Page 33 - Read Online

Page 121 Koss et al. Art Int Surg. 2025;5:116-25 https://dx.doi.org/10.20517/ais.2024.91

Table 2. Mean interest in GAS by gender identity on a 10-point Likert scale
Characteristic Interest in GAS (0-10)
Gender identity
Agender 4.2
Cisgender man 3.7
Cisgender woman 3.3
Gender fluid 4.5
Gender queer 6.0
Non-binary 4.4
Transgender man 8.4
Transgender woman 7.6
GAS: Gender-affirming surgery.

Figure 1. Primary source of information for GAS. GAS: Gender-affirming surgery.

ChatGPT as a leading information source. Participants specifically commented on the efficiency and
straightforward nature of ChatGPT compared to other sources. Future studies should seek to evaluate
platforms that offer a variety of perspectives beyond efficiency alone - such as those that include high-
fidelity images, opportunities for human interaction, or a sense of community - elements that are currently
missing from ChatGPT’s functionality [6,12] .

Prior studies have emphasized the importance of personal experience and relatability in health decision
making, particularly for marginalized groups such as transgender and gender-diverse individuals [13,14] . Social
media platforms and online forums have become essential spaces for peer support and sharing firsthand
experiences, offering a level of emotional validation and specificity that LLMs like ChatGPT are unable to
replicate [15-17] . Although ChatGPT can deliver broad, data-driven responses, its utility in addressing the
personal, psychological, and emotional aspects of GAS decision making appears limited [4,18] . This may