ArticleInternational journal of transgender health2022
Gender-affirmation surgery and bariatric surgery in transgender individuals in The Netherlands: Considerations, surgical techniques and outcomes.
Article in International journal of transgender health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Body Mass Index a Potential Risk Factor Following Gender Reassignment Surgeries: A Systematic Review and Meta-Analysis.Aesthetic plastic surgery · 2025Pooled it
- Prevalence and short-term outcomes of primary metabolic and bariatric surgery in non-binary patients: an analysis of the MBSAQIP database.Surgical endoscopy · 2026Article
- Mastectomy in transgender patients: The experience of a Portuguese reference center.JPRAS open · 2026Article
- High BMI as risk factor in mastectomy in transmasculine individuals: a retrospective matched case-control study.International journal of transgender health · 2025Article
- Roux-en-Y gastric bypass in a transgender patient: a case report.Journal of surgical case reports · 2024Article
- Filling a gap in care: addressing obesity in transgender and gender diverse patients.International journal of obesity (2005) · 2023Review
- Meeting the Body Mass Index Requirement for Gender-affirming Surgery Using Antiobesity Medication.JCEM case reports · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The number of transgender individuals seeking medical and surgical care has increased over the last years. Within the transgender population overweight and obesity is more frequently observed when compared to the general population. Little is known on the prevalence of bariatric surgery in the transgender population and the effects on the surgical gender transition path of the individual transgender with overweight or obesity. Material and methods: All transgender individuals who underwent gender-affirming surgery (GAS) between 1980 and 2020 were retrospectively identified from our hospital registry. Those with a history of bariatric surgery were selected. A retrospective chart study was conducted, recording gender identity, bariatric surgery specifications, gender surgery specifications, complications, reoperations and clinical follow-up time. Results: A total of 15 transgender individuals (11 transgender men, 4 transgender women) who underwent bariatric surgery were identified. All individuals underwent bariatric surgery before any GAS procedure, except for one transgender man. At the first GAS procedure, all individuals experienced significant weight loss when compared to their weight at bariatric surgery (mean 13.1 ± 3.8 BMI points lost for transgender men, mean BMI points lost 14.3 ± 2.8 for transgender women, p < 0.01). Obesity was still frequently prevalent in transgender men after bariatric surgery. All included transgender men underwent mastectomy via the double incision with free nipple grafting technique. Only one transgender man underwent genital GAS. All transgender women underwent penile-inversion vaginoplasty, one in combination with prosthesis-based augmentation mammoplasty. Conclusion: Surgical gender transition is possible after massive weight loss after bariatric surgery. Specific surgical subtechniques will be more prevalent in this population.
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