Ethics and health in trans people

Being a trans person (TP) implies social marginalization in healthcare, even though the LGBTQ+ community has achieved a degree of social acceptance. This poses obstacles such as aggression during care, lack of recognition of the name corresponding to their gender identity, lack of name corresponding to their gender identity, lack of skills and experience in providing care by professional in addition to difficulties accessing gender reassignment procedures and negative opinions about transsexuality. It is recommended to improve the quality of care for TP in terms of access and good treatment at all levels of care, based on updating gender rights. In addition, it is necessary to academically consolidate the training of health professionals in caring for minority groups, specifically in the comprehensive management and prescription of gender-affirming therapies as the cornerstone of multidisciplinary management of body reassignment. Thus, TP who use health systems report the need to improve the doctor-patient relationship, as well as training health professionals to recognize the needs of this population through dialogue, listening and negotiation. Thus, a practical guide to the ethical assessment of any intervention on the human body has been proposed. It is based on the principles of defence of physical human life, of totality or therapeutic, of freedom and responsibility, and sociability and subsidiarity, which lead to the overall good of the person in their three-dimensional structure: body, psyche, and spirit, in addition to respect for dignity, In addition, a multidisciplinary team for PT care is proposed, which should include at minimum specialists in mental health, endocrinology, nutrition, social work, genecology, urology, proctology, plastic surgery, laboratory and imaging.