TY - CHAP M1 - Book, Section TI - Surgical Gender Affirmation A1 - Blasdel, Gaines A1 - Zhao, Lee C. A1 - Bluebond-Langner, Rachel A2 - Keuroghlian, Alex S. A2 - Potter, Jennifer A2 - Reisner, Sari L. PY - 2022 T2 - Transgender and Gender Diverse Health Care: The Fenway Guide AB - Surgical interventions to affirm cultural and gendered roles in society, such as testicle removal, predate the Western conception of the gender binary and contemporary medical models of gender identity. The first gender-affirming surgical program in Western medical practice is considered to have been Magnus Hirschfield’s Institute for Sexual Science, commencing gender-affirming procedures in 1922.1 Early conceptions of the goal of gender-affirming surgery were to “correct” the external form to a discrete female or male appearance. Surgical intervention was treated as a required aspect of gender affirmation in many contexts, a legacy that continues today as jurisdictions require sterilization or other surgery for name or gender marker changes on official government-issued documentation. Simultaneously, surgery was withheld from the majority of treatment-seeking patients who were deemed poor surgical candidates for reasons that would now be considered inappropriate, such as not being heterosexual in their identified gender. Assessment for gender-affirming surgery has been explored in transgender studies, a field of inquiry whose foundational texts describe the social and medicolegal impact of power relations between medical professionals and transgender and gender diverse (TGD) patients seeking surgery.2 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/23 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184176393 ER -