Yes and yes again: are standards of care which require two referrals for genital reconstructive surgery ethical?

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dc.contributor.affiliationNottingham Gender Clinic, Nottingham, United Kingdom
dc.contributor.emailwalterbouman@doctors.org.uk
dc.creatorBouman, W. P.es_ES
dc.creatorRichards, C.es_ES
dc.creatorAddinall, R. M.es_ES
dc.creatorArango de Montis, I.es_ES
dc.creatorArcelus, J.es_ES
dc.creatorDuisin, D.es_ES
dc.creatorEsteva, I.es_ES
dc.creatorFisher, A.es_ES
dc.creatorHarte, F.es_ES
dc.creatorKhoury, B.es_ES
dc.creatorLu, Z.es_ES
dc.creatorMarais, A.es_ES
dc.creatorMattila, A.es_ES
dc.creatorNayarana Reddy, D.es_ES
dc.creatorNieder, T. O.es_ES
dc.creatorRobles Garcia, R.es_ES
dc.creatorRodrigues Jr., O. M.es_ES
dc.creatorRoque Guerra, A.es_ES
dc.creatorTereshkevich, D.es_ES
dc.creatorSjoen, G. T’es_ES
dc.creatorWilson, D.es_ES
dc.date2014
dc.date.accessioned2025-09-03T16:38:26Z
dc.date.accessioned2026-03-27T15:32:25Z
dc.date.available2025-09-03T16:38:26Z
dc.date.issued2014
dc.date.published2014
dc.descriptionThe commonly used Standards of Care for people with gender dysphoria, including those of the World Professional Association for Transgender Health and The Royal College of Psychiatrists in the United Kingdom, as well as those standards used in many other countries, usually require that two signatures of approval from qualified mental health professionals be provided before genital reconstructive surgery (GRS) – sometimes called sexual reassignment surgery or gender confirmation surgery – is undertaken. This is different from surgeries which are similarly irreversible and remove reproductive capacity carried out on cisgender people. This paper explores the trans-specific issues from a standpoint of medical ethics and argues that, provided sufficient safeguards are in place, including assessment within a multidisciplinary team, a nuanced approach utilising a single signature may instead be appropriate.es_ES
dc.formatPDFes_ES
dc.identifier.doi10.1080/14681994.2014.954993
dc.identifier.eissn1468-1749
dc.identifier.issn1468-1994
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://doi.org/10.1080/14681994.2014.954993
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8397
dc.language.isoenges_ES
dc.publisherTaylor & Francises_ES
dc.relation29(4):377-389
dc.relation.jnabreviadoSEX RELATION THER
dc.relation.journalSexual and Relationship Therapy
dc.rightsAcceso Cerradoes_ES
dc.subject.kwStandards of Care
dc.subject.kwGender dysphoria
dc.subject.kwTrans-sexualism
dc.subject.kwTransgender
dc.subject.kwGenital reconstructive surgery
dc.subject.kwMedical ethics
dc.titleYes and yes again: are standards of care which require two referrals for genital reconstructive surgery ethical?es_ES
dc.typeArtículoes_ES

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