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Page 6 of 13 Larshans et al. Plast Aesthet Res. 2025;12:7 https://dx.doi.org/10.20517/2347-9264.2024.154
Figure 1. Responses of patients who underwent gender-affirming surgeries to the “Life as a Whole” (question 1) in the LiSat-11
questionnaire. LiSat-11: Life Satisfaction Questionnaire.
Figure 2. Responses of patients who underwent gender-affirming surgeries to the “I have not enjoyed life” (question 10) in the GCLS.
GCLS: Gender Congruence and Life Satisfaction Scale.
Thoughts about cutting or hurting their chest, genitals, or surrounding areas
Question 8 of the GCLS presents the item “I have thought about cutting or hurting my chest, genitals, and/
or surrounding areas.” As shown in Figure 6, the majority of participants had never thought about cutting
or hurting their chest, genitals, or surrounding areas. A small proportion of the participants reported rarely
having these thoughts, whereas even fewer reported sometimes or often having such thoughts. The data
