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. 2021 Oct 19;50(8):3353–3369. doi: 10.1007/s10508-021-02163-w

Table 4.

Steps taken for social, medical, and surgical transition

N (%)
Social transition*
Pronouns 91 (91.0%)
Different name 88 (88.0%)
Clothes/hair/makeup 90 (90.0%)
Legal name change 49 (49.0%)
Gender/sex changed on government documents 36 (36.0%)
Voice training 20 (20.0%)
Natal female
 Wore a binder 67 (97.1%)
Medical transition*
Cross-sex hormones 96 (96.0%)
Puberty blockers 7 (7.0%)
Natal male
 Anti-androgens 27 (87.1%)
Surgical transition*
Face/neck surgery 5 (5.0%)
Natal female
 Breast/chest surgery 23 (33.3%)
 Genital surgery (to create a penis) 1 (1.4%)
Natal male
 Breast implants 5 (16.1%)
 Genital surgery (to create a vagina) 5 (16.1%)

*May select more than one answer