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1
This Swedish survey included 72 adults who currently or formerly identified as transgender and completed a follow-up survey in 2025.
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2
Approximately one-third of participants reported gender-affirming surgery, and 42.3% were currently using gender-affirming hormones.
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3
All participants who had received gender-affirming hormones, surgery, or procedures reported satisfaction with their treatment decisions.
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4
Many participants who had not received specific treatments reported wanting them, including chest surgery among those assigned female at birth and hair removal among those assigned male at birth.
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5
The small sample, substantial attrition, adult-only enrollment, and Swedish health care and legal context limit generalizability.
