As transgender visibility has increased over the past decade, growing numbers of transgender
youth are presenting at specialized clinics seeking care related to phenotypic gender
transition. Despite the fact that the average age of referral is dropping, the developmental
stage that most patients are in at the time of entry into medical care necessitates
future surgical intervention to change undesired secondary sex characteristics. For
those assigned female at birth who identify on the transmasculine spectrum, gender
confirmation procedures most commonly include male chest reconstruction. Chest dysphoria,
the distress that arises from having a female chest contour, is a common clinical
concern for transmasculine adolescents and young adults. While a decent body of literature
exists examining the outcomes of transgender related surgeries in patients over the
age of majority, no data has been published concerning the outcomes of these procedures
among minors. Existing professional guidelines regarding surgical interventions lack
clarity, and leave medical providers uncertain about referring minors for chest surgery.
This pilot study aimed to quantify the impact of male chest reconstruction on chest
dysphoria in this population included the development of a “chest dysphoria” measure.
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© 2016 Published by Elsevier Inc.
