How Should Surgeons Approach Gender-Affirming Surgery Revisions When Patients Were Not, Perhaps, Well Informed in Prior Counseling
Bibliographic Data
| ID | 15745911 |
|---|---|
| Authors | Lee C Zhao (0000-0002-4029-0669, NYU Langone Health, corresponding author), Gaines Blasdel (0000-0002-5431-6540, University of Michigan), Augustus Parker (New York University), Rachel Bluebond‐Langner (0000-0002-7305-8970, NYU Langone Health) |
| Year | 2023 |
| Volume | 25 |
| Issue | 6 |
| Pages | E391-397 |
| Publication date | 2023-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The AMA Journal of Ethic (JOURNAL) |
| Journal identifiers | ISSN: 2376-6980 • E-ISSN: 2376-6980 |
| Publisher | American Medical Association (PUBLISHER • US) |
| DOI | 10.1001/amajethics.2023.391 |
| PMID | 37285292 |
| OpenAlex | W4379645954 |
| Language | EN |
| References cited | 1 |
Surgeons often encounter patients with realistic goals yet who desire unrealistic means of achieving them. This tension is compounded when surgeons consult with patients eager to revise a prior gender-affirming procedure completed by another surgeon. Two key factors of ethical and clinical relevance are that (1) a consulting surgeon's job is complicated when a population-specific evidence base is lacking and (2) a patient's marginalization is exacerbated by their having suffered the downstream effects of compromised initial access to comprehensive, realistic surgical care. This case commentary about revision of gender-affirming phalloplasty canvasses the pitfalls of a limited evidence base and focuses on strategies surgeons can use to help guide consultation. In particular, informed consent discussion may need to reframe a patient's expectations about clinical accountability for irreversible interventions
Political science · Population · Relevance (law · Dental Education, Practice, Research · Diversity and Career in Medicine · Healthcare Systems and Challenges · Medicine · Psychology
| Highly cited | No |
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