan Rou, Uryga Abigail, Nguyen Antoinette T, Li Rena A, Galiano Robert D

机构信息

From the Marian University College of Osteopathic Medicine, Indianapolis, IN.

Loyola University Chicago, Chicago, IL.

出版信息

Ann Plast Surg. 2025 Jan 1;94(1):128-133. doi: 10.1097/SAP.0000000000004161.

Abstract

This historical narrative presents a comprehensive historical journey delving into the diverse facets of gender identity and expression across ancient cultures. It explores these civilizations' perspectives on gender diversity, highlighting instances that challenged conventional gender norms. Transitioning to the modern era, the narrative examines the dynamic landscape of LGBTQ+ and trans movements, spotlighting influential figures whose advocacy has significantly influenced societal perceptions and advanced the rights of gender diverse individuals. Their contributions continue to shape contemporary affirming care practices. Exploring the emergence of gender-affirming surgery, the narrative highlights pioneering surgeons and original techniques employed in these transformative procedures. It shows the courage and innovation of early surgeons who laid the groundwork for contemporary practices. At the core of this historical narrative lies the pivotal role of plastic surgeons in gender-affirming care. It emphasizes the significance of a collaborative multidisciplinary approach among medical professionals to ensure comprehensive and patient-centered care for transgender individuals seeking affirming interventions. However, intertwined with this narrative are legislative barriers that have hindered progress in gender-affirming care. The narrative navigates these obstacles, highlighting their complexities and emphasizing the urgent need for sustained medical advocacy and legislative reforms to foster an inclusive healthcare landscape. Ultimately, this narrative stands as a testament to the ongoing struggle and resilience within the realm of gender-affirming care, shedding light on its profound impact on individuals' lives, emphasizing the ongoing need for compassionate, comprehensive, and inclusive healthcare practices.

摘要

这段历史叙述呈现了一段全面的历史旅程,深入探究了古代文化中性别认同和表达的各个方面。它探讨了这些文明对性别多样性的看法,突出了挑战传统性别规范的事例。过渡到现代,该叙述审视了 LGBTQ+ 和跨性别运动的动态格局,聚焦那些其倡导对社会观念产生重大影响并推动了性别多样化个体权利的有影响力人物。他们的贡献继续塑造着当代的肯定性医疗实践。探索性别肯定手术的出现,该叙述突出了这些变革性手术中所采用的开创性外科医生和原始技术。它展现了早期外科医生为当代实践奠定基础的勇气和创新。在这段历史叙述的核心是整形外科医生在性别肯定性医疗中的关键作用。它强调了医疗专业人员之间协作的多学科方法的重要性,以确保为寻求肯定性干预的跨性别个体提供全面且以患者为中心的护理。然而,与这段叙述交织在一起的是阻碍性别肯定性医疗进展的立法障碍。该叙述梳理了这些障碍,突出其复杂性,并强调持续进行医疗倡导和立法改革以营造包容性医疗环境的迫切需求。最终,这段叙述证明了性别肯定性医疗领域中持续的斗争和韧性,揭示了其对个人生活的深远影响,强调了对富有同情心、全面且包容的医疗实践的持续需求。

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