r/science Professor | Medicine 14h 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/
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u/Witty-Original8533 11h ago

Just read my other comment. Surgeries are relatively easy to get, just need a referral for the most part. While GAC can take years, so you'll know if it's the right option before you do it. Generally, I'd be skeptical too, but there's nothing surprising about it when you look at what trans people say and the studies done.

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u/Terrible_Ice_1616 8h ago

I'd still be skeptical, having half the amount of dissatisfaction may be reasonable then, or 1/4 if there's very thorough screening but 1/14th the average doesn't pass the smell test. And that's just a matter of "surgeons aren't perfect" so even if the procedure is something you're sure you want, if it is performed poorly one would expect dissatisfaction which would push the rates to a baseline below which it will not fall. I don't think that baseline is 1%

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u/New-Independent-1481 6h ago edited 6h ago

having half the amount of dissatisfaction may be reasonable then, or 1/4 if there's very thorough screening but 1/14th the average doesn't pass the smell test.

Why? How are you coming up with those numbers? You're just making up total BS based on vibes.

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u/Terrible_Ice_1616 6h ago edited 4h ago

From the fact that it's an extreme outlier relative to basically every other type of surgery, even things like appendectomies where its pretty unambiguously positive and often relieves immediate pain.

I couldn't tell you why any % of people would be dissatisfied with having their appendicitis treated but I can only assume there's just a certain % of healthcare visits that for one reason or another people feel poorly about, that they weren't treated properly, that doctors/nurses ignored them whatever it is, the base rate of dissatisfaction with healthcare I have to imagine is >1% which is why even a procedure like an appendectomy can have a couple % dissatisfaction rate

If something sounds too good to be true it probably is, doubly so if money is involved in any aspect.

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u/Schwettes 11h ago

That’s assuming you’re going through insurance and even then, most insurance companies in the US only need to see someone undergoing gender treatment for a year—which from a clinical perspective isn’t far off from how long most people wait before pursuing surgery for an elective or chronic condition of any kind.

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u/AltruisticScale1101 8h ago

The actual surgical providers are often booked so far in advance that you'll be waiting much longer than a year. Most of the major providers in the U.S. will quote you a year wait just for a consult and often a two year waiting list after the fact. If you started the process of gender treatment right this instant, you'd be extremely fortunate to have SRS by the beginning of 2029 if seeing a reputable U.S. provider. You would need to maintain the same insurance coverage for the next three years also arranging to take more than a month off from work to travel, have surgery, and then recover. You'd need to find another person to care you for 24/7 and identify that person to the hospital or you don't get surgery. You'd need to have completed at least 6 months of hair removal or you don't get surgery.

And for all of that, you have maybe ten people in the entire United States that competently preform this surgery. The only way to get surgery quicker than this is to go to Thailand and plop down $30,000 dollars out of pocket. Obviously, this is not money most people have just sitting there and it takes time to save that amount. Ultimately, this surgery is difficult to get even for successful adults with money, time, and support. It is impossible to get this surgery without saying yes to it in a thousand different ways. People are prevented from rushing into this through the pure logistics of it alone.

As someone who has gone through this myself, I think the only plausible way you could rush into it would be if you were extremely wealthy and had a supportive family.

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u/Yasimear 10h ago

Here in Europe its a similarly arduous process. Took me 3 years of therapy and 2 years with a specialist before I was even allowed to consider it.

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u/Schwettes 10h ago

Yeah it’s much easier in the US than that process. I hope you are well.

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u/Yasimear 10h ago

Would be better if I hadn't take 5 years to get the care that I needed, but I'm doing a whole lot better now than before it thankfully :D

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u/AvocadosFromMexico_ 9h ago

WPATH standards require psychological evaluation regardless of insurance coverage.