Current Sexual Health Reports

, Volume 10, Issue 3, pp 186–195 | Cite as

Preoperative and Postoperative Considerations in Gender-Affirming Surgery

  • Ara A. Salibian
  • Nathan Levitt
  • Lee C. ZhaoEmail author
  • Rachel Bluebond-Langner
Male Sexual Dysfunction and Disorders (AW Pastuszak and NK Gupta, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Female Sexual Dysfunction and Disorders


Purpose of Review

The review is aimed at determining critical factors in the preoperative and postoperative care of transgender patients undergoing gender-affirming surgery. General and procedure-specific considerations are summarized to improve the longitudinal perioperative care of transgender patients.

Recent Findings

Surgical providers should follow World Professional Association for Transgender Health (WPATH) guidelines regarding eligibility for surgery. Important elements in preoperative evaluation include mental health screening, fertility discussion, and adjustment of hormone replacement therapy. Postoperative considerations include proper cancer screening, mental health support, appropriate outcomes assessment, and awareness of potential procedure specific complications.


Proper perioperative care for transgender patients undergoing gender-affirming surgery involves a multidisciplinary approach to healthcare to create a comprehensive treatment environment at an institutional level.


Gender-affirming surgery Gender-confirmation surgery Transgender Gender dysphoria Vaginoplasty Phalloplasty 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Ara A. Salibian
    • 1
  • Nathan Levitt
    • 1
  • Lee C. Zhao
    • 1
    • 2
    Email author
  • Rachel Bluebond-Langner
    • 1
  1. 1.Hansjörg Wyss Department of Plastic SurgeryNew York University Langone HealthNew YorkUSA
  2. 2.Department of UrologyNew York University Langone HealthNew YorkUSA

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