Masculinizing chest surgery for gender affirmation: A retrospective study of outcomes and patient reported satisfaction

Background: Masculinizing chest surgery is the most common gender-affirming surgery. The objective of our study is to report the surgical and patient reported outcomes of surgery performed by a breast surgery practice. Methods: Between June 1, 2017 and December 31, 2019, eighty-one patients underwent surgery at a universityaffiliated hospital. This study included a retrospective chart review and an anonymous survey. Results: Seventy-five (93%) patients underwent double incision technique. Complications occurred in 25% of patients and two patients required reoperation within 30 days of surgery. The anonymous survey response rate was 47% (34/72). Patients were asked to rate their satisfaction with the cosmetic appearance and the median score was 90. Quality of life and mental health improvement was reported by most patients. Median follow up was 9 months. Conclusions: Masculinizing chest surgery performed by surgeons trained in breast surgery had a low rate of surgical complications and positive patient reported outcomes.

Automated summary

This study reports the surgical and patient reported outcomes of masculinizing chest surgery performed by a breast surgery practice. The results show a low rate of surgical complications and high patient satisfaction with the cosmetic appearance. Most patients also reported improvement in quality of life and mental health.