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Within the international project “Health and citizenship among trans individuals” developed in France, Italy, Brazil and Norway, this Italian study aims at exploring the socio-demographic characteristics and the role that hormonal treatments and Gender Affirming Surgery (GAS) play in gender identifications and transition pathways.

A survey assessing socio-demographic information, feelings about one's own identity and transition paths by means of medical/psychological treatments was carried out with 167 Italian trans individuals (71 female-to-male and 96 male-to-female). Two main indicators (sex assigned at birth and gender self-identification) were used to analyze medical and legal pathways.

A strong heterogeneous diversity of this population, whose definition cannot be restricted to binary categorization and which differently make recourse to hormonal treatment or GAS, emerged. An …