Transgender patients represent approximately 2% of the general population but are some of the most underserved and under-resourced patients in our care. Surgical options for gender affirming care have progressed beyond “top and bottom” surgery and can include facial reconstruction and vocal cord surgeries. Some of these may complicate interpreting our typical airway assessment and scar tissue may interfere with airway interventions. As this is not a topic most physicians have had much training in it is prudent we take time to cover other considerations including chronic pain and restrictive lung physiology from chest binders, relevant comorbidities and approach to gender affirming perioperative care regardless of the planned procedure.
