International Delphi consensus on feminising genital surgery in assigned-male-at-birth individuals.

Key Points

• The aim is to establish a consensus on indications and management for feminising genital surgery in individuals assigned male at birth.
• Conducted an international Delphi consensus process.
• Focused on indications for feminising genital surgery and perioperative management.
• Emphasized individualized care based on patient comorbidities and structured counselling.
• Achieved consensus on the need for individualized assessments.
• Highlighted the importance of multidisciplinary care in decision-making.
• Identified unresolved questions regarding hormone therapy that warrant further research.