Trans+ people’s experiences of in-hospital gender-affirming surgery: An interpretive description




Gawne, Adi

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University of Victoria


Trans+ people (an umbrella term encompassing Two-Spirit, transgender, gender non-conforming, agender, gender-diverse, gender queer, or non-binary people) routinely face discrimination and transphobia while accessing health care resources, significantly underusing health services with negative impacts on health and well-being. Despite extensive evidence of discrimination across diverse care settings, there is a concerning gap in research examining Trans+ people’s experiences of acute care. This lack of academic literature upholds normative practices that contribute to the perpetuation of inequity within our health systems. Our research focuses on exploring Trans+ experiences interacting with the health care system when seeking gender-affirming surgery– Gender-affirming surgery is an opportunity for health care providers to facilitate a joyous occasion for Trans+ patients, and yet the interaction with health services is often fraught with increased experiences of discrimination. This qualitative research study aims to examine the pre-surgical and post-surgical acute health care experiences of Trans+ people who have experienced gender-affirming surgery in Victoria or Vancouver within the last 5 years through semi-structured interviews, utilizing interpretive description methodology to develop our thematic analysis. It is hoped that our research will contribute to systemic health care improvements by amplifying Trans+ voices and their experiences in our collective solutions to inequitable access.



Transgender, 2SLGBTQ+ health, community-based research, acute care settings, nursing practice, gender specific care