Some concerns about the quality of outcomes were expressed, which was primarily a barrier for transgender men in regard to bottom surgery. 

Arizona State University

- Fear, anxiety, and worries were reported  as interfering with pursuing care. 
- This typically was characterized as emotional experiences that led to participants being unable to approach providers about transition related care.
- Participants also specified fears about post-procedural body/health related issues, such as being worried about weight gain from hormones and not knowing their long term effects.
-  Participants also reported being worried about having scars or experiencing pain associated with surgical procedures.


Emotional Barriers to Gender-Affirming Care

Puckett, J. A., Cleary, P., Rossman, K., Newcomb, M. E., & Mustanski, B. (2018). Barriers to Gender-Affirming Care for Transgender and Gender Nonconforming Individuals. Sexuality Research & Social Policy, 15(1), 48–59. https://doi.org/10.1007/s13178-017-0295-8

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