Transsexualisme et prise en charge de l'opération de réassignation sexuelle par les anesthésistes réanimateurs

In France, the healthcare agency has edited guidelines concerning the medical management of transsexualism. Patients scheduled for transgender surgery need to be evaluated by psychiatrists and specialists in endocrinology. As recommended by the national council of physicians, surgery must be delayed by at least one year after the first demand to allow this evaluation. Patients are endorsed by the healthcare insurance system if they are operated in a public hospital and followed by plastic surgeons, endocrinologist and psychiatrists for at least two years. Physicians with a conscience clause are not committed to manage these patients that could be referred to another physician. It is recommended that patients should be addressed by the surgeon to the anaesthetist with a detailed description of the preceding management.