Name: 你想成為一名性別問題專家嗎[第35集］ (So You Want to Be a GENDER SURGEON [Ep. 35])
Uploaded: 2022-07-13T17:40:50.000Z
Duration: 16 min 38 s

所以你想成為一名性別外科醫生。

You love the idea of creating new body parts and want to be one of the first surgeons to

你喜歡創造新的身體部位的想法，並想成為第一批外科醫生之一。

Let’s debunk the public perception myths of what it means to be a gender surgeon and

讓我們揭穿公眾對性別外科醫生意味著什麼的神話，並且

Welcome to our next installment in So You Want to Be.

歡迎來到《你想成為什麼樣的人》的下一篇文章。

In this series, we highlight a specific specialty within medicine, such as gender surgery, and

在這個系列中，我們強調醫學中的一個特定專業，如性別手術，以及

help you decide if it’s a good fit for you.

You can find other specialties on our So You Want to Be playlist.

你可以在我們的 "你想成為 "播放列表中找到其他專業。

If you have a specific specialty you want covered, make sure you’re subscribed to

如果你有想要報道的特定專業，請確保你訂閱的是

Also, consider becoming a YouTube channel member to receive additional perks and priority

此外，考慮成為YouTube頻道會員，以獲得額外的福利和優先權

Click the JOIN button underneath this video for more information.

點擊本視頻下方的加入按鈕，瞭解更多資訊。

If you’d like to see what being a gender surgeon looks like, be sure to check out my

如果你想看看作為一名性別外科醫生是什麼樣子的，請務必查看我的

Day in the Life of a Gender Surgeon video with Dr. John Brosious on my second channel,

在我的第二個頻道上，與約翰-布羅休斯博士一起觀看《性別外科醫生的一天》視頻。

Kevin Jubbal, M.D., and subscribe for more Day in the Life videos covering other specialties

Kevin Jubbal, M.D.，並訂閱更多涵蓋其他專業的《生活中的一天》視頻。

Gender surgery is the field of medicine concerned with alleviating gender dysphoria through

性別手術是指通過以下方式緩解性別障礙的醫學領域

Gender dysphoria is defined as the unhappiness that patients in the gender expansive community

性別恐懼症被定義為性別暴露群體中的患者的不快樂

feel due to the incongruence between their gender identity and their physical characteristics.

由於他們的性別認同和他們的身體特徵之間的不協調而感到。

We often think of gender surgery as synonymous with genital surgery; however, the scope of

我們經常認為性別手術是生殖器手術的同義詞；然而，性別手術的範圍是

一個性別外科醫生的範圍要廣得多。

Any surgical procedure that is done to help alleviate gender dysphoria can be considered

任何為幫助緩解性別障礙而進行的外科手術都可以被認為是

This includes masculinization and feminization of the face and chest, tracheal shaves, voice

這包括面部和胸部的男性化和女性化，氣管剃鬚，聲音

modification, body contouring, and even limb lengthening and shortening procedures.

修改，身體塑形，甚至是肢體延長和縮短的手術。

Gender surgeons work with the full spectrum of gender patients including transgender,

性別外科醫生為包括變性人在內的所有性別病人提供服務。

Transgender patients are individuals whose gender identity differs from their assigned

變性患者是指其性別認同與所指定的性別不同的人。

Within the gender surgery community, the appropriate terminology is either “assigned male”

在性別手術界，適當的術語是 "指定男性"

We use this terminology as opposed to “biologically male” or “biologically female” as the

我們使用這一術語，而不是 "生物學上的男性 "或 "生物學上的女性"，因為

latter terms do not take into account the mental and psychological aspects of biology.

後面的術語沒有考慮到生物學的精神和心理方面。

Non-binary individuals do not identify as solely male or solely female but rather view

非二元個體並不只認定為男性或女性，而是認為

他們本身就具有這兩方面的特徵。

There are also gender-fluid individuals whose gender identity varies depending on the social

還有一些性別流動的人，他們的性別認同因社會的不同而不同。

For example, these individuals may identify as one gender while at work and another while

例如，這些人在工作時可能被認定為一種性別，而在工作時則是另一種性別。

This isn’t to be confused with cross-dressing which is typically done for sexual satisfaction

這不能與通常為滿足性慾而進行的變裝混為一談。

as opposed to being an integral part of that person’s identity.

而不是作為該人身份的一個組成部分。

Lastly, there are intersex individuals who are born with some variation of both male

最後，還有一些雙性人，他們生來就具有男性和女性的某種差異。

Because gender surgeons work with a wide variety of gender patients, each with their own unique

因為性別外科醫生面對的是各種各樣的性別病人，每個人都有自己獨特的特點。

goals and needs, the treatment plan often varies significantly from patient to patient.

目標和需要，治療計劃往往因病人不同而有很大差異。

When it comes to gender surgery, there is no one-size-fits-all solution.

談到性別手術，沒有一個放之四海而皆準的解決方案。

This brings me to an important method of differentiating a gender surgeon’s practice: top surgery

這使我想到了區分性別外科醫生業務的一個重要方法：頂級手術

vs bottom surgery vs other masculinization and feminization surgeries.

VS 底部手術 VS 其他男性化和女性化的手術。

The majority of gender surgeons focus primarily on top surgeries.

大多數性別外科醫生主要關注的是頂部手術。

This includes a variety of chest masculinization and feminization procedures including mastectomies

這包括各種胸部男性化和女性化的手術，包括乳房切除術。

for trans-men and breast augmentations for trans-women.

變性男人的 "變性 "和變性女人的 "隆胸"。

This is the most common type of gender surgery as these procedures are very similar to routine

這是最常見的性別手術類型，因為這些手術與常規手術非常相似。

breast augmentation, reduction, and mastectomy procedures.

They are also less functional compared to genital surgeries so there is often less risk

與生殖器手術相比，它們的功能也較少，所以風險通常較小。

The combination of these two factors means that more surgeons are comfortable performing

這兩個因素的結合意味著，更多的外科醫生可以自如地執行

Gender surgeons who perform bottom surgery, which includes vaginoplasty, phalloplasty,

進行底部手術的性別外科醫生，其中包括陰道整形術、陰莖整形術。

and metoidioplasty, are much less common.

The reason being is that the surgical creation of a vagina or penis is still quite new and

原因是，通過外科手術創造陰道或陰莖仍然是相當新的，而且是非常重要的。

these procedures are constantly evolving.

It has only been within the last few years that training to perform these procedures

只是在過去的幾年裡，執行這些程序的培訓才開始。

In the past, physicians interested in performing genital surgery had to do much of the research

在過去，有興趣進行生殖器手術的醫生必須進行大量研究

on their own and seek out mentors who were willing to train them.

自己，並尋找願意培訓他們的導師。

That being said, bottom surgery does not always involve the creation of a new sex organ.

也就是說，底部手術並不總是涉及創造一個新的性器官。

Sometimes the role of the gender surgeon is to simply remove the incongruent sex organ

有時，性別外科醫生的作用是簡單地切除不協調的性器官。

to combat hormone production or to allow the patient to live more in accordance with their

以對抗荷爾蒙的分泌，或讓病人更符合他們的生活方式。

For example, a trans-female that has an orchiectomy to remove one or both of the testicles may

例如，進行睪丸切除術以切除一個或兩個睪丸的變性女性可能會

be able to significantly reduce the amount of testosterone-blocking medications that

能夠顯著減少睪丸激素阻斷藥物的用量。

she has to take – thereby reducing the risks and side effects of the medications.

她必須採取的措施 - 從而減少藥物的風險和副作用。

In addition, a trans-male may find having menstrual periods as a male to be very traumatic

此外，變性人可能會發現以男性身份來月經是一件非常痛苦的事情。

In this scenario, having a hysterectomy to remove the uterus may allow him to live more

在這種情況下，進行子宮切除術以切除子宮，可能會讓他活得更多

Lastly, there are other gender surgeons that don’t perform top or bottom surgeries, but

最後，還有一些性別外科醫生不做頂部或底部手術，但

rather other procedures that help alleviate gender dysphoria.

而是其他有助於緩解性別障礙的程序。

This includes plastic surgeons that perform facial masculinization or feminization, body

這包括進行面部男性化或女性化的整形外科醫生、身體

contouring, or fat grafting procedures; ENT surgeons performing tracheal shave or voice

塑形或脂肪移植手術；耳鼻喉科醫生進行氣管剃鬚或嗓音治療。

modification procedures; and even orthopedic surgeons performing limb-lengthening or shortening

修改程序；甚至骨科醫生也在進行肢體延長或縮短的手術。

Let’s clear up some of the misconceptions about gender surgery.

讓我們澄清一些關於性別手術的誤解。

But rather than telling you myself, I’m going to hand it over to my friend, Dr. John

但我不打算親自告訴你，而是要把它交給我的朋友約翰博士。

He’s the only practicing gender surgeon in the state of Nevada that performs genital

他是內華達州唯一的性別問題外科醫生，在內華達州進行生殖器手術。

surgery and just recently opened Nevada’s first gender surgery practice, Vegas Plastic

他最近剛剛開設了內華達州的第一個性別手術診所--拉斯維加斯整形外科。

Without further ado, here is Dr. Brosious.

閒話少說，這裡是布羅休斯博士。

To start, many people believe that you have to be a part of the LGBTQ+ community, or have

首先，許多人認為，你必須是LGBTQ+社區的一部分，或有

a family member that is, in order to do gender surgery.

一個家庭成員是，為了做性別手術。

As a heterosexual, cisgender, white male, who grew up in a religious household, I can

作為一個在宗教家庭中長大的異性戀、雙性戀、白人男性，我可以

If you are a kind, empathetic, and down-to-Earth individual that truly wants to help gender

如果你是一個善良的、有同情心的、腳踏實地的人，真正想要幫助性別

patients, there will always be a place for you within the gender surgery community.

患者，在性別手術社區中，總會有你的一席之地。

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你想成為一名性別問題專家嗎[第35集］ (So You Want to Be a GENDER SURGEON [Ep. 35])

constantly

entire

incredibly

mental