Patients who received top surgery in the last 25 years had an overwhelmingly high satisfaction rate, and almost no recipients regretted it, according to a new study.

The study, conducted by JAMA Surgery, assessed the rates of regret and satisfaction after two or more years among patients who underwent gender-affirming mastectomies, more commonly known as top surgery.

The median satisfaction score was five out of five and the median regret score was 0 out of 100. These scores indicate near-perfect satisfaction and almost no regret. None of those surveyed underwent reversal procedures.

However, there were some limitations to the research.

“We were unable to determine procedures performed outside of our institution,” the report states, “which might have led to an underestimation of procedures following mastectomy.”

The research concluded that the outcome was “prospective” and “multicenter work is needed”, though the results were “consistent with previous ad hoc studies and affirm the overwhelmingly low levels of regret following gender-affirming surgery.”

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The current state of trans healthcare is underwhelming.

Trans people in England can wait for up to seven years before an initial assessment, according to BBC.

Additionally, healthcare for trans youth is under threat across the United States.

Utah was the first state this year to prohibit gender-affirming healthcare for young trans people back in January.

US voters across the political spectrum deemed the anti-LGBTQ+ legislation “excessive, political theatre” designed to increase division, according to research conducted by Data for Progress.

The poll found that “72% of Democrats, 65% of Independents, and 55% of Republicans think that there is ‘too much legislation’ aimed at limiting the rights of transgender and gay people in America.”