Table 6.

Causes of Regret

Studies	Reasons of Regrets
Blanchard et al, 1989	• 1 patient was dissatisfied with life as a woman and considered returning to the masculine role
	• 1 patient reported that surgery failed to produce the coherence of mind and the body he wanted
	• 1 patient would not opt for a new surgery as it had not accomplished what she wanted
	• 1 patient dressed as a man but didn’t felt as feminine nor masculine
Bouman, 1988	Work and social acceptance
De Cuypere et al, 2006	• Transmasculine = Physiologic period before GAS (delusional disorder-erotomaniac type), scored very low in credibility
	• Transfemenine = Emotionally troubled by a break-up with his girlfriend
Imbimbo et al, 2009	NS
Jiang et al, 2018	Didn’t want to wait genital electrolysis prior vaginoplasty
Kuiper et al, 1998	• 4 patients mentioned they were not transsexual
	• 1 patient after surgery she realized she did not want to live as a woman. 1 never wished for the surgery (forced by the partner)
	• 2 patients lost the partner and had social problems
	• 1 patient had no doubts (double role requested by the partner)
Lawrence, 2003	• 8 patients felt disappointed with physical or functional outcomes of surgery (lost clitoris sensation)
	• 2 participants reported reversion to living as a man after GAS. There were family and social problems
Olson-Kennedy et al, 2018	NS
Pfafflin, 1993	NS
Van de Grift et al, 2018	• Transmasculine = Body does not meet the feminine ideal
	• Transfemenine = Recurrent abdominal pains, dependence on exogenous hormones
Wiepjes et al, 2018	• 5 patients had social regret (still as their former role/“ignored by surroundings” or “the loss of relatives is a large sacrifice”)
	• 7 patients had true regret (though that the surgery was the solution)
	• 2 patients felt non-binary
Zavlin et al, 2018	NS
Judge et al, 2014	NS
Weyers et al, 2009	NS
Poudrier et al, 2019	Aesthetic outcomes
Laden et al, 1998	NS

NS, not specified.