Abstract
Gender-affirming surgery (GAS) represents a significant step for many transgender
individuals, facilitating alignment of physical anatomy with gender identity. With
the growing availability of gender-affirming surgical care, it is essential that we
are prepared to discuss and manage postoperative complications. Multidisciplinary
care is warranted in the setting of both rectal injury as well as the development
of a rectovaginal fistula. By understanding the intricacies of fistula formation and
employing effective repair techniques, healthcare providers can significantly improve
outcomes for patients facing this challenging complication.
Keywords
Gender-affirming surgery - rectovaginal fistula - neovagina - transgender health
