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Mental Health, Gender Dysphoria, and Quality of Life in Trans Individuals Following Top Surgery: Protocol for a Prospective Cohort Study

Citation:
Bak J, Tan KA, Ball J, Bonney S, Moore JK, Hird K, Cavve BS, Marion L, Hewitt T, Zwickl S, Mahfouda S, Lin A, Strauss P. Mental Health, Gender Dysphoria, and Quality of Life in Trans Individuals Following Top Surgery: Protocol for a Prospective Cohort Study. JMIR Res Prot. 2026;15.

Keywords:
Chest reconstruction; gender affirmation; gender dysphoria; top surgery; transgender

Abstract:
Top surgery refers to various gender-affirming surgical procedures involving breast or chest tissue. Existing research suggests top surgery improves physical, psychological, and social well-being in transgender and gender-diverse individuals (herein "trans") who desire it. However, most studies have been retrospective, have not used validated outcome measures, and have excluded nonbinary individuals, limiting the robustness of the existing research.