Gender Confirmation Surgery Principles and Techniques for an Emergin
Gender confirming surgery represents one of many therapies for individuals with gender dysphoria and can be pivotal in allowing individuals to become their true selves. An emerging field, this text represents a continuing evolution of surgical techniques,
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Gender Confirmation Surgery
Loren S. Schechter Editor
Gender Confirmation Surgery Principles and Techniques for an Emerging Field
Editor Loren S. Schechter Department of Plastic Surgery The Center for Gender Confirmation Surgery Weiss Memorial Hospital Chicago, IL USA
ISBN 978-3-030-29092-4 ISBN 978-3-030-29093-1 (eBook) https://doi.org/10.1007/978-3-030-29093-1 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
It has been a privilege dedicating my career to caring for transgender and gender diverse individuals. I have seen time and time again how safe and effective medical care can assist individuals in expressing their gender identity, help to alleviate gender dysphoria, improve quality of life, and reduce negative health outcomes. But I have also seen the adverse effects of barriers to medically necessary care—such as the distress associated with a lack of insurance coverage and the frustration of long wait times and distant travel due to shortages of qualified healthcare providers. The positive progress in recent years inspires and encourages me. We have improved access to medical care and advanced social equality related to gender diversity. The landmark decision to remove Medicare’s ban on gender confirmation surgery in 2014 changed the landscape for healthcare coverage. Numerous private insurance plans and many state programs followed Medicare’s lead and now cover medically necessary gender confirming surgery. Still, there are great hurdles ahead. Each day, transgender and gender diverse individuals experience marginalization, discrimination, and bias. Battles over military service, bathroom access, and legal recognition of
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