• Annals of surgery · May 2024

    Making a Statement: Positions of Professional Medical Organizations Towards Gender-Affirming Care.

    • Myles N LaValley, Danielle J Eble, William M Kuzon, Blair R Peters, Alexander J Skokan, Russell E Ettinger, and Shane D Morrison.
    • Division of Plastic Surgery, Department of Surgery, Columbia University Medical Center, New York, NY.
    • Ann. Surg. 2024 May 10.

    ObjectiveDespite politically charged media coverage and legislation surrounding gender affirming care (GAC), many organizations have released position statements to provide scientifically backed clinical practice standards, combat misinformation, and inform medicolegal policies. The purpose of this study is to objectively assess the availability and the content of the official position statements of relevant medical professional organizations regarding GAC.Summary Background DataA list of U.S. medical professional organizations with likely involvement in GAC based on medical or surgical specialties was compiled.MethodsFor included organizations, we evaluated the availability, content, and publication year of positions on GAC through October 2023. When available, formal positions were categorized as supportive or unsupportive.ResultsA total of 314 professional medical organizations were screened for our study based on specialty, relevance to GAC, and issuance of patient guidelines or position statements. Inclusion criteria were met by 55 organizations. Most organizations (35, 63.6%) had formal position statements on GAC. Support for GAC was described in 97.1% (n=34). Further, 94.2% (n=33) of available statements explicitly addressed GAC in individuals less than 18 years old and were largely supportive (96.9%, n=32).ConclusionsThis cross-sectional analysis demonstrates that a majority of multidisciplinary professional medical organizations with relevance to GAC have issued formal position statements on the topic. Available positions were overwhelmingly supportive of individualized access to gender-affirming therapies in adult and adolescent populations. However, silence from some organizations continues to represent a modifiable disparity in the provision of GAC.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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