I am a content box for offcanvas navigation
I am a content box for offcanvas navigation
I am a content box for offcanvas navigation


Gender Affirming Surgery: Then What?


Iris de Brouwer

Medical Student
Get AccessFull Video

Rate this product!

Content: Most interventions that support individuals seeking gender affirmative treatment focus on preparing the patient for the surgery. However, what are the health care needs after completion of these interventions? Should the provision of care continue beyond the surgical treatment phase? Iris de Brouwer, a medical student, and Tim van de Grift, a psychiatrist from the Netherlands, view aftercare as pivotal to good treatment outcomes. In this talk, they present new findings from the ENIGI Multicenter European Follow-Up Study*. Their research group collected data from 260 individuals who received GAS in 3 large European clinics. Following the format of why, how, what questions, the speakers discuss why aftercare is important, how they studied the needs of transgender people post-surgery, what the most critical findings are, and how these could change clinical practice. The speakers explain the most frequently mentioned aftercare needs and how these are associated with surgery satisfaction and psychological symptoms. From the transgender individuals’ perspectives, the speakers discuss four domains regarding aftercare optimization and the predictive factors of aftercare needs. Our speakers discuss their findings and explain how these call for a different clinical approach to gender-affirming surgery, one that expands beyond the surgery to include aftercare.


* de Brouwer IJ, Elaut E, Becker-Hebly I, Heylens G, Nieder TO, van de Grift TC, Kreukels BPC. Aftercare Needs Following Gender-Affirming Surgeries: Findings From the ENIGI Multicenter European Follow-Up Study. J Sex Med. 2021 Nov;18(11):1921-1932

Produced in 2022

Iris de Brouwer

Medical Student

I am Iris de Brouwer, I am a final year medical student at the University of Amsterdam and I have been doing research at the Center of Expertise on Gender Dysphoria of the Amsterdam University Medical Center.

The project I have been working on focuses on the aftercare needs following gender-affirming surgeries, with findings from the ENIGI multicenter European follow-up study.

Tim van de Grift

Psychiatrist & Sexologist

Dr. Tim van de Grift obtained his medical degree from the University of Amsterdam after which he started as a researcher at the VU University Medical Center’s “Center for Expertise on Gender Dysphoria” in Amsterdam, the Netherlands.

After obtaining his PhD (cum laude) he now works as a psychiatrist and sexologist in training as well as assistant professor. His research focuses on psychosexual outcomes and decision-making around treatments for trans and intersex individuals. He coauthored multiple peer-reviewed articles and book chapters, is in the editorial board of journals in the field of sex research and was recently awarded a 5-year research fellowship grant to study mental health of trans individuals after medical transition.

Related Content

The Clinical Management of Shame (Part 1 & 2)

Male ejaculation and orgasm: What a sexologist needs to know

Relationships, Attachment and Sexual Functioning

"This isn't an affair!?"

Michael Perelman's Fundamental Contribution to Sex Therapy

Couple Facing Infertility

Regenerative Therapies for Erectile Dysfunction

Couple Facing Premature Ejaculation

Gender Affirming Surgery: What a Sexologist Needs to Know

Spreading the message of Ellen Laan: In pursuit of sexual pleasure

Mindfulness for Sex Therapy: Clinical Applications (Part 1 & 2)

Gender Affirming Surgery: Then What?

The talent of flourishing with gender non conformity: A personal interview with Esben Esther Pirelli Benestad (Part 1 & 2)

Combining PDE5i for Erectile Dysfunction

Sexual Behaviors of Asexuals

Lessons about Love and Sex by Wheelchair Users (Part 1 & 2)

Single Man with Performance Anxiety

Sexual Therapy and Borderline Personality Disorder

Facing Premature Ovarian Insufficiency

Young Man with Psychogenic Erectile Dysfunction

Implications of an Affair for Couple Sex Therapy

Stanley Althof's Fundamental Contribution to Sex Therapy

Congenital Penile Curvature: What a Sexologist Needs to Know

Table for More than Two: How to Manage Consensual Non-monogamy in Couple Sex Therapy (Part 1 & 2)

Gain Confidence in Handling patients' Secrets and Lies in Couple Sex Therapy (Part 1 & 2)

Chem Sex: Management Strategies for Sexologists (Part 1 & 2)

Male Sexual Pain: Assessment and Multidisciplinary Approach (Part 1 & 2)

Treating body dysmorphic disorders (Part 1 & 2)

A non pathologizing approach in the assessment of gender incongruence and gender affirming treatment (Part 1 & 2)

Treating Compulsive Sexual Behaviors: Beyond the Addiction Model (Part 1 & 2)

Treating Psychogenic Erectile Dysfunction advanced (Part 1 & 2)

Healing Sexual Trauma: a step by step approach for therapists (Part 1 & 2)

Can they Succeed where we Fail: All about Surrogate Partner Therapy (Part 1 & 2)

Prostate Cancer: Management of Sexual Needs Starting from the Diagnosis (Part 1 & 2)

Making and Expecting a Baby: How to Prepare a Couple for the New Sexual Challenges (Part 1 & 2)

An Integrated Model to Assess and Treat Compulsive Sexual Behavior Disorder (Part 1 & 2)

Understanding Kink/BDSM Practices Amongst Gay/Bi Men (Part 1 & 2)

What helps and hinders the intimacy journey of gay/bi men? (Part 1 & 2)

Management of Psychopharmachology for Sexual Function

News on Surgical Treatments for Sexual Problems

Advances in Male Sexual Dysfunctions

Advances in Female Sexual Dysfunctions

From Literature to Clinical Practice: Which hints should sexologists take from evidence based medicine

What Makes a Treatment Plan Successful in Female Genital Pain

Clinical Management of Sexual Difficulties in Psychiatric Patients