C'est chic! When will this mania subside?
Without reading a lot it is not clear whether the study authors mixed in their gender affirming surgeries other cosmetic surgeries not really related to transgender.
"... Only around 4,550 Americans sought such sex-change surgeries in 2016 — a number that shot up to more than 13,000 by 2019, according to a Columbia University study published Wednesday in JAMA Network Open. ...
The rise followed the number of procedures doubling at least twice before, between 2000 to 2005 and again from 2006 to 2011 ...
The study included breast and chest procedures, genital reconstructive procedures and other facial and cosmetic surgical procedures. It did not consider the use of puberty blockers or hormone treatments. ...
At the same time, the overall number of “health system encounters for gender identity disorder” rose from 12,855 in 2016 to 38,470 in 2020. ...
In total, researchers about 48,000 people underwent surgeries in the five-year span from 2016 through 2020. ...
Among the youngest patients, the most common surgeries were breast and chest procedures, with more than 3,000 preteens and teenagers undergoing the surgery over the course of the five years examined. ..."
From the key points and abstract:
"Key Points
- Question What are the temporal trends in gender-affirming surgery (GAS) in the US?
- Findings In this cohort study of 48 019 patients, GAS increased significantly, nearly tripling from 2016 to 2019. Breast and chest surgery was the most common class of procedures performed overall; genital reconstructive procedures were more common among older individuals.
- Meaning These findings suggest that there will be a greater need for clinicians knowledgeable in the care of transgender individuals with the requisite expertise to perform gender-affirming procedures.
Abstract
Importance While changes in federal and state laws mandating coverage of gender-affirming surgery (GAS) may have led to an increase in the number of annual cases, comprehensive data describing trends in both inpatient and outpatient procedures are limited.
Objective To examine trends in inpatient and outpatient GAS procedures in the US and to explore the temporal trends in the types of GAS performed across age groups.
Design, Setting, and Participants This cohort study includes data from 2016 to 2020 in the Nationwide Ambulatory Surgery Sample and the National Inpatient Sample. Patients with diagnosis codes for gender identity disorder, transsexualism, or a personal history of sex reassignment were identified, and the performance of GAS, including breast and chest procedures, genital reconstructive procedures, and other facial and cosmetic surgical procedures, were identified.
Main Outcome Measures
Weighted estimates of the annual number of inpatient and outpatient procedures performed and the distribution of each class of procedure overall and by age were analyzed.
Results
A total of 48 019 patients who underwent GAS were identified, including 25 099 (52.3%) who were aged 19 to 30 years. The most common procedures were breast and chest procedures, which occurred in 27 187 patients (56.6%), followed by genital reconstruction (16 872 [35.1%]) and other facial and cosmetic procedures (6669 [13.9%]). The absolute number of GAS procedures rose from 4552 in 2016 to a peak of 13 011 in 2019 and then declined slightly to 12 818 in 2020. Overall, 25 099 patients (52.3%) were aged 19 to 30 years, 10 476 (21.8%) were aged 31 to 40, and 3678 (7.7%) were aged 12 to 18 years. When stratified by the type of procedure performed, breast and chest procedures made up a greater percentage of the surgical interventions in younger patients, while genital surgical procedures were greater in older patients.
Conclusions and Relevance
Performance of GAS has increased substantially in the US. Breast and chest surgery was the most common group of procedures performed. The number of genital surgical procedures performed increased with increasing age."
Performance of GAS has increased substantially in the US. Breast and chest surgery was the most common group of procedures performed. The number of genital surgical procedures performed increased with increasing age."
National Estimates of Gender-Affirming Surgery in the US (open access)
Figure 1. Gender-Affirming Surgical Procedures Performed by Year Stratified by Type
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