How Should Decision-Sharing Roles Be Considered in Adolescent Gender Surgeries

Bibliographic Data

ID15747196
AuthorsFrances Grimstad (0000-0002-2442-724X, Harvard University, corresponding author), Elizabeth R Boskey (0000-0002-4982-1323, Boston Children's Hospital)
Year2020
Volume22
Issue5
PagesE452-457
Publication date2020-05-01
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/amajethics.2020.452
PMID32449665
OpenAlexW3023392594
LanguageEN
Citations received1
References cited8

The nascent field of gender-affirming surgery (GAS) for binary and nonbinary transgender adolescents is growing rapidly, and the optimal use of shared decision making (SDM)-including who should be involved, to what extent, and for which parts of the decision-is still evolving. Participants include the adolescent (whose goals might center on aesthetics and functionality), the surgeon (who might focus more on minimizing complications), the referring clinician (whose participation is mandated by present standards of care), and the caregiver (whose participation is required for patients below the age of consent). This article argues that effective, ethical SDM in adolescent GAS care requires a different conceptualization of roles than might be expected in other situations and should be a longitudinal experience rather than a singular event

Developmental psychology · Gender, Feminism, and Media · LGBTQ Health, Identity, and Policy · Psychology · Sexuality, Behavior, and Technology

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