A growing number of young people identify as gender diverse, both as transgender and nonbinary. In addition to gender-affirming care such as puberty blockers, hormones, and gender-affirming surgeries, these youth also need to access the full range of other medical and surgical care. As such, it is critical for pediatric healthcare providers to develop competence in working with gender-diverse youth, regardless of whether the facilities they work offer gender-affirming medical or surgical care. This article addresses perioperative care concerns for gender-diverse youth as well as psychosocial assessment for gender-affirming surgeries.
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