Abstract Purpose Given the World Professional Association for Transgender Health guidelines requiring patients to present letters from mental health professionals prior to gender affirming surgery (GAS), this study was designed to evaluate patient satisfaction with their mental health provider prior to GAS. Methods Transgender patients seeking GAS completed three validated questionnaires to evaluate satisfaction with mental health provider (MHP), severity of depression (PHQ-9), and emotional distress (Emotional Thermometer). Statistical analysis was performed to evaluate patient satisfaction with MHP and its association with the length of relationship with MHP, PHQ-9 score, and Emotional Thermometer score. Statistical significance was established for p-values <0.05. Results Ninety-seven patients (TGW 52; TGM 45) completed the survey. Patients were highly satisfied with their MHP (mean PatSat score 70.68), and this did not differ based upon the length of relationship (p = 0.72). Lower emotional distress was associated with higher patient satisfaction with provider increased (r = −0.255, p = 0.017). Conclusion In our study, patients demonstrated satisfaction with their MHP prior to GAS, regardless of the length of this relationship. This finding supports current WPATH SOC recommendations and may provide reassurance to those who perceive these guidelines to be barriers to GAS for transgender patients.

中文翻译：

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变性患者在性别确认手术前对其心理健康提供者的满意度

摘要 目的鉴于世界跨性别健康专业协会的指南要求患者在性别确认手术 (GAS) 之前出示心理健康专业人员的来信，本研究旨在评估患者在接受 GAS 之前对其心理健康提供者的满意度。方法寻求 GAS 的跨性别患者完成了三份经过验证的问卷，以评估对心理健康提供者 (MHP)、抑郁严重程度 (PHQ-9) 和情绪困扰 (情绪温度计) 的满意度。进行统计分析以评估患者对 MHP 的满意度及其与 MHP、PHQ-9 评分和情绪温度计评分的关系长度的关联。p 值 <0.05 具有统计学显着性。结果 97 名患者（TGW 52；TGM 45）完成了调查。患者对他们的 MHP 非常满意（平均 PatSat 评分 70.68），这并没有因关系的长度而异（p = 0.72）。较低的情绪困扰与较高的患者满意度有关，提供者增加（r = -0.255，p = 0.017）。结论 在我们的研究中，患者对 GAS 之前的 MHP 表现出满意，无论这种关系的长度如何。这一发现支持当前的 WPATH SOC 建议，并可能让那些认为这些指南成为跨性别患者 GAS 障碍的人放心。患者在 GAS 之前表现出对他们的 MHP 的满意度，无论这种关系的长度如何。这一发现支持当前的 WPATH SOC 建议，并可能让那些认为这些指南成为跨性别患者 GAS 障碍的人放心。患者在 GAS 之前表现出对他们的 MHP 的满意度，无论这种关系的长度如何。这一发现支持当前的 WPATH SOC 建议，并可能让那些认为这些指南成为跨性别患者 GAS 障碍的人放心。