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...
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/
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 ...
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.
@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
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.
@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.
"Gender affirming surgeries in trans people have around a 1% regret rate.
Guess which people need approval from a mental health provider..."
That might suggest requiring such approval is quite effective in lowering the regret rate...🤔
@joelle "One thing we know is that regret rate over the years has not changed, despite gatekeeping being reduced"
That does make your point more plausible.
"Your point was that the high level of gatekeeping reduced regret rates."
Well, no. If you read carefully, I did not claim anything of the sort.
> You used a "just asking questions " emoji. <
I did, but more importantly, stating that something might suggest "X" is really not the same as positively claiming "X".
My actual point was that it would be incorrect to simply assume the regret rate would be that low independently of the gatekeeping.
@britishtechguru Tonsillitis is not usually fatal. Tonsillectomy is done to improve quality of life, not to keep someone alive, generally.
That said, looks like it has about a 7% regret rate.
But even surgeries everyone agrees are done to keep someone alive, like cancer surgeries, have a significantly higher regret rate than the gender reassignement surgeries.
@joelle I had a tonsillectomy at 7 years old. Adenoids too. No regrets.
Haven't felt the need for a sex change op but I bet there are plenty doctors who'd do one without enforcing a psychiatric evaluation.
@joelle Most if not all of that disapproval is based on interpretation of the bible. The bible was compiled 300 years after the fact. It was heavily edited with scriptures not representing the ideas of the pope of the day just being burned. The bible is basically one man's decree as to how people should live.
I notice that in non Christian cultures, transgender seems more accepted. The faffafini in Asia, theres a group in India. Not sure if they're called hiru.
It leads me more to think that the bible is too restrictive. Mind, eastern religions are more about how to live while western religions are more about how to prepare for death.
Anyone can cut off a baby boy's foreskin. Don't even need to be a doctor. That's how little value we invest as a society in the rights of children, and how hypocritical cisgender people are.
@deilann @travellovewine @joelle
Republicans can't have their dates with small tits after all.
Cishet men aren't scared of cis women with breasts
@joelle I wonder if we banned ALL gender affirming surgeries including breast implants in cis women, how fast would the patriarchy reverse course when the old thirsty white dudes realized that it affected them...
I'm of course being cynical here, and do not in any way support banning any form of gender affirming anything.
@joelle Guess we're gonna have to outlaw woman... 😭😭😭
/joke
#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.
Within the context of Judaism, of course, it’s part of the affirmation into malehood.
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 ...
@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.
@joelle
Conservatism attempts to blind us to hate, basting the facade of a disagreement over an atrocity.
This is why conservatives need to spontaneously combust: they hate science, nonwhites, and leftists.
I often backslide into the conservative trap, of ignorance. I then climb back out, more wonderfully leftist-progressive-socialst than ever and ready to kill this beast of intolerance.
@joelle Interesting bit of info for all to ponder. In late 1990's - 00's I was one of only 37 people in my graduating class of women that did not get breast enlargement surgery.
263 of my fellow clasmates did get larger breasts due to social pressures. When we all met up for a reunion in 2016 we put our numbers down.
263 surgeries from 94 - 08
117 that were reduced/removed by 2015
158 showed rejection
9 have died of cancer
3 dead due to BBL
Class of 96
Cis women are at far greater risk.
@joelle This list does not include, face lifts, noses, lip injections, tummy tucks and other abuses women feel forced to make.
Sadly 90% of these women were astonished that even with crows feet and laugh lines those without any surgery were the ones who seemed to have aged/changed the least.
If we are going to allow moms to gift their kids rhinoplasty at age 16... who are you to say only trans kids have to wait?!
Not my body, not my decision, not my life, not my business.
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