{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:27:50Z","timestamp":1791174470560,"version":"4.1.0"},"reference-count":117,"publisher":"The Endocrine Society","issue":"9","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Body mass index (BMI) requirements for gender-affirming surgeries (GAS) present an obstacle to gender transition for many transgender and gender diverse (TGD) people. Furthermore, TGD people have unique barriers and preferences in managing their weight that must be considered. TGD patients frequently present to their endocrinologists for individualized, gender-affirming support to meet BMI cutoffs for GAS. This Approach to the Patient article combines expertise from several disciplines, including gender-affirming hormone management, weight management, mental health, gynecology, and plastic surgery. Multidisciplinary management considerations are offered for clinicians to assist TGD patients with obesity navigate BMI requirements to access GAS.<\/jats:p>","DOI":"10.1210\/clinem\/dgae193","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T04:05:25Z","timestamp":1712549125000},"page":"2389-2399","source":"Crossref","is-referenced-by-count":8,"title":["Approach to the Patient: Navigating Body Mass Index Requirements for Gender-Affirming Surgery"],"prefix":"10.1210","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7060-3735","authenticated-orcid":false,"given":"John Michael","family":"Taormina","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Colorado School of Medicine , Aurora, CO 80045 , USA"},{"name":"UCHealth Integrated Transgender Program, University of Colorado Hospital , Aurora, CO 80045 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0677-0466","authenticated-orcid":false,"given":"Michelle","family":"Cordoba Kissee","sequence":"additional","affiliation":[{"name":"Bariatric and Metabolic Institute, DHR Health, Edinburg , TX 78539 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9164-7621","authenticated-orcid":false,"given":"Lisa M","family":"Brownstone","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology, Morgridge College of Education, University of Denver , Denver, CO 80210 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2442-724X","authenticated-orcid":false,"given":"Frances","family":"Grimstad","sequence":"additional","affiliation":[{"name":"Division of Gynecology, Department of Surgery, Boston Children's Hospital , Boston, MA 02115 , USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School , Boston, MA 02115 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3868-3532","authenticated-orcid":false,"given":"Shane D","family":"Morrison","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of Washington Medical Center and Seattle Children's Hospital , Seattle, WA 98195 , USA"},{"name":"Department of Urology, University of Washington Medical Center , Seattle, WA 98195 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery","family":"Hendrixson","sequence":"additional","affiliation":[{"name":"UCHealth Integrated Transgender Program Community Advisory Board, University of Colorado Anschutz Medical Campus , Aurora, CO 80045 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7316-8256","authenticated-orcid":false,"given":"Sean 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