A transgender woman is a person assigned male sex at birth who identifies as a woman. With the numbers of transgender identity on the rise, encountering a transgender woman requiring routine surgery is becoming more common in anaesthetic practice. The perioperative period can be challenging for transgender women, but these challenges can be mitigated by a skilled and sensitive perioperative team. Engagement with patients and their primary physicians is important. Whilst there are anaesthetic issues relevant to both transgender women and men, there are many issues unique to transgender women. This article focuses only on considerations for the perioperative care of the transgender woman. This narrative review provides an overview of the factors influencing the safe care of the transgender woman presenting for routine surgery, including the potential social and pharmacological factors to consider, and anatomical changes to be aware of from previous gender confirming or feminisation surgeries that can influence clinical decision-making.

中文翻译：

---

接受常规手术的变性妇女的围手术期注意事项：叙述性回顾。

变性妇女是指在出生时被分配为男性的人，该人识别为妇女。随着变性人身份的增加，在麻醉实践中遇到一名需要常规手术的变性妇女变得越来越普遍。对于跨性别女性，围手术期可能具有挑战性，但熟练而敏感的围术团队可以缓解这些挑战。与患者及其主要医生的接触很重要。尽管存在与变性女性和男性相关的麻醉问题，但仍有许多变性女性独有的问题。本文仅关注变性妇女围手术期的注意事项。这篇叙述性评论概述了影响常规手术中变性妇女安全护理的因素，