Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery

Background:. Given the growing demand for gender-affirming surgery (GAS) in recent years, it is essential to explore the public perceptions of GAS. Understanding the public’s opinions and attitudes toward GAS will provide valuable insights for shaping educational initiatives to enhance public knowle...

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Main Authors: Justin M. Camacho, MBA, Michael Alfertshofer, MD, Heli S. Patel, MBA, Daniel Najafali, BS, Noelle Thompson, BS, Victoria Stoffel, MS, Chris M. Reid, MD, Michael Alperovich, MD, Samuel Knoedler, BS, Leonard Knoedler, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006472
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author Justin M. Camacho, MBA
Michael Alfertshofer, MD
Heli S. Patel, MBA
Daniel Najafali, BS
Noelle Thompson, BS
Victoria Stoffel, MS
Chris M. Reid, MD
Michael Alperovich, MD
Samuel Knoedler, BS
Leonard Knoedler, MD
author_facet Justin M. Camacho, MBA
Michael Alfertshofer, MD
Heli S. Patel, MBA
Daniel Najafali, BS
Noelle Thompson, BS
Victoria Stoffel, MS
Chris M. Reid, MD
Michael Alperovich, MD
Samuel Knoedler, BS
Leonard Knoedler, MD
author_sort Justin M. Camacho, MBA
collection DOAJ
description Background:. Given the growing demand for gender-affirming surgery (GAS) in recent years, it is essential to explore the public perceptions of GAS. Understanding the public’s opinions and attitudes toward GAS will provide valuable insights for shaping educational initiatives to enhance public knowledge and awareness. Methods:. This cross-sectional study used the Prolific Academic platform to distribute an online survey among adult participants residing in the United States in August 2023. Results:. Of 1005 completed survey responses, 50% of respondents were 41 years of age or older, 51% were women, and 73% were White. A total of 18% identified as part of the LGBTQIA+ community, and most (37%) resided in the southern United States. The majority of participants (78%) did not personally know anyone who underwent GAS, and 74% believed that plastic surgeons mainly perform GAS. Only 22% felt healthcare professionals were well qualified to provide gender-affirming care. Media’s effect on GAS acceptance was assessed to be mostly negative (33%) or very negative (12%). About 33% favored both public and private health insurance coverage for GAS, whereas 35% opposed insurance coverage. Most respondents strongly agreed (32% and 34%) or agreed (33% and 37%) that GAS aligns with gender identity and improves mental health. Regarding minimum age, most partakers (43%) supported 18 years, whereas 38% endorsed 21 years. Conclusions:. This study sheds light on the public perceptions of GAS. These insights underscore the need for targeted educational efforts to increase awareness, rectify misconceptions, and promote a deeper understanding of GAS within society.
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spelling doaj-art-79b6f668eb9d45eab18c257b9917e6712025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e647210.1097/GOX.0000000000006472202501000-00042Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming SurgeryJustin M. Camacho, MBA0Michael Alfertshofer, MD1Heli S. Patel, MBA2Daniel Najafali, BS3Noelle Thompson, BS4Victoria Stoffel, MS5Chris M. Reid, MD6Michael Alperovich, MD7Samuel Knoedler, BS8Leonard Knoedler, MD9From the * College of Medicine, Drexel University College of Medicine, Philadelphia, PA† Division of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians University Munich, Munich, Germany‡ College of Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, FL§ College of Medicine, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL¶ College of Medicine, University of Toledo College of Medicine, Toledo, OHFrom the * College of Medicine, Drexel University College of Medicine, Philadelphia, PA∥ College of Medicine, University of California San Diego, San Diego, CA** Division of Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven, CT†† Department of Plastic Surgery and Hand Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany‡‡ Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MABackground:. Given the growing demand for gender-affirming surgery (GAS) in recent years, it is essential to explore the public perceptions of GAS. Understanding the public’s opinions and attitudes toward GAS will provide valuable insights for shaping educational initiatives to enhance public knowledge and awareness. Methods:. This cross-sectional study used the Prolific Academic platform to distribute an online survey among adult participants residing in the United States in August 2023. Results:. Of 1005 completed survey responses, 50% of respondents were 41 years of age or older, 51% were women, and 73% were White. A total of 18% identified as part of the LGBTQIA+ community, and most (37%) resided in the southern United States. The majority of participants (78%) did not personally know anyone who underwent GAS, and 74% believed that plastic surgeons mainly perform GAS. Only 22% felt healthcare professionals were well qualified to provide gender-affirming care. Media’s effect on GAS acceptance was assessed to be mostly negative (33%) or very negative (12%). About 33% favored both public and private health insurance coverage for GAS, whereas 35% opposed insurance coverage. Most respondents strongly agreed (32% and 34%) or agreed (33% and 37%) that GAS aligns with gender identity and improves mental health. Regarding minimum age, most partakers (43%) supported 18 years, whereas 38% endorsed 21 years. Conclusions:. This study sheds light on the public perceptions of GAS. These insights underscore the need for targeted educational efforts to increase awareness, rectify misconceptions, and promote a deeper understanding of GAS within society.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006472
spellingShingle Justin M. Camacho, MBA
Michael Alfertshofer, MD
Heli S. Patel, MBA
Daniel Najafali, BS
Noelle Thompson, BS
Victoria Stoffel, MS
Chris M. Reid, MD
Michael Alperovich, MD
Samuel Knoedler, BS
Leonard Knoedler, MD
Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
Plastic and Reconstructive Surgery, Global Open
title Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
title_full Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
title_fullStr Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
title_full_unstemmed Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
title_short Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
title_sort shifting paradigms a deep dive into public perceptions of gender affirming surgery
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006472
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