More than half of the women undergoing gender confirmation surgical procedures in the United States have undergone the procedure in the past six years, according to a report released by the American Academy of Family Physicians.
The report, based on the results of a survey of more than 3,000 women undergoing the procedure, found that only 2.7% of the respondents had undergone gender confirmation in the previous year.
This finding is similar to the findings of a study conducted by the same group in 2010, which found that 19% of women undergoing surgery in the U.S. had had the procedure before the age of 18.
In the United Kingdom, a total of 23% of respondents had had gender confirmation procedures in 2014, up from 14% in 2014.
In France, more than 20% of female patients underwent gender confirmation between the ages of 18 and 24, up significantly from 11% in 2012.
The percentage of French women having had gender confirmations in the last five years is the highest since a similar study in the late 1990s.
In Germany, where the procedure is not allowed, a similar percentage of women have had gender confirming surgeries in the five years since 2013.
The majority of women (61%) who underwent gender confirming procedures in Europe in 2014 have undergone gender reassignment surgery, with women in other European countries including the United Arab Emirates, Poland, and Italy having had surgery.
But the procedure can have side effects, including emotional problems and mental health problems.
It is important to note that the majority of respondents in both the U and UK said they had no concerns about their physical appearance after having surgery, and that they felt no regret about having surgery.
For women who have had the surgery, a significant proportion of the men who have been treated for depression or anxiety reported that the procedure had improved their lives, according the survey.
The American Academy for Family Physicians, a nonprofit organization dedicated to reducing the stigma surrounding gender reassignments, reported that more than half (55%) of the 2,200 respondents said they were satisfied with the outcome.
The majority of men (63%) were satisfied, with only 14% reporting no difference.
Women in the study also said that the benefits of gender confirmation have been felt by men and that it had been beneficial for their health.
Women were less likely to report feeling uncomfortable with the procedure than men.