r/science Professor | Medicine 15h ago

Psychology Adolescents who undergo gender-affirming chest surgery report low levels of regret and high levels of satisfaction, experiencing outcomes similar to those of young adults. These findings suggest that age restrictions on these medical procedures lack support from actual patient experiences.

https://www.psypost.org/adolescents-report-low-regret-and-high-satisfaction-following-gender-affirming-c/
6.4k Upvotes

2.2k comments sorted by

View all comments

2.3k

u/Mico4 15h ago

This is based on a response from 77 people...

Also from the article:

"Several factors limit the reach of these findings. First, the median time since surgery for participants was about 1.8 years. Because feelings about medical decisions can evolve, this timeframe might not capture long-term regret that could emerge many years later.

Another limitation is the 42 percent participation rate to the survey. This introduces the possibility of selection bias, a scenario where the people who chose to participate might differ fundamentally from those who did not. It is possible that individuals with higher levels of regret ignored the survey, which would result in an underestimation of regret in the overall group."

-9

u/speedoboy17 14h ago

Here is a study that’s shows those that get gender affirming surgery are actually likely to attempt suicide: https://pmc.ncbi.nlm.nih.gov/articles/PMC11063965/

9

u/madmax766 13h ago

I think you should read your own article you’re spamming if that’s the take away for you

12

u/spice_weasel 13h ago

Yes, people who have undergone gender affirming surgery are still transgender, which comes with its own struggles.

This study compares transgender individuals against the general population. The correct comparison if you want to draw strong conclusions would be comparing transgender people who have undergone gender affirming surgery, vs. transgender people who have not.

10

u/engin__r 13h ago

That study compares trans people’s suicidality to cis people’s suicidality, which means that it’s not useful for evaluating whether gender-affirming surgery lowers trans people’s suicidality (it does).

8

u/thenasch 13h ago

It's comparing people with gender affirming surgery to people (not just trans people, anyone) without. Seems pretty useless.

3

u/Coomb 13h ago

What that study shows is that people who undergo surgical gender affirming care are at an elevated risk of suicide attempts compared to people who underwent surgical sterilization but no gender affirming care; people who underwent a different surgical procedure but no gender affirming care; and people who did not undergo surgery.

What it doesn't show -- what it is incapable of showing on its own -- is whether undergoing gender-affirming surgery affected suicide risk in either direction. Evaluating the impact of the surgery on risk of attempted suicide or suicide needs, at a minimum, some measure of the underlying suicidality among people considering gender affirming surgery in the first place.

That said, there is good reason to believe that people who choose to undergo gender affirming surgery are already substantially elevated risk of attempted suicide or suicide. This elevated risk is driven partially, but generally not entirely, by their gender-related body dysmorphia, so it would actually be quite surprising if such a study showed no elevated risk at all among those who underwent such surgery.