The growing number of transgender individuals undergoing routine and gender-affirming surgeries presents complex perioperative challenges for anesthesiologists. A scoping review published in the Journal of Anaesthesiology Clinical Pharmacology highlights gaps in healthcare access, compounded by stigma and limited provider preparedness. Key findings emphasize the need for meticulous preoperative assessment—including hormone therapy status, comorbidities, and psychosocial factors—while tailoring airway management and postoperative pain protocols to unique anatomical and physiological variations.

The review urges anesthesiologists to adopt patient-centered approaches to minimize risk and improve surgical outcomes for this vulnerable population. Explore the full review to upgrade your perioperative strategies and reduce hidden risks in transgender surgical care. How confident are you in…