Considerations for Transgender Patients Perioperatively

Anesthesiol Clin. 2020 Jun;38(2):311-326. doi: 10.1016/j.anclin.2020.01.009.

Abstract

With a shift in the cultural, political, and social climate surrounding gender and gender identity, an increase in the acceptance and visibility of transgender individuals is expected. Anesthesiologists are thus more likely to encounter transgender and gender nonconforming patients in the perioperative setting. Anesthesiologists need to acquire an in-depth understanding of the transgender patient's medical and psychosocial needs. A thoughtful approach throughout the entirety of the perioperative period is key to the successful management of the transgender patient. This review provides anesthesiologists with a culturally relevant and evidence-based approach to transgender patients during the preoperative, intraoperative, and postoperative periods.

Keywords: Anesthesia; Hormone therapy; Perioperative; Surgery; Transgender.

Publication types

  • Review

MeSH terms

  • Anesthesiologists
  • Female
  • Gender Identity
  • Humans
  • Intraoperative Care
  • Male
  • Perioperative Care*
  • Physical Examination
  • Postoperative Care
  • Risk Assessment
  • Transgender Persons*