gender-affirming surgery

noun

gen·​der-af·​firm·​ing surgery ˈjen-dər-ə-ˈfər-miŋ- 

variants or gender affirmation surgery

plural gender-affirming surgeries or gender affirmation surgeries

: any of several surgical procedures that a transgender or nonbinary (see nonbinary sense c) person may choose to undergo in order to obtain physical characteristics that align with their gender identity : gender confirmation surgery

Hormone therapy and gender-affirming surgery are crucial parts of transition for many trans adults. Alleviating gender dysphoria and aligning gender expression with identity through these treatments can lower stress, reduce symptoms of depression and anxiety, and significantly lessen suicidal ideation.

—Orion Rummler

Some people also identify as both nonbinary and trans. They may take hormones or undergo gender-affirming surgery, but this doesn't take away from their nonbinary identity.

—Suzannah Weiss

Many transgender individuals choose to undergo fertility preservation before their gender affirmation surgery if having biological children is part of their long-term goals.

—Romy Smith and Ro Bowman

—abbreviation GAS

Examples of gender-affirming surgery in a Sentence

Recent Examples on the Web

Neither hospital performed gender-affirming surgeries on people under 18. —Meg Wingerter, Denver Post, 6 Jan. 2026

Eight days later, Trump signed an executive order restricting gender-affirming surgery for anyone under 19. —Lisa Song, ProPublica, 30 Dec. 2025

Yet more than half of US states have banned some care for transgender youth including puberty blockers, other hormone therapy, and gender-affirming surgery (although research shows such surgeries are rarely performed on minors in the US). —Leah Asmelash, CNN Money, 20 Nov. 2025

Three years before the famed film was released, Wojtowicz and a friend held up a Brooklyn bank in a 14-hour hostage ordeal, allegedly robbing the bank to help pay for his transgender partner’s gender-affirming surgery. —Angela Andaloro, PEOPLE, 4 Oct. 2025

Word History

First Known Use

2011, in the meaning defined above

Rhymes for gender-affirming surgery

• cryosurgery
• microsurgery
• neurosurgery
• psychosurgery
• perjury
• radiosurgery

Medical Definition

gender-affirming surgery

noun

variants or gender affirmation surgery

plural gender-affirming surgeries or gender affirmation surgeries

: any of several surgical procedures that a transgender or nonbinary person may choose to undergo in order to obtain physical characteristics that align with their gender identity : gender confirmation surgery

In addition to … hormone therapy, gender-affirming surgery … aims to surgically align physical characteristics with one's identity. These surgical interventions target sex-specific physical characteristics such as genitals (e.g., vaginoplasty), chest (e.g., mastectomy), face, gonads, voice, and Adam's apple.

—Tim C. van de Grif et al., Journal of Sex & Marital Therapy

Gender affirmation surgeries … include a variety of surgical procedures intended to support transgender individuals experiencing gender dysphoria, which can help align their physical sexual characteristics to their desired gender expression.

—Omar Hassan et al., New Imaging Techniques

• — abbreviation GAS