The most common gender affirming surgery is breast augmentation -- in cis (non-trans) women.

The regret rate is around 20%.

Gender affirming surgeries in trans people have around a 1% regret rate.

Guess which people need approval from a mental health provider...

@joelle

I would love a source for this if you have one please

A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1%

Based on this review, there is an extremely low prevalence of regret in transgender patients after GAS.
 

(Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/

@doxy_cycling @joelle

Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Supplemental Digital Content is available in the text.There is an unknown percentage of transgender and gender non-confirming individuals who undergo gender-affirmation surgeries (GAS) that experiences regret. Regret could lead to physical and mental ...

PubMed Central (PMC)
@earthworm @doxy_cycling @joelle I wonder what the regret percentage is after appendectomy for an acutely inflamed appendix. I underwent that as a child, and after over half a century still don't miss my removed body part.

@joelle @doxy_cycling

Highly interesting. However, I wonder if the two situations are comparable. In this study about breast reconstruction after mastectomy (mean age: 52 years), most of the women apparently regretted because the surgery results were bad (=poor quality of plastic surgery).
And the study stresses the importance of therapeutic approaches accompanying the decision making process.

Anyway, it's complicated... and society/industry with its demands on women's bodies and binary gender categories definitely sucks.

@earthworm @joelle @doxy_cycling it is complicated, but what is frustratingly simple, is the concept that cis people have a right to make and live with complicated decisions, while Trans people are considered unfit to even consider that as an option.
There are many issues, the one being put on blast here is the blatant double standard in lawmaking.

@joelle @earthworm @doxy_cycling Hah! I spoke too soon. I was just wondering about this and should have just read more of the replies before asking.

Thank you for the info.

@doxy_cycling @joelle it's almost miraculous. In general, gender affirming care has really low regret rate, compared to *any* medical procedures. People are happy with the results, unlike e.g. patient satisfaction with their knee or hip surgeries!

Regret is a rare unicorn.

And what little there exists, is usually caused by peer rejection and social condemnation.

https://arthroplasty.biomedcentral.com/articles/10.1186/s42836-019-0007-3

Patient satisfaction and total hip arthroplasty: a review - Arthroplasty

Primary total hip arthroplasty (THA) has been recognized as a reliable intervention for patients with end-stage osteoarthritis. Despite several notable advances in this procedure, studies have identified at least 7% of patients who remain dissatisfied. There is no general consensus on how to measure patient satisfaction in orthopedic surgery. However, validated tools have been used in multiple studies to further investigate this problem. A comprehensive review was conducted to examine the factors associated with patient satisfaction following THA. Associations in literature included patient expectation, age, sex, pain management, patient comorbidities (medical or psychiatric that existed prior to surgery), and length of stay. The continuous collection of patient satisfaction data using validated and reliable measurement tools is necessary to improve this important patient-reported outcome after THA.

BioMed Central

@doxy_cycling @joelle source for the last claim, in Finnish: https://www.laakarilehti.fi/tieteessa/katsausartikkeli/sukupuolenkorjauksen-katuminen-pettymys-ja-takaisinkorjautumisen-mahdollisuudet/?public=0bde07ccf0cc6ea29e43d09cb3bfdc8d

And the original article:

Landen M ym. Factors predictive of regret in sex reassignment. Acta Psychiatr Scand 1998;97:284–9.

Sukupuolenkorjauksen katuminen on harvinaista

Pettymystä tai katumusta on tutkimuksissa ilmaissut 0,3-3 %.

Lääkärilehti.fi