Most recent research on gender affirmation/reassignment surgery focuses on discrimination and health disparities faced by the transgender community, and on perspectives and identity constructions of patients transitioning from one gender presentation to another. However, few studies address perspectives and experiences of the surgeons performing these operations. This exploratory study examines narratives of some of these surgeons in order to understand how they entered this particular practice, and how they perceive and classify these procedures. This study also aims to show the affect these procedures have on these surgeons and their discipline, and how these surgeons navigate the complex relationships between patients, healthcare providers, and surgeons, in the context of social values and popular media perspectives in the United States.

Bakgrund: Transpersoner är mer utsatta för kränkningar, trakasserier, våld och hot om våld än resterande befolkning, vilket påverkar transpersoners hälsa negativt. Trots att behov av hjälp finns undviker transpersoner att uppsöka vård, på grund av en rädsla att bli förminskade eller förnekade av vårdpersonal. Transpersoner förlorar förtroendet när vårdpersonal uppvisar kunskapsbrist. Genom att identifiera faktorer som påverkar transpersoners upplevelser av vården, möjliggörs goda förutsättningarför ökad kunskap. Syfte: Att undersöka vilka faktorer som påverkar transpersoners upplevelser av hälso- och sjukvården. Metod: En allmän litteraturstudie med induktiv ansats. Sju vetenskapliga artiklar från tre databaser granskades, och sammanställdes till fyra kategorier. Resultat: Transpersoners upplevelser av hälso- och sjukvården påverkas till stor del av olika faktorer. En könsbekräftande miljö samt ett bra bemötande av vårdpersonalen, medför känslor av trygghet hos transpersoner. En god vårdrelation skapar förtroende hos transpersoner gentemot vårdpersonalen, samtidigt som vårdpersonalens kunskapsbrist utgör ett hinder för adekvat vård. Konklusion: Vårdpersonal bör bemöta alla människor lika med acceptans, omsorg och samhörighet. Sjuksköterskeutbildningen behöver inkludera kunskap kring omvårdnad av transpersoner. Ökad kunskap om faktorer som påverkar transpersoners upplevelser av hälso- och sjukvården, bidrar till att vårdpersonal kan förbättra mötet med transpersoner och ge en jämlik och god vård till alla patienter. / Background: Transgender people are more exposed to violations, haressment,violence and threats than the rest of the population, which negatively affects transgender people´s health. Despite the need for help, transgender people tend to avoid seeking healthcare, due to a fear of being diminished or denied by healthcare professionals. Transgender peoples´ trust disappears when healthcare professionals show a lack of knowledge. By identifying factors that affect transgender peoples’ experiences of care, good conditions are made possible for increased gender awareness. Aim: To investigate which factors influence transgender peoples’ experiences of health care. Method: A general litterature study with an inductive approach. Seven articles from three databases were reviewed and compiled into fourcategories. Results: Transgender peoples’ experiences of healthcare are largely influences by various factors. A gender- affirming environvent, as well as good treatment by healthcare professionals, brings feelings of security to transgeder people. A good care relationship creates trust in trans people towards the healthcare professionals, while at the same time the healthcare professionals’ lack of knowledge constitutes an obstacle to adequate care. Conclusion: Healthcare professionals should treat all people equally with acceptance, care and belonging. Nursing education needs to include knowledge about caring for transgender people. Increased knowledge about factors that affect transgender peoples´experiences of health care, contributes to healthcare professionals being able to improve the meeting with transgender people and provide equal and good care to all patients.