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’d have guessed circumcision is the most common gender affirming surgery, but only in minors.

@deirdresm @joelle

#Circumcision as affirmation is a mind boggling thought... I was the only #circumcised guy in my backwater (zero Jewish) town in the 1950s, and it was absolutely _not_ affirming in the view of the other guys! Didn't help that I was off the "CI" chart in the extremity of the cutting. They had an icon of my appearance they would furtively draw on the blackboard on the way into class, and then snicker about. Of course the adults had no clue...

@LorenAmelang @joelle First, I’m sorry you were treated so horribly. However, even in that era, AMAB children in the US were more likely to be circumcised than not.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654051/#:~:text=Male%20circumcision%20is%20the%20removal,circumcised%20%5B3%2C4%5D.

Within the context of Judaism, of course, it’s part of the affirmation into malehood.

Neonatal Circumcision: What Are the Factors Affecting Parental Decision?

Introduction: The American Academy of Pediatrics (AAP) guidelines state that the health benefits of circumcision outweigh the risks, but these benefits are not enough to recommend universal newborn circumcision. Therefore, it is ...

PubMed Central (PMC)

@deirdresm @joelle
"An estimated 58.3% of male newborns and 80.5% of males aged 14-59 years in the United States are circumcised." I'd say the rate is certainly dropping in my "organic" California neighborhood. Parents should follow the local trend so their son matches most peers.

Of course the big question nobody talks about is how much gets chopped off. You could get many of the health benefits without leaving the kid so obviously weird.