Facial hair treatment in transgender and gender diverse adults: a survey of barriers and satisfaction

This study explores facial hair–related practices, satisfaction, and barriers among transgender and gender diverse adults. A cross-sectional survey of participants (N = 24) recruited from dermatology and gender-affirming care clinics was analyzed. Respondents completed a brief questionnaire assessing the importance of facial hair for gender affirmation, use and perceived effectiveness of growth or removal interventions, satisfaction with current facial hair, and financial or systemic barriers. Most participants (N = 19, 79%) rated facial hair as at least moderately important to gender affirmation, while satisfaction with current facial hair was limited for the majority (N = 19, 79%). The most common growth treatments were topical minoxidil and biotin, while shaving and laser hair removal were the most frequently reported removal methods. Nearly all respondents (N = 23, 96%) reported financial or insurance-related barriers. These findings suggest that facial hair significantly contributes to gender affirmation but remains a source of dissatisfaction and financial strain. Increased awareness and coverage for gender-affirming hair care may improve equity and support in dermatologic practice.