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The US Sex Reassignment Surgery Market size is estimated to grow by USD 137 million at a CAGR of 10.87% between 2023 and 2028. The market is experiencing significant growth due to several key drivers. In the United States alone, the number of people undergoing sex reassignment surgeries has been on the rise, reflecting a greater societal acceptance of transgender individuals. Furthermore, increasing awareness among the transgender population about the availability and benefits of sex reassignment surgeries is fueling market growth. Genital surgeries, which can include a range of procedures such as gender-confirming surgeries or reconstructive surgeries, are performed to address medical, cosmetic, or gender identity needs, and often involve careful planning and advanced techniques to ensure optimal outcomes and patient satisfaction. Many prominent players provide different kinds of surgery options such as breast augmentation, facial feminization, and genital reconstruction. However, it is essential to acknowledge the potential side effects of these procedures, which can include complications such as infection, scarring, and the need for subsequent surgeries. Despite these challenges, the market is expected to continue expanding, driven by advancements in surgical techniques and the increasing demand for gender affirmation procedures.
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Mount Sinai Hospital conducted a cohort study on the transmasculine population to analyze temporal trends and diagnose codes related to gender dysphoria. The study, based on both inpatient and outpatient procedures, utilized Tenth Revision (ICD-10) and Common Procedural Terminology codes to assess hospital characteristics and clinical variables. Findings revealed a significant reduction in gender dysphoria post-surgical interventions like chest surgery and genital reconstruction. The research emphasizes equitable gender-affirming care in ambulatory settings and the importance of comprehensive transgender healthcare services. Societal stigma remains a public health challenge, countered by progressive legislation and technological innovations in gender transition procedures.
The SRS market is witnessing significant growth, driven by increasing awareness and acceptance of gender dysphoria and transgender individuals. Surgeons specializing in gender affirmation surgeries perform procedures like Breast and chest surgery and Genital reconstructive procedures to help transgender individuals align their physical characteristics with their self-identified gender. This market caters to a diverse population, including transgender females and transgender males, providing comprehensive pre-operative and post-operative care alongside mental health support. As gender dysphoria transition becomes more openly discussed, demand for Gender-affirming surgery (GAS), Hormone therapy, and Facial feminization surgery continues to rise, reflecting a growing need for inclusive transgender healthcare services.
The market share growth by the male-to-female segment will be significant during the forecast period. The male-to-female surgery refers to the reshaping of the male genitals into a form that has the appearance of, and to some extent, the function of female genitalia. In order to appear more feminine, patients are subjected to female hormone therapy before surgery.
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The male-to-female segment was valued at USD 92.60 million in 2018. Some of the associated surgeries that patients may opt to undergo other than basic surgery include vaginoplasty, facial hair removal, breast augmentation, facial feminization surgery, and various other procedures. One of the main processes involved in male-to-female surgery is orchiectomy which is the removal of testicles. Hence, sex change surgery is a risky process as it is irreversible. Therefore, anyone who wishes to undergo a sex change operation from male to female should carefully consider the decision. Hence, such factors are expected to drive the growth of this segment which, in turn, will drive the market growth in the US during the forecast period.
One of the major end-user of the market in the US is the hospitals owing to the rising demand for procedures. Additionally, as transgender rights have become more accepted and recognized in hospitals over the years, hospitals have increased their care to this group. Some of the prominent medical facilities that offer comprehensive care for gender affirmation include the Cleveland Clinic's Transgender Surgery and Medicine Programme and the Mount Sinai Centre for Transgender Medicine and Surgery in New York. These prominent players provide different kinds of surgery options such as breast augmentation, facial feminization, and genital reconstruction. Hence, such factors are expected to drive the growth of this segment which in turn will drive the market growth in the US during the forecast period.
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Companies are implementing various strategies, such as strategic alliances, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the market. The market trends and analysis report also includes detailed analyses of the competitive landscape of the market and information about 20 market companies, including:
Moein Surgical Arts: The company offers surgery such as male-to-female gender reassignment surgery.
Qualitative and quantitative analysis of vendors has been conducted to help clients understand the wider business environment as well as the strengths and weaknesses of key market players. Data is qualitatively analyzed to categorize vendors as pure play, category-focused, industry-focused, and diversified; it is quantitatively analyzed to categorize vendors as dominant, leading, strong, tentative, and weak.
The market caters to the needs of transgender males and females, individuals experiencing gender dysphoria seeking gender dysphoria transition. This population, including the young transgender population, identifies with a self-recognized gender identity different from their assigned sex at birth. Gender-affirming surgery (GAS), also known as gender-confirming surgeries, plays a crucial role in this transition. These surgeries include genital reconstructive procedures like phalloplasty and vaginoplasty, as well as chest surgery (mastectomy) and facial feminization surgery. Healthcare encompasses a broad spectrum of services and practices aimed at maintaining and improving individuals' physical, mental, and emotional well-being Clinicians perform these procedures to help transgender individuals align their physical appearance with their gender identity. A cohort study using the National Inpatient Sample reveals temporal trends in SRS, with an increase in the number of patients undergoing these procedures. Hormone therapy and mental health support are also essential components of the transition process. Clinicians are increasingly recognizing signs of gender dysphoria in the young transgender population, as highlighted by data from the National Inpatient Sample, which underscores the growing need for gender-confirming surgeries, including chest surgery (mastectomy), to address their specific medical and emotional needs. Our researchers analyzed the data with 2023 as the base year, along with the key drivers, trends, and challenges.
The increase in the number of people opting for sex change surgeries in the US is a major factor driving the market growth. As per certain reports, it is estimated that the number of procedures conducted in the US each year is between 100 and 500. As per the 2020 Plastic Surgery Statistics provided by the ASPS, trans females had 6,368 gender confirmation surgeries performed in the US compared with 5,616 in 2019.
Additionally, it was mentioned that 1,231 genital surgeries, 4,035 breast or chest surgeries, and 1,102 facial surgeries were carried out in 2020. Hence, such factors are expected to increase the number of surgeries across the US which in turn is expected to drive the market growth during the forecast period.
The rising awareness among the transgender population about surgeries is a major trend in the market. There has been a significant rise in the demand for surgeries. Some of the key factors include increased visibility, improved societal understanding, and acceptance of the transgender population due to the advent of social media.
As a result, transgender has the freedom to opt for sex reassignment through fertility consultation to explore their options, which may involve fertility preservation, such as sperm or oocyte cryopreservation. In addition, counseling services are also offered in the market for patients to explore their gender identity, address the negative impact of gender dysphoria in their lives, and promote resilience. Hence, the growing awareness among the transgender population about surgeries is expected to drive market growth and trends during the forecast period.
Side effects of surgeries are a major challenge restraining the market growth. Some of the key options for surgeries include facial, top, or bottom procedures. For instance, in male-to-female bottom surgery, the newly created vagina might not have the necessary depth; thus, there is a chance of frequent adverse effects, including the closure of the vaginal opening, the body rejecting the skin grafts, and difficulty in urinating.
Some of the key complications can include bleeding, infection, and anesthetic side effects hence, these kinds of operations can result in major consequences impairing the quality of the patient's life. Thus such factors are expected to hinder the growth of the market during the forecast period.
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The market forecasting market report includes the adoption lifecycle of the market, covering from the innovator’s stage to the laggard’s stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the market research and growth report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their growth strategies.
Customer Landscape
The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in "USD million" for the period 2024 to 2028, as well as historical data from 2018 to 2022 for the following segments.
A Comprehensive Overview of Gender Affirmation Surgeries for Transgender Males and Females Sex reassignment surgery, also known as gender affirmation surgeries, is a medical procedure that helps individuals with gender dysphoria transition to their self-identified gender. This market caters to the needs of transgender males, females, and the young transgender population. Gender dysphoria is a condition where there is significant distress between one's experienced or expressed gender and their biological sex. The market for sex reassignment surgeries includes various procedures like hysterectomy, salpingo-oophorectomy, Sex Reassignment Surgery (SRS), orchiectomy, ovariectomy, and vaginoplasty for transgender females, and orchiectomy, metoidioplasty, phalloplasty, chest masculinization surgery, scrotoplasty, and hysterectomy for transgender males. Other procedures include voice feminization surgery, reduction thyrochondroplasty, and facial feminization surgery.
Furthermore, the market for gender affirmation surgeries is continuously innovating to meet the unique needs of the transgender population. The MTF segment includes breast augmentation, mastectomy, and breast implants, while the FTM segment includes chest masculinization surgery and metoidioplasty. The mastectomy segment is also a significant part of the market. The Affordable Care Act (Obamacare) and the Medicaid program have made gender-affirming care more accessible to transgender beneficiaries. However, there are still challenges in ensuring equal access to these procedures due to transgender issues and limited insurance coverage by providers. In conclusion, the sex reassignment surgery market is an essential part of providing comprehensive healthcare services to the transgender population. Continuous innovations in surgical procedures and policies that support gender affirmation surgeries will help address the unique needs of transgender individuals and promote their overall well-being.
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Market Scope |
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Report Coverage |
Details |
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Page number |
112 |
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Base year |
2023 |
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Historic period |
2018 - 2022 |
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Forecast period |
2024-2028 |
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Growth momentum & CAGR |
Accelerate at a CAGR of 10.87% |
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Market growth 2024-2028 |
USD 137 million |
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Market structure |
Fragmented |
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YoY growth 2023-2024(%) |
9.51 |
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Competitive landscape |
Leading Companies, Market Positioning of Companies, Competitive Strategies, and Industry Risks |
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Key companies profiled |
Boston Childrens Hospital, Boston Medical Center, Cedars Sinai Health System, CNY Cosmetic and Reconstructive Surgery, Cornell University, Denver Health, Harvard University, Icahn School of Medicine at Mount Sinai, Mass General Brigham Inc., Moein Surgical Arts, NorthWestern University, Oregon Health and Science University, Plastic Surgery Group of Rochester, Regents of the University of Michigan, Stanford University, The Cleveland Clinic Foundation, The Johns Hopkins Health System Corp., The Regents of the University of California, The University of Utah, and Transgender Surgery Institute |
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Market dynamics |
Parent market analysis, Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, Market growth and Market Forecasting, COVID 19 impact and recovery analysis and future consumer dynamics, Market condition analysis for Market forecast period |
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Customization purview |
If our report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
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1 Executive Summary
2 Market Landscape
3 Market Sizing
4 Historic Market Size
5 Five Forces Analysis
6 Market Segmentation by Type
7 Market Segmentation by End-user
8 Customer Landscape
9 Drivers, Challenges, and Opportunity/Restraints
10 Competitive Landscape
11 Competitive Analysis
12 Appendix
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