{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T14:41:10Z","timestamp":1773153670881,"version":"3.50.1"},"reference-count":16,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to evaluate patient-reported outcomes following vaginoplasty in transgender individuals using a novel and validated Affirming Surgery Form and Function Individual Reporting Measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 279 transgender patients completed the Affirming Surgery Form and Function Individual Reporting Measure survey, reporting on their experiences with feminizing gender-affirming surgery outcomes (F-GAS). Surveys were given to patients via email before F-GAS, at 2\u00a0weeks, 6\u00a0months and 12\u00a0months post-operatively. Pre- and post-F-GAS responses were compared using Wilcoxon signed-rank tests. All participants voluntarily completed the same survey using the Visiontree platform to eliminate bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before F-GAS, ~3% of respondents reported positive feelings about their genitals, ~18% reported comfort with a sexual partner seeing their genitals, ~1% reported the absence of embarrassment regarding their genitals and ~1% reported that their genitals matched their gender identity. Six months after surgery, the percentages rose to ~85% (P\u00a0&amp;lt;\u00a00.001), ~77% (P\u00a0&amp;lt;\u00a00.001), 66% (P\u00a0&amp;lt;\u00a00.001) and ~85% (P\u00a0&amp;lt;\u00a00.001), respectively. Before F-GAS, ~78% of respondents reported they could not dress as desired because of the appearance of their genitals, and 83% reported the appearance of their genitals prevented them from doing some enjoyable activities. Six months after surgery, the percentages fell to ~3% (P\u00a0&amp;lt;\u00a00.001), and ~7% respectively (P\u00a0&amp;lt;\u00a00.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Gender-affirming surgeries, such as vaginoplasty, are associated with dramatic quality of life improvement in transgender people. All six gender identity metrics measured by the validated Affirming Surgery Form and Function Individual Reporting Measure survey showed unequivocal benefits following vaginoplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh25169","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T01:26:33Z","timestamp":1770254793000},"source":"Crossref","is-referenced-by-count":0,"title":["A novel and validated survey explores quality of life outcomes in transgender women following vaginoplasty"],"prefix":"10.1071","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7889-0416","authenticated-orcid":true,"given":"Alyxandra","family":"Ramsay","sequence":"first","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"MacDonald","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lily","family":"Leibner","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Finnerty-Haggerty","sequence":"additional","affiliation":[{"name":"BMotirefore Medical Center, Psychiatry Department, 111 E 210th Street, Bronx 10467, NY, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo","family":"Blankson","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D.","family":"Safer","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Yang","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Henry","family":"Pang","sequence":"additional","affiliation":[{"name":"AMount Sinai Health System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, 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