Clarifying Our Stance on BMI and Accessibility in Gender-Affirming Surgery: A Commitment to Inclusive Care and Dialogue – A Reply to Castle & Klein (2024)

International Journal of Transgender Health (forthcoming)
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Abstract

We respond to a Letter to the Editor regarding "Principlism and contemporary ethical considerations for providers of transgender health care." We address criticisms by Castle & Klein (2024) of blatant fatphobia related to the ethical elements concerning BMI restrictions for gender-affirming surgery. Our response corrects several mischaracterizations of the article and clarifies our position. My co-authors and I remain focused on advocating for patient-centered, ethically sound, evidence-based, and equitable healthcare policies.

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Thomas Johnson
City College of New York
Luke Allen
University of Missouri, Kansas City (PhD)

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