Background: Incorrect pronoun or name usage, "misgendering," endangers trust with the health care system and providers for gender-diverse individuals. Anecdotal experiences of misgendering in the context of gender-affirming surgery (GAS) have been reported, however, there is little literature on the incidence of misgendering on the day of GAS.

Objective: To describe baseline data on misgendering of gender-diverse patients presenting for GAS at a single institution as a first step toward quality improvement.