Patients undergoing gender confirmation surgery are evaluated much in the same manner as other surgical patients. If patients are undergoing extensive surgeries lasting much longer than six hours or if they have comorbidities they are more inclined to require more aggressive medical care. If liposuction is performed greater than 5 L of infiltration/aspiration, then more aggressive monitoring is required. If patients have any complications during surgery such as hypotension(low blood pressure) or desaturation (low oxygen), then nursing care may be recommended. If patients are overweight with a high body mass index (BMI) that is greater than 33, the patient may be considered a high-risk candidate and asked to spend a night with a registered nurse. Finally, if good social support is not available at the house, then patients will be asked to spend a night at one of our aftercare centers.