Chest binding in context: stigma, fear, and lack of information drive negative outcomes COMMENT

Chest binding or 'binding' is a practice used by many trans and nonbinary people assigned a female sex at birth to achieve a flatter chest contour and affirm their gender. Binding allows individuals to affirm their gender in a temporary, reversible way. While many individuals who bind report negative physical symptoms, binding also often carries significant benefits for mental health and safety. In this commentary, we explain what the data do and do not say about the physical risks of binding and describe how decreasing stigma around binding will substantially reduce physical risks associated with binding and increase the benefits of the practice. As with any intervention, individuals should make an informed decision about the risks and benefits of binding. If negative physical symptoms arise, individuals can consider adjusting their binding practice or working with a healthcare provider to address these concerns.

Automated summary

Chest binding, a common practice among transgender and nonbinary individuals assigned female at birth, helps achieve a flatter chest contour and affirm their gender identity. Despite potential negative physical symptoms, binding also offers significant mental health and safety benefits. Increasing awareness and reducing stigma around binding can help minimize physical risks and maximize the practice's benefits.