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Comment & Response
November 2017

Gender Confirmation Surgery and Terminology in Transgender Health—Reply

Author Affiliations
  • 1Oregon Health & Science University, Portland
  • 2University of British Columbia, Victoria, British Columbia, Canada
  • 3University Plastic Surgery, Morton Grove, Illinois
JAMA Surg. 2017;152(11):1091. doi:10.1001/jamasurg.2017.2347

In Reply Thank you for your critique of our article.1 The authors agree on the paramount importance of language. The authors further agree that the term transsexual is outdated from a medical and largely societal standpoint. This review article was written based on existing literature, and as such, terminology was cited as used in those references. While most transgender and gender nonconforming individuals do not refer to themselves as transsexual, there still are people who do. As such, the term transsexual should not be omitted but used critically, while also acknowledging the individual right to identify as such. The letter writers themselves point out that 18% of individuals in the 2015 US Transgender Survey2 do so. There is little doubt that this number will decrease in the future.

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