Body Satisfaction Research Articles

State gender variability and body satisfaction among sexual minority men

Prominent theories of gender suggest that gender can be variable, rather than static. For example, a person may experience changes in their masculinity and femininity in daily life, which we refer to as ‘state gender variability.’ Theory and research suggest that the degree to which masculinity and femininity fluctuate may have implications for body satisfaction. In this study, we analysed intensive longitudinal data to gain nuanced insights into how masculinity and femininity vary in everyday life among a sample of majority cis-gender sexual minority men. We first present a comprehensive descriptive analysis of gender variability. Second, we test whether individual differences in gender variability are associated with body satisfaction. Masculinity and femininity were moderately stable, with substantial within-person variability. Masculinity and femininity tended to be more variable than state body satisfaction and negative affect. Further, variability and instability in masculinity were associated with lower body satisfaction. Conversely, variability in femininity was associated with higher scores on body satisfaction. Our study contributes to a growing literature examining the implications of masculinity and femininity for sexual minority men’s body image and opens up new lines of inquiry focused on state gender variability.

Relationship Between Instagram, Body Satisfaction, and Self-Esteem in Early Adulthood.

Background/Objectives: This study aimed to explore the effects of Instagram use on body satisfaction and self-esteem in young adults 20 to 40 years (N = 95). Given the widespread use of social media and its potential influence on body image, we sought to understand how Instagram use may contribute to body dissatisfaction and self-esteem, particularly through quantitative analysis of self-report measures. Methods: A cross-sectional survey design in which the Rosenberg Self-Esteem Scale (RSES), the Body Shape Questionnaire (BSQ), and additional ad hoc questions designed to assess Instagram usage patterns were employed. Results: The results indicated that greater Instagram use is associated with increased body dissatisfaction (p = 0.005), although it did not significantly affect self-esteem (p = 0.211). Gender did not play a significant role in these relationships (p = 0.173). Notably, a significant positive correlation was found between body satisfaction and self-esteem, showing that individuals with higher body satisfaction also reported higher self-esteem (p < 0.001). Further analyses indicated that users exposed to appearance-centered content were more likely to report body dissatisfaction. Conclusions: These findings suggest that Instagram usage, particularly in the context of appearance-focused content, has a considerable impact on body dissatisfaction among young adults but does not appear to influence self-esteem. This highlights the importance of developing interventions focused on promoting healthy social media habits and critical content engagement to mitigate negative impacts on body image. Social media exposure should be a key component in future interventions designed to improve body image and overall psychological well-being.

The Impact of Posting and Viewing Selfies on Social Media on Self-Identity: A Case Study of xiaohongshu

The emergence of new social media platforms has significantly influenced adolescent mental health through their engagement in selfie-related behaviours. This paper uses xiaohongshu as a research platform to explore the impact of users’ selfie-related behaviour on their body satisfaction and self-identity on social media. This study employed a questionnaire-based survey to examine 60 xiaohongshu users, aged 19-59, utilizing the selfie-posting frequency scale, self-viewing scale, verbal commentary on physical appearance Scale, body Image states scale, and body surveillance subscale. The results show that selfie editing and posting, selfie viewing, and positive appearance-related commentary positively affect body satisfaction, while negative appearance-related commentary negatively affect body satisfaction. There is no statistically significant association identified between body satisfaction and self-objectification. Adolescents’ psychological issues are influenced, in part, by their selfie-related activities within social networking environments. However, a mindful and rational engagement with these platforms can foster self-identity and contribute to the positive development of youth mental health.

The Influence of Social Media on Teen Consumer Behavior: Analyzing the Effects of Engagement through Likes, Shares, and Purchases

This study explores the impact of social media on teenagers' purchasing behavior and self-esteem. It reveals that celebrity endorsements and targeted ads significantly influence teens to make impulsive purchases on platforms like Integra and Face book. Additionally, excessive social media use is linked to lower body satisfaction and self-esteem. The research highlights how social media interactions, such as likes and shares, blur the line between social engagement and consumerism. It also raises ethical concerns about targeting minors with marketing strategies, emphasizing the need to promote responsible online behavior and awareness of social media's potential harm to teens.

The impact of social media and family attitudes on the body image and eating patterns of male and female students

Abstract Background Body image has gained increasing importance in recent times due to the fact that it is commonly recognized that having body dissatisfaction is a major indicator of eating disorders. The development of dissatisfaction with the body can often be attributed to perceived societal expectations and pressures to adhere to idealized appearance standards. The purpose of the study is to examine the relationship between social media usage and family attitude influences on eating behavior and body image satisfaction in both male and female students. The design of this study was cross-sectional to collect data from 620 students in different faculties and academic disciplines within King Abdulaziz University. Participants completed a self-reported questionnaire to measure the Eating Attitude Test, social media exposure, Body Shape Questionnaire, family influence scale, and body satisfaction. Results Among the participants, 41.1% of students are at risk of eating disorders, and 25.2% have marked concern with body shape. The correlational analysis identified significant correlations as eating disorder score demonstrated negative correlations with the Family Influences Scale, Body Shape Questionnaire, body satisfaction, and social media (r = 0.455, r = 0.388, r = 0.388, and r = 0.373, respectively) and positive correlations with the with body mass index (r = 0.166). The Family Influences Scale score displayed positive correlations with the body shape questionnaire (r = 0.487), body satisfaction (r = 0.487), and media (r = 0.582) and negative correlations with body mass index (r = 0.289). Conclusion The study highlighted the influential roles of both the media and family in shaping eating habits and body image satisfaction. Also, the results indicated that eating disorders and concerns related to the body are highly prevalent among students. Accordingly, parents and educators should identify the risks of media and eating disorders and encourage them in seeking therapy.

Brazilian version of the Appearance Schemas InventoryRevised (ASI-R)

The present study investigated the psychometric properties of the Brazilian adaptation of the Appearance Schemas Inventory-Revised (ASI-R) with adults. We translated the ASI-R, and determined its psychometric properties among two community samples, totaling 843 participants (402 men and 441 women), aged from 18 to 67 years. Six hundred and six participants were recruited online (SurveyMonkey Database), and the remaining were personally recruited from universities, technical schools, and libraries. Exploratory and confirmatory factor analysis indicated that the 13-items Brazilian ASI-R had the same factor structure as the original ASI-R: Self-evaluative and Motivational investment. Internal consistency ranged from .83 to .89, and test-retest reliability indices ranged from .74 to .77. Concurrent and convergent validity was demonstrated by the significant correlations between the ASI-R subscales and body satisfaction, internalization of beauty ideals, disordered eating, and self-esteem. Availability of a Brazilian Portuguese translation of the ASI-R should help to promote greater understanding of body image investment in the Brazilian context.

Validation of the Chinese Version of the Body Image Flexibility and Inflexibility Scale among Chinese College Students.

Body image flexibility is a specific type of psychological flexibility relevant to body image. The development of the Body Image Flexibility and Inflexibility Scale (BIFIS) expands the concept and structure of body image flexibility and provides more detailed measurement indicators for theoretical research and clinical practice. However, the tool's applicability to the Chinese population is still unclear. This study aims to test the reliability and validity of the BIFIS among Chinese college students. A total of 1446 Chinese college students were surveyed and completed a series of scales, including the Chinese version of the BIFIS (i.e., C-BIFIS). A total of 99 participants were retested one month later. Confirmatory factor analysis supported the second-order factor structure of the BIFIS. The C-BIFIS showed measurement invariance across genders. The scale also exhibited good internal consistency and test-retest reliability. The higher-order body image flexibility and inflexibility factors were significantly correlated with unidimensional body image flexibility, body satisfaction, body appreciation, intuitive eating, and life satisfaction. Incremental validity tests indicated that two higher-order factors remained unique predictors of intuitive eating and life satisfaction. In conclusion, the Chinese version of the BIFIS has good psychometric properties and could be used to study body image flexibility in Chinese college student populations.

The Effect of Lacticaseibacillus paracasei LPC100 and Lactiplantibacillus plantarum LP140 on Bone Mineral Density in Postmenopausal Women: A Multicenter, Randomized, Placebo-Controlled Study

Objectives: modulation of gut microbiota by probiotics has been proposed as a target for intervention to reduce bone mineral density (BMD) loss in the postmenopausal period. This study aims to evaluate the effect of Lacticaseibacillus (L.) paracasei LPC100 and Lactiplantibacillus (L.) plantarum LP140 on BMD in postmenopausal women in a multicenter, randomized, double-blind, placebo-controlled trial. Methods: the primary outcome was the change in T-score of the lumbar spine measured by dual-energy X-ray absorptiometry assessed after twelve-month probiotic supplementation. Secondary outcomes included changes in serological markers of inflammation and calcium–phosphate metabolism, body mass index, gastrointestinal symptoms, and satisfaction with the intervention. Results: a decrease in T-score indicating the progressive bone demineralization reached a statistically significant difference in the placebo group (from mean values of 0.06 ± 1.04 to −0.28 ± 1.12, p = 0.041) but not in the probiotic group (0.19 ± 0.99 and −0.08 ± 1.05, respectively, p = 0.125) with a p-value = 0.089 between the groups. No significant differences were found in secondary outcomes with the exception of vitamin D concentration and a significant reduction in some gastrointestinal symptoms in the probiotic group. A significant decrease in vitamin D level was observed only in the placebo group (p = 0.014). Probiotics were safe and well tolerated. Conclusions: this study suggests that the oral administration of L. paracasei LPC100 and L. plantarum LP140 may be a viable strategy to prevent BMD loss and vitamin D deficiency in postmenopausal women, but further research is necessary to confirm clinical benefits and to know the mechanism of action [ClinicalTrial.gov NCT06375668].

State affect and body image effects of body positive social media content within a female chronic illness sample

Body positivity refers to a movement, popularized on social media, that encourages the normalization and acceptance of bodies diverging from sociocultural ideals, specifically within marginalized communities. Previous studies suggest that briefly viewing body positive social media content may lead to increased body satisfaction and positive affect in young women relative to thin-ideal and appearance-neutral content. Diminished body functionality and appearance change due to chronic illness poses a unique challenge to positive body image in young adults living with chronic illness. Typical body positive social media content may not be useful for this community since chronic illnesses are often not outwardly depicted, so the current study aimed to examine the state effects before and after viewing body positive social media content in a sample of young women (N=201) with at least one self-reported chronic illness. Participants (Mage = 29.4, SD = 6.74; 79.2 % white) were randomly assigned to view one of two sets of 10 images: chronic illness body positive and typical body positive. Participants completed a Visual Analogue Scale (VAS) pre- and post-stimuli exposure. Findings from repeated measures ANOVA revealed significant interaction between time and group for negative affect (F(1198) = 4.402, p =.037) and broad conceptualization of beauty (F(1199) = 4.288, p =.040), such that those exposed to the chronic illness stimuli reported a larger reduction in negative affect and an increase in conceptualization of beauty beyond the non-chronically ill ideal post-exposure. Thus, exposure to body positive social media content inclusive of chronic illness may be more useful in stabilizing affect and promoting greater positive body image within the community. These findings highlight the importance of inclusive body positive portrayals in terms of dimensions beyond weight and shape to account for the effects of diminished body functionality.

Mental health and health-related quality of life in adolescents surgically treated for hypospadias in childhood

BackgroundThere is limited research and conflicting results on the mental health and health-related quality of life of individuals surgically treated for hypospadias in childhood. Furthermore, the significance of patient-reported outcomes (PRO) in hypospadias is growing. More research is necessary on these topics, particularly in adolescents. ObjectiveWe aimed to compare mental health, health-related quality of life, body satisfaction, self-esteem, penile appearance, and sexual function outcomes in 16-year-old adolescents who had surgery for hypospadias in childhood with a healthy comparison group. Study designThe study involved 16-year-old adolescents who had surgery for hypospadias in one Norwegian hospital. An age-matched comparison group of healthy adolescents was previously recruited. The study assessed self-reported outcomes on mental health using the Strengths and Difficulties Questionnaire, health-related quality of life using the Pediatric Quality of Life Inventory, body satisfaction and self-esteem using the Self-Perception Profile for Adolescents, and genital perception and sexual function using the Pediatric Penile Perception Score and a non-validated structured interview. ResultsIn total, 117 adolescents operated for hypospadias and 61 healthy adolescents were included. The outcomes for mental health and health-related quality of life were not statistically different between groups. However, 18 (16%) hypospadias patients were classified as cases/borderline on mental health outcomes, compared to 2 (3%) in the comparison group (p=0.01). Patients classified as cases/borderline on mental health reported lower health-related quality of life, self-esteem, and more stressful life events. Self-reported penile appearance and sexual function were comparable between groups, however the proximal hypospadias group displayed lower satisfaction. DiscussionAlthough the present study had generally positive outcomes, a significant finding was that a higher number of adolescents who had previously undergone hypospadias surgery during childhood were classified as cases or borderline cases with respect to mental health issues. Hypospadias surgery in childhood may pose challenges for some patients during adolescence, particularly in the proximal group. Regular monitoring by healthcare professionals is crucial in providing necessary support. A limitation is the small size of the subgroups. ConclusionMost patients report good mental health, quality of life, and self-esteem even though patients with hypospadias report more mental health issues than the comparison group. Proximal hypospadias were less satisfied with penile appearance and sexual function. However, due to the small sample size, conclusions about this group should be treated cautiously. Assessing self-reported outcomes in follow-ups is important to identify adolescents who had hypospadias surgery and are at risk for reduced mental health.

Effects of Perceptual-motor Exercises Based on Multi-sensory Therapy on Sensory Processing of Older Adults

Objectives Aging is one of the stages of the life cycle that is accompanied by sensory changes and bodily awareness. This study aims to investigate the effectiveness of perceptual-motor exercises based on multi-sensory therapy on body image and sensory processing in elderly individuals with cognitive impairments. Methods &amp; Materials The present study is a clinical trial with a pre-test-post-test design with an experimental and a control group, conducted in a double-blind manner. The samples were selected using the available sampling method and were randomly assigned to the control and experimental groups (15 participants in each group). The interventions were performed individually for each participant in 8 treatment sessions, 2 days a week, for a duration of 1 month. The assessment tools included the multidimensional body-self relations questionnaire (MBSRQ) and the sensory profile questionnaire. Results The results showed that the perceptual-motor exercises based on multi-sensory therapy had a significant difference in all cases of the MBSRQ (except for body satisfaction and preoccupation with excess body) and the sensory profile questionnaire in both groups (P&lt;0.05). Additionally, the analysis of covariance in both questionnaires and in both groups was calculated to be less than 0.05 and significant. Conclusion The findings of this study showed that perceptual-motor exercises based on multi-sensory methods can improve body image and enhance sensory processing skills in elderly individuals with cognitive impairments. Therefore, educating and repeating these exercises can greatly assist therapists and clients in achieving more beneficial results.

Body mass index, body satisfaction, and body image discrepancy among Latinx men: Implications for Latinx-centered cancer and diabetes risk reduction interventions.

Body mass index, body satisfaction, and body image discrepancy among Latinx men: Implications for Latinx-centered cancer and diabetes risk reduction interventions.

Knowledge and perception of medical students regarding remote-access thyroidectomy in Tabuk: the effects of extensive counseling-an interventional study.

Remote-access scarless thyroidectomies are relatively new surgical procedures, and their uptake for cosmetic concerns is rapidly evolving. However, demographic factors, previous thyroid surgery, and culture substantially influence the patient's choice. This is the first study to assess the extensive counseling effect on the patient's preference for remote-access thyroidectomies compared to conventional transcervical approaches. We aimed to assess the same among medical students at the University of Tabuk, Saudi Arabia. This interventional study was conducted from December 2023 to March 2024. A structured questionnaire was used to gather information about demographic factors, knowledge, and perception of the medical students regarding remote-access thyroidectomies before and after a slide presentation. Of 394 medical students (age 22.65 ± 1.62 years), 53.8% were women. Initially, the majority of the students preferred remote-access thyroidectomy over the conventional approach (85.3% vs. 14.7%, respectively); however, a substantial change toward the cervical approach was evident after extensive counseling [odds ratio, 2.59; 95% confidence interval (CI), 1.58-4.27; and P-value <0.00]. Knowledge regarding remote-access thyroidectomy was poor (26.9%). The students were anxious regarding postoperative complications (3.22 ± 1.59/5), thyroid scar appearance (3.28 ± 1.36/5), and postoperative pain (3.17 ± 1.38/5). Concerns regarding body satisfaction and cost were lower. Medical students at the University of Tabuk, Saudi Arabia, demonstrated low knowledge. The strong preference for remote-access thyroidectomy over transcervical thyroidectomy shifted substantially toward the conventional approach after counseling. The main factors were thyroid scar appearance, pain, and complications. Further larger-scale studies involving the general public and assessing the effect of extensive counseling on surgical choice are needed.

Beyond the Filter: Tiktok's Role in Shaping Body Image and Self-esteem in Asian and Asian American Girls and Women

This study examines the relationship between TikTok content consumption and body image concerns among Asian and Asian American females, focusing on the influence of cultural beauty standards. The research explores how exposure to TikTok videos featuring attractive influencers affects body image and self-esteem of participants. Participants included 26 Asian and Asian American women, aged 15-43, who completed surveys incorporating the Body Shape Questionnaire and Rosenberg's Self-Esteem Scale. The data were analyzed using correlation and regression analyses. Results indicated a significant negative relationship between the frequency of TikTok consumption and self-esteem, with increased exposure to influencer content correlating with lower levels of body satisfaction. Qualitative findings also revealed cultural tensions between Western and traditional Asian beauty ideals as key factors in shaping participants' body image concerns. The study results suggest that TikTok may exacerbate body image issues in this demographic, highlighting the need for targeted media literacy programs.

Religiosity in adolescence and body satisfaction and disordered eating in adolescence and young adulthood: cross-sectional and longitudinal findings from project EAT

PurposeThis research identified whether adolescent religiosity was associated with body satisfaction and disordered eating in adolescence and early adulthood and explored gender/sex differences in these associations.MethodsProject EAT (Eating and Activity in Teens and Young Adults) is a longitudinal cohort study following participants from adolescence into young adulthood. For this analysis (N = 1620), religiosity (importance of religion and frequency of religious service participation) during adolescence was examined as a correlate of body satisfaction and disordered eating (binge eating, maladaptive behaviors intended to lose or maintain weight, eating to cope, and dieting) at the same life stage (EAT-II, 2003–2004, Mage = 19.4 years) and during young adulthood (EAT-IV, 2015–2016, Mage = 31.5 years). Analyses used linear and logistic regression models adjusted for demographics and adolescent body mass index.ResultsDuring adolescence, females who placed greater importance on religion had higher body satisfaction, 22% higher odds of binge eating, and 19% greater odds of dieting in the past year, while more frequent attendance of religious services was associated with higher body satisfaction and 37% greater odds of dieting past year. Among males, only frequent attendance of religious services was associated with higher adolescent body satisfaction. Longitudinally, among females, only frequent attendance of religious services in adolescence predicted higher levels of body satisfaction in young adulthood. No significant longitudinal associations were observed among males.ConclusionsOur findings contribute to understanding the complex interplay between religiosity, gender, and body satisfaction. Further research should explore cultural factors influencing these associations and qualitative aspects of religious experiences to inform nuanced interventions.Level of evidence: Level III, cohort study.

Seven points as an estimate of the smallest subjectively experienced decrease in body satisfaction on a one-item Visual Analogue Scale

Visual Analogue Scales (VASs) are very commonly used to measure short-term effects on state body satisfaction, the in-the-moment subjective evaluation of one’s own body. However, VASs lack easily understood metrics for comparing and interpreting the size of different effects, with the result that researchers often conclude that any statistically significant change on these 101-point scales is practically important. In addition to test-retest reliability and construct validity, here we estimate the smallest subjectively experienced difference for a one-item body satisfaction VAS. Seven points of change on the VAS was a useful cut-off for distinguishing participants who subjectively experienced no change (n = 603) versus those who experienced at least a little decrease in body satisfaction (n = 301) between two timepoints. With reference specifically to media influences on body satisfaction, we show how the smallest subjectively experienced difference may be used as an easily interpreted effect size metric when comparing and interpreting the size of different effects, as well as determining who is, and who is not, subject to those effects. We highlight how having this metric available to researchers can aid in the exploration and communication of different short-term influences on state body satisfaction.

Daily Bi-directional effects of women’s social media-based appearance comparisons, body satisfaction, and disordered eating urges

We assessed the bi-directional relationships between upward appearance comparisons on social media with body dissatisfaction (BD) and disordered eating (DE) in women’s daily lives and the potential moderating effect of trait self-objectification on these relationships. Women (N = 315) completed a baseline measure of trait self-objectification, then reported momentary experiences of social media-based appearance comparisons (upward, lateral, downward), body satisfaction, and DE urges (restrict food intake, exercise, overeat) for seven days. We hypothesized that upward (relative to no) comparisons would predict lower body satisfaction and higher DE urges, while lateral and downward (relative to no) comparisons would predict higher body satisfaction and lower DE urges. We expected these relationships to be bi-directional and moderated by trait self-objectification. Multilevel modelling results revealed complex bi-directional relationships. Upward comparisons predicted lower body satisfaction and increased urges to restrict food intake, which in turn predicted increased upward comparisons. Unexpectedly, urges to restrict food intake predicted all comparison types. We observed somewhat unanticipated bi-directional relationships between lateral comparisons and exercise urges, and between downward comparisons and body satisfaction. Uni-directional relationships emerged between upward comparisons and the urge to overeat. Trait self-objectification moderated very few of these relationships. These findings support the non-uniform impact of appearance comparisons on body image and eating concerns and highlight the complexity of daily social media-body image dynamics. Future research using refined measures over extended periods is needed to elucidate these relationships further and inform targeted interventions.

Exploring the Links Between Social Media Addiction, Body Satisfaction, and Subjective Well-Being Among Adolescents

The current study examined Social media addiction, body satisfaction, and subjective well-being among adolescents. For this purpose, the sample for the current study was calculated by the G power formula (F, t, χ2, Z, and exact tests) 300 participants were selected through the convenient sampling technique (139 Boys and 161 Girls), adolescents with the age range of 10-19 from different colleges and universities of Faisalabad. The Co-relational research design was used in the current study. The variables under research were measured using the following scales: The Bergen Social Media Addiction Scale (Andreassen et al., 2016), the Body Shape Questionnaire (Cooper et al., 1987), the Rosenberg Self-Esteem Scale (Rosenberg,1965), the Work &amp; Social Adjustment Scale (Marks et al., 2002), ICP Subjective Well-Being Scale (Diener's, 1984). Using SPSS version 26, descriptive statistics, correlation, and t-tests were used to evaluate the current research hypothesis. Results of the correlation analysis revealed that there is a significant negative relationship between social media addiction and body satisfaction. In contrast, body satisfaction and subjective well-being were significantly positively related, and subjective well-being with body satisfaction showed no ties. The findings will benefit adolescents and management in schools and universities by providing a healthy environment and social skills to reduce social media addiction. Excessive social media use negatively impacts adolescents' body satisfaction and overall well-being. For adolescents, there is a need for educational programs and open communication to promote healthy online habits and to reduce social media's negative effects, with parental support playing a crucial role.

Predictors of body image perceptions among healthcare providers in Terengganu, Malaysia

ObjectivesThe study's aim was to find predictors of body image perception scores among health care providers (HCPs) in Terengganu, Malaysia. MethodsA cross-sectional study among 201 health care providers (HCPs) was conducted from January to March 2023. This study participants were drawn from a pool of HCPs with a BMI of 25 kg/m2 or higher. Body image perceptions were scored using the Malay version of the Body Self-Image Questionnaire-Short Form. Multiple linear regression was used to determine the predictors of body image perception scores. ResultsAge and longer work hours correlate with higher body satisfaction among HCPs, while higher BMI lowers satisfaction. Nurses typically experience more height dissatisfaction. Higher income is associated with better self-ratings in looks, health, and fitness, but higher education correlates with poorer self-ratings. Married HCPs report lower attractiveness, health, fitness, and self-esteem but are more satisfied with their height. ConclusionThis situational analysis identifies predictors, such as sociodemographic factors and occupational aspects, that can aid in customising interventions to address specific body image concerns among HCPs, with the goal of reducing obesity prevalence among them.

Gender-affirming surgeries and patient-reported outcomes in gender binary versus non-binary and genderqueer-identifying individuals

Background Approximately 25%–50% of transgender and gender diverse (TGD) individuals identify as non-binary and/or genderqueer (NBGQ), yet understanding of the role of genital gender-affirming surgeries (GAS) and the overall outcomes of gender-affirming treatment in this group is limited. Aim Comparing the choice of gender-affirming surgical treatments and patient-reported outcomes between binary and NBGQ TGD individuals. Methods We conducted a cross-sectional online survey including 171 participants who completed at least 80% of their medical transition and had undergone GAS (based on self-report). Participants were grouped as binary transgender (n = 151) or NBGQ (n = 20) based on self-reported gender identity. Main outcomes included the propensity for genital GAS in NBGQ individuals compared to binary peers. Patient-reported outcomes, such as gender congruence, body satisfaction, life satisfaction, self-esteem, and mental health, were compared between groups. Analyses were conducted accounting for potential confounding factors including age, sex assigned at birth, and level of social support. Results NBGQ individuals reported a lower likelihood of having received genital GAS compared to binary-identifying participants (55.0% vs. 84.1%; OR = 0.23; p = .002), also after correcting for confounding factors, such as sex assigned at birth (OR = 0.28; p = .03; 95% CI 0.09–0.90). Patient-reported outcomes indicated poorer post-treatment body satisfaction and gender recognition, self-esteem, life satisfaction, and mental health in the NBGQ group (small to large effect sizes). Discussion The study emphasizes the differences in treatment characteristics of NBGQ individuals undergoing gender-affirming surgical care, related to both surgeries received and (poorer) patient-reported outcomes. These findings underscore the importance of individualized and equitable care in TGD healthcare to improve overall health outcomes.