Our long-term objective is to generate data to 1) guide pediatric plastic surgeons’ clinical decision-making regarding patient selection and pre-operative counseling for top surgery and 2) validate the practice of top surgery in adolescent patients. We will study gender dysphoria, gender congruence, and chest dysphoria, defined as follows: • Gender dysphoria: ongoing distress that arises from the incongruity of assigned sex at birth and internal experience of gender.12 • Gender congruence: an individuals’ comfort and satisfaction with their self-image, self-reflection, and self-expression as related to their current gender identity.13 • Chest dysphoria: significant discomfort and distress about breasts.4 Our approach will entail 1) review of the Gender and Sex Development Program (GSDP) at Lurie Children’s Hospital of Chicago’s database of dysphoria and psychologic co-morbidity in adolescent patients seen for medical or surgical transition and 2) administration of validated surveys to TGNC adolescents before and after top surgery. We aim to build a multidisciplinary team of pediatric plastic surgeons, clinical psychologists, and researchers, all of whom have clinical experience with TGNC adolescent patients through the GSDP. Our central hypothesis is that top surgery is an effective treatment for gender dysphoria and chest dysphoria in male-affirmed and non-binary adolescent patients with controlled psychological co-morbidities, appropriate pre-operative expectations, and adequate social support.
|Effective start/end date||7/1/19 → 6/30/21|
- Plastic Surgery Foundation (Agmt 7/15/2019)
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