Question
What are the incidence of and trends in gender-affirming surgery over time in the United States?
Findings
In this population-based study of 37 827 gender-affirming surgical encounters, genital surgery increased over time and most patients undergoing these procedures were self-payers. The number of patients seeking these procedures who were covered by Medicare or Medicaid increased from 2012 to 2014 by 3-fold.
Meaning
As coverage for these procedures increases, likely so will demand for qualified surgeons to perform them.