The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, states criteria for a diagnosis of gender dysphoria. We will review these criteria and the World Professional Association for Transgender Health Standards of Care. The 5th Circuit and 9th Circuit Courts of Appeals have issued conflicting findings about gender confirmation surgery, increasing the likelihood that the Supreme Court will address the question. We will review these and other legal cases.

Educational Objectives

• Review the DSM-5 diagnostic criteria for gender dysphoria and for disorders that require consideration as alternative explanations for the patient's presentation
• Review the World Professional Association for Transgender Health Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People
• Examine the current state of litigation over gender confirmation surgery throughout the United States

Level Intermediate