Anesthesia Management of the Transgender Patient with HIV: Case Report

Introduction: Transgender individuals are people whose gender identities differ from the gender they were assigned at birth. This case report aims to present the anesthesia management of HIV-positive transgender patient admitted to the plastic surgery clinic for mammoplasty and rhinoplasty operation. Case Report: In the preoperative evaluation of the 23-year-old transsexual patient, who was planned to have mammoplasty and rhinoplasty with plastic surgery, it was learned that the transsexual patient had previously undergone abdominal surgery after trauma. The patient, who did not have additional pathology in their examinations and whose relevant consultations were completed, was admitted to the operating room. Following standard anesthesia monitoring, oropharyngeal intubation was performed successfully after 5 mg midazolam, 100 mcg fentanyl, 200 mg propofol, and 50 mg rocuronium were performed in anesthesia induction. Sevoflurane and nitrogen protoxide/oxygen were used to maintain anesthesia. The patient with adequate breathing was extubated and then to the plastic surgery service without any problems after approximately 150 minutes of surgery. Conclusion: Transgender individuals may have difficulties in anesthesia management due to their clinical characteristics. Anatomical, pharmacological, and psychological aspects should be carefully examined in terms of anesthesia before the surgical procedure. In addition, a multidisciplinary approach will benefit both anesthesia management and postoperative care.