gender-affirmation-medical-and-surgical-perspectivesEditors: Christopher J. Salgado, MD; Stan J. Monstrey, MD; and Miroslav L. Djordjevic, MD
Assistant Editor: Harvey W. Chim, MD
Publisher: Thieme – 297 pages
Book Review by: Deekay Daulat

This book is a rare and pioneering one. It is also a unique one. To put it in the briefest way, this is a book on the medical aspects of sex change. There are very few books on this subject. Procedures involving the genitals are some of the most complex and difficult ones, and some of them end up with complications.

While there is a lot of current attention and public debate in the media on transgender individuals, sex-change operations were first performed a long time ago: in the early part of the nineteenth century, the editors inform us in their Preface. And some were marked by the surgeons’ ‘ingenuity, curiosity, and audacity,’ they point out.

The knowledge and skills of these surgeons were passed on to others through apprenticeship, because there were no formal training programs in this medical specialty. But in recent years, with the establishment of the World Professional Organization of Transgender Health, a few academic surgical centers are accepting trainees.

Parts of the training they receive are on cross-sex hormone and puberty-blocking therapies, and on mental health, to help patients cope with the identity challenges they face relating to sex change.

Forty-one specialists in this area of medical practice located mainly in the United States but also from five other countries – Belgium, Canada, Netherlands, Serbia, and Spain – wrote the 18 chapters of this book.

The authors have backgrounds in a range of medical specialties including endocrinology, gynecology, obstetrics, pediatrics, psychiatry and urology. They have been involved in general surgery, and plastic and reconstructive surgeries involving the genital organs, the face, head, neck, and other human body parts.

Some of them list their specialties as ‘feminization surgery’ and ‘masculinization surgery’ and discuss topics such as face, body and voice feminization and/or masculinization.

The chapters of this highly informative and useful book are listed below to give you an overview of its contents:

Introduction

  1. Facial Feminization Surgery: A Global Approach
  2. Speech Modification
  3. Top Surgery
  4. Combined Hysterectomy, Oophorectomy, and Chest Reconstruction
  5. Male-to-Female Gender Affirmation Skin Flap Vaginoplasty
  6. Male-to-Female Gender Affirmation Colon Vaginoplasty: Total Laparoscopic Sigmoid Vaginoplasty
  7. Female-to-Male Gender Affirmation Metoidioplasty
  8. Female-to-Male Gender Affirmation Phalloplasty: Radial Forearm Free Flap
  9. Anterolateral Thigh Flap Phalloplasty
  10. Female-to-Gender Affirmation Phalloplasty: Latissiumus Dorsal Flap
  11. Testicular and Erectile Implants in Transmen After Phalloplasty
  12. Management of Unfavorable Urologic Sequelae After Phalloplasty
  13. Unfavorable Results and Complications in Phalloplasty Surgery
  14. Medical Treatment of Adolescent Transgender Patients
  15. Adult Hormone Therapy in Transgender Therapy
  16. Mental Health Care for Transgender and Gender Nonconforming
  17. Sexual Health After Surgery for Transgender Individuals
  18. Gender Expression and Image

Purchasers of this text can also benefit from viewing nine vides listed on page xv. This book also provides numerous images not only of surgical procedures, but also before-and-after views of patients who transformed from males to females, and vice versa.

This is a must-have book for anyone intending to pursue a career in transgender surgery, as well as for those who are already practitioners in this growing field.

 

Editors:

Christopher J. Salgado, MD is Professor of Surgery and Section Chief of the Division of Plastic Surgery at the University of Miami / Jackson Memorial Hospital, and Medical Director of Gender and Sexual Health Programs, in Miami, Florida.

Stan J. Monstrey, MD is Professor and Chair of the Department of Plastic Surgery at Ghent University Hospital in Ghent, Belgium.

Miroslav L. Djordjevic, MD is Professor of Urology and Surgery in the Department of Surgery at the University of Belgrade in Belgrade, Serbia.

 

Assistant Editor:

Harvey W. Chim, MD is Assistant Professor in the Division of Plastic Surgery at the University of Miami Miller School of Medicine in Miami, Florida.

 

Illustrator:

Renee Cannon, MA

 

Contributors:

Clara Alvarez-Villalba, MD
Maria Bizic, MD
Walter O. Bockting, PhD
Mark-Bram Bouman, MD, FESSM
Marci L. Bowers, MD
Marlon E. Buncamper, MD
Luis Capitan, MD, PhD
Melany Castillo, MD
Harvey W. Chim, MD
Britt Colebunders, MD
Curtis Crane, MD
Salvatore D’Arpa, MD, PhD
Miroslav L. Djordjevic, MD, PhD
Christopher Estes, MD
Lydia A. Fein, MD, MPH
Renee Gasgarth, MD
Piet Hoebeke, MD, PhD
Michelle Horne, AICI, CIP
Natalie R. Joumblat, BS
Sinisa Kojic, MD, PhD
Jamie P. Levine, MD
Nicolaas Lumen, MD, PhD, FEBU
Wilhelmus J.H.J. Meijerink, PhD, MD
Stan J. Moinstrey, MD, PhD
Christopher J. Salgado, MD
Daniel E. Shumer, MD, MPH
Danil Simon, DDS
Varsha R. Sinha, MD
Vishal K. Sinha, BS
Norman P. Spack, MD
Klara Sputova, MD
Dusan Stanojevic, MD
Borko Stanojevic, MD
Amir Adam Tarsha, MD
James P. Thomas, MD
Wouter R. van der Sluis, MD
Marilyn K. Volker, MD
Roy E. Weiss, MD, PhD, FACP, FACE, FAAP
Yuka Yamaguchi, MD
Lee C. Zhao, MD
Yasmina Zoghbi, BS