The field of Obstetrics and Gynecology is one that provides intersections between one's most private and intimate moments with scenarios that could potentially trigger significant emotional trauma. As providers, one must balance providing appropriate care with the respect and autonomy of the patient. The perioperative and operative space presents many ethical dilemmas in navigating these boundaries, particularly among individuals with a history of sexual trauma. In our commentary, we present one case of an adolescent patient, with a history of sexual trauma and pelvic pain, who underwent laparoscopic surgery. We explore the interplay of delegating autonomy during amnesia, chronic pelvic pain, post-traumatic stress disorder, and hyperarousal within this period. There is knowledge to be gained amongst Obstetrics and Gynecology providers in navigating perioperative services in individuals with complex history of social stress and trauma so that we can better understand the landscape of providing competent care.

妇产科领域是一个在一个人最私密和最亲密的时刻与可能引发重大情感创伤的场景之间提供交叉点的领域。作为提供者，必须在提供适当护理与患者的尊重和自主权之间取得平衡。围手术期和手术空间在跨越这些界限时存在许多伦理困境，特别是在有性创伤史的个体中。在我们的评论中，我们介绍了一名有性创伤和骨盆疼痛病史的青少年患者，该患者接受了腹腔镜手术。我们探讨了在此期间失忆、慢性盆腔疼痛、创伤后应激障碍和过度觉醒期间委派自主权的相互作用。