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Perioperative considerations for transgender women undergoing routine surgery: a narrative review.

TitlePerioperative considerations for transgender women undergoing routine surgery: a narrative review.
Publication TypeJournal Article
Year of Publication2020
AuthorsLennie Y, Leareng K, Evered L
JournalBr J Anaesth
Volume124
Issue6
Pagination702-711
Date Published2020 06
ISSN1471-6771
KeywordsAnesthesiology, Female, Humans, Male, Perioperative Care, Sex Reassignment Procedures, Surgical Procedures, Operative, Transgender Persons
Abstract

A transgender woman is a person assigned male sex at birth who identifies as a woman. With the numbers of transgender identity on the rise, encountering a transgender woman requiring routine surgery is becoming more common in anaesthetic practice. The perioperative period can be challenging for transgender women, but these challenges can be mitigated by a skilled and sensitive perioperative team. Engagement with patients and their primary physicians is important. Whilst there are anaesthetic issues relevant to both transgender women and men, there are many issues unique to transgender women. This article focuses only on considerations for the perioperative care of the transgender woman. This narrative review provides an overview of the factors influencing the safe care of the transgender woman presenting for routine surgery, including the potential social and pharmacological factors to consider, and anatomical changes to be aware of from previous gender confirming or feminisation surgeries that can influence clinical decision-making.

DOI10.1016/j.bja.2020.01.024
Alternate JournalBr J Anaesth
PubMed ID32171545