Total Joint Arthroplasties in Transgender Patients

Unique Considerations for an Emerging Patient Population

Katharine D. Harper, MD; Eric Maiorino, MD


J Am Acad Orthop Surg. 2022;30(13):607-612. 

In This Article


As gender reassignment becomes more commonplace and these patients' age into joint arthroplasties, orthopaedic surgeons will commonly treat this patient group. No treatment guidelines exist on how to address this unique patient population when considering them for elective orthopaedic procedures. This study attempts to mitigate that by providing an overview of the transgender literature in how it may pertain to orthopaedic procedures (Table 1, An emphasis should be placed on being comfortable with transgender patients to ensure equal access to health care while providing understanding and accuracy in describing the risks of surgery that are unique to this patient population.