European Journal of Plastic Surgery

, Volume 42, Issue 5, pp 527–530 | Cite as

“TRANS”-questionnaire (TRANS-Q): a novel, validated pre- and postoperative satisfaction tool in 145 patients undergoing gender confirming mastectomies

  • Jonathon Wanta
  • James Gatherwright
  • Rebecca Knackstedt
  • Tobias Long
  • Daniel A. MedalieEmail author
Short Communication

Dear Sir or Madam:

Despite a recent increase in the number of scientific publications on transgender surgery, there is a dearth of well-organized, prospective evaluations of or evaluation tools for this patient population [1]. To that end, we have created a novel questionnaire, which we adapted from the BREAST-Q and from other surveys in the transgender literature. We have validated survey items and propose a revised version based on our results.

Following IRB approval, from 2015 to 2017, 440 consecutive patients scheduled to undergo gender confirming mastectomy by a single surgeon were asked to complete a novel, transgender-specific, preoperative survey (TRANS-Q). Postoperative surveys were sent approximately 6 months after surgery. Principle component analysis with correlations and a Scree plot were performed as a preliminary assessment of survey reliability. This was followed by a Cronbach’s alpha reliability test. Survey items were then individually assessed and removed if they...


Compliance with ethical standards

Conflict of interest

Jonathon Wanta, James Gatherwright , Rebecca Knackstedt, Tobias Long, and Daniel A. Medalie declare that they have no conflict of interest.

Ethical approval

IRB approval obtained.

Informed consent

performed per IRB protocol.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive Surgery, Department of SurgeryUniversity Hospitals Cleveland Medical CenterClevelandUSA
  2. 2.Division of Plastic SurgeryMetrohealth Medical CenterClevelandUSA
  3. 3.Department of Plastic and Reconstructive SurgeryCleveland Clinic FoundationClevelandUSA
  4. 4.Case Western Reserve; Cleveland Plastic Surgery (private practice)BeachwoodUSA

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