I try and help them work out the priorities: what’s the main feature they feel is too male or female, depending on their transition? I’m always very conscious about costs, so it’s about focusing on what will allow them to live more comfortably. For one patient, that was just her upper lip.
What’s the first advice you give a patient?
Christopher Inglefield from The London Transgender Clinic has worked with transgender patients for 15 years. As a highly experienced Specialist Transgender Surgeon, Mr Inglefield has developed areas of specialist interest including Gender Confirmation Surgery, Body and Facial Feminisation Surgery, Breast Surgery, Hair Line Lowering, Facial Rejuvenation, Rhinoplasty and Non-Surgical Nose Job, Fat Grafting and Body Shaping. To mark the launch of our AW19 print magazine, starring Victoria Beckham, going on sale, here, to he answers the most commonly asked questions about transgender surgery.
Are you seeing a shift against bottom surgery?
People are realising that just as gender is not binary, it’s the same with trans individuals who don’t want to be fully female or fully male – they just want to be able to live in their gender. We’re seeing a whole spectrum of individuals going along their journey to a destination that feels right for them.
What other changes have you noticed?
More young trans individuals are also coming out now – access to information has had an impact on their ability to transition earlier. Ten years ago the majority of our patients were in the forties, now it’s people in their twenties and thirties.
What are the biggest challenges?
The fact that many patients have to wait up to two years for hormone treatment is worrying because the risk of self-harming and suicide during that period is massively high. In defence of the NHS, they have been overwhelmed by the number of people seeking treatment.
Has anyone ever regretted having transitional surgery?
It’s very rare – across the world it’s 0.5%, and I’ve only ever had two cases. We tell patients they should consider the surgery irreversible, and it’s why we look closely for signs of deeper psychological trauma prior to surgery.
What can we expect in the future?
Womb transplants for trans females.