Long-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy

Bruce L, Khouri AN, Bolze A, et al. Long-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy. JAMA Surg. Published online August 09, 2023. doi:10.1001/jamasurg.2023.3352

Key Points

• Question  What is the rate of regret and satisfaction with decision after 2 years or more following gender-affirming mastectomy?
• Findings  In this cross-sectional study of 139 survey respondents who underwent gender-affirming mastectomy, the median satisfaction score was 5 on a 5-point scale, with higher scores indicating higher satisfaction. The median decisional regret score was 0 on a 100-point scale, with lower scores indicating lower levels of regret.
• Meaning  This study’s findings indicate low patient-reported long-term rates of regret and high satisfaction with the decision to undergo gender-affirming mastectomy, although the need exists for condition-specific instruments to assess satisfaction with decision and decisional regret for gender-affirming surgery.

Access full text of journal paper here