Abstract 142: Prevalence of Psychosocial and Body Image Distress Among Transmen Seeking Gender Mastectomies

PURPOSE: In the 2015 US Transgender Survey, 97% of transmen reported either previously having undergone, or being interested in undergoing gender mastectomy (otherwise known as top surgery). Despite this overwhelming interest in, as well as frequent anecdotal reports of improvements in, psychosocial functioning and patient reported outcomes (PROs) following this procedure, there is a dearth of prospective data supporting these observations. Existing PRO studies have largely been limited by lack of preoperative assessments, cross-sectional or retrospective designs, use of ad hoc questionnaires, small patient populations, or by their failure to evaluate a comprehensive range of domains. As part of a prospective study assessing the effects of gender mastectomy on PROs, we evaluated preoperative psychosocial functioning, anxiety, depression, and body image in transmen seeking these procedures