{"product_id":"reflection-activities-worksheet-he1286","title":"Reflection activities worksheet - HE1286","description":"\u003ch3\u003eGender Affirming (genital) Surgery Service\u003c\/h3\u003e\n\u003ch2\u003eReflection Activities Worksheet\u003c\/h2\u003e\n\u003ch4\u003eAcknowledgement:\u003c\/h4\u003e\n\u003cp\u003eThe primary source of information for this support booklet has been derived from the patient information from Trans Care BC and the Gender Confirmation Centre.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eNote:\u003c\/strong\u003e Please remember the information provided here does not replace the information you receive from your surgeon which will be tailored to your individual needs. Recovery time depends on the progress of your recovery and the type of work you do. The estimated duration is given for informational purposes only. We will refer to the Gender Affirming (genital) Surgery Service as “GAgSS” throughout this resource.\u003c\/p\u003e\n\u003ch3\u003eStarting Considerations for Reflections\u003c\/h3\u003e\n\u003cp\u003eDecisions about having surgery are really important and take time. They take a lot of careful thought and consideration.\u003c\/p\u003e\n\u003cp\u003eWe have created this worksheet to help provide some guidance for this process. We suggest you either use this worksheet or copy it into a journal and use it to help create a map of your decision-making path.\u003c\/p\u003e\n\u003cp\u003eWhich procedures do I want to consider? \u003c\/p\u003e\n\u003cp\u003e\u003cbr\u003eWe encourage you to take all the time you need when considering your options and to think about all of the following information. These are big decisions.\u003c\/p\u003e\n\u003cp\u003eBelow is a list of strategies that can help you make a decision you feel more confident about. Choose any strategies you like.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eBe clear about my options:\u003c\/strong\u003e Identify what surgeries are available.\u003c\/p\u003e\n\u003cp\u003eThe GAgSS is able to provide the following surgical techniques:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eFull Depth Vaginoplasty\u003c\/li\u003e\n\u003cli\u003eMinimal Depth Vaginoplasty\u003c\/li\u003e\n\u003cli\u003eMetoidioplasty with or without urethral lengthening\u003c\/li\u003e\n\u003cli\u003ePhalloplasty with or without urethral lengthening\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eUse the Gender Affirming (genital) Surgery Service (GAgSS) website:\u003c\/strong\u003e this website provides surgery and other patient information resources. \u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/health-services-and-programmes\/gender-affirming-healthcare\/the-gender-affirming-genital-surgery-service\"\u003eThe Gender Affirming (genital) Surgery Service – Health New Zealand | Te Whatu Ora\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTalk:\u003c\/strong\u003e with whānau, trusted friends, your counsellors and your GP or gender care doctor, and be clear about whether you want them to be a supportive listener or give advice.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMake a pros and cons list:\u003c\/strong\u003e Consider the advantages and disadvantages of each option. (GAgSS website: patient resources and information- Surgery types provided and FAQs)\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/What-is-Vaginoplasty.pdf\"\u003eWhat-is-Vaginoplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/What-is-minimal-depth-vaginoplasty.pdf\"\u003eWhat-is-minimal-depth-vaginoplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Health-services-and-programmes\/Transgender\/FAQs-Vaginoplasty.pdf\"\u003eFAQs-Vaginoplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/What-is-Phalloplasty.pdf\"\u003eWhat-is-Phalloplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/What-is-Phalloplasty-without-Urethral-Lengthening_2023.pdf\"\u003eWhat-is-Phalloplasty-without-Urethral-Lengthening_2023.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/FAQs-Phalloplasty-Frequently-Asked-Questions_2023_.pdf\"\u003eFAQs-Phalloplasty-Frequently-Asked-Questions_2023_.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/What-is-Metoidioplasty.pdf\"\u003eWhat-is-Metoidioplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/FAQs-Metoidioplasty.pdf\"\u003eFAQs-Metoidioplasty.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003ch4\u003eIdentify what matters most to me:\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eWhat surgical outcomes are most important to me? \u003c\/li\u003e\n\u003cli\u003eThinking about risk, what am I willing to tolerate? \u003cbr\u003e\u003cstrong\u003eNote:\u003c\/strong\u003e This risk may not be the same as the risk a surgeon, anesthetist or the GAgSS is prepared to undertake. \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eWhat do I understand the risks to be? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eWhat other factors will influence my decision? (See Choosing your Caregiver and Support people and FAQs for Caregivers and main support people - GAgSS website) \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eWhat changes am I expecting to have in my life if I were to have surgery? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eWhat do I know won’t change in my life after surgery? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eIn what ways is my decision influenced by how others may see or treat me? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eIs there anything else that might be impacting on decision making that I want to further explore or to have some support around? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eHow can I help myself to cope if my expectations are not met? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eAre there any procedures that I am now thinking I may want to consider eliminating?\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eMy current genitalia feels to me like (select one): \u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eThe most important aspect of who I am as a person\u003c\/li\u003e\n\u003cli\u003eA somewhat important aspect of who I am as a person\u003c\/li\u003e\n\u003cli\u003eOnly a small aspect of who I am as a person\u003c\/li\u003e\n\u003cli\u003eTotally irrelevant to who I am as a person\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eWhat might it be like to go ahead in life without having genital surgery? \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eUse my skills for managing stress:\u003c\/strong\u003e Draw on my positive coping strategies for dealing with uncertainty or unexpected news. (See “Self-care Activities and Tips for Anxiety” in our Caregiver resources on the GAgSS website and see below “What is within my control –my circle of influence”)\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/Choosing-your-Caregiver-and-Main-Support-People-Gender-Affirming-Genital-Surgery-Mar-2023.pdf\"\u003eChoosing-your-Caregiver-and-Main-Support-People-Gender-Affirming-Genital-Surgery-Mar-2023.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Our-health-system\/Preventative-Health\/Transgender\/FAQ-Sheet-for-Caregivers-and-Support-People-Mar-2023.pdf\"\u003eFAQ-Sheet-for-Caregivers-and-Support-People-Mar-2023.pdf\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eGather the facts:\u003c\/strong\u003e Get answers to my questions from the GAgSS website, and my local healthcare providers.\u003c\/p\u003e\n\u003cp\u003eUsing overseas sources such as medical tourism websites and relying on anecdotal stories does not provide clear or accurate Aotearoa\/New Zealand facts that are relevant to those in New Zealand considering a referral for publicly funded surgery or accepted onto the GAgSS waiting list for a First Specialist Assessment. \u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eVisualize each option:\u003c\/strong\u003e Look at pictures of surgical results, focusing on looking at pictures of people who have a similar body type (and ethnicity and age) to yourself when you are trying to envision this. Imagine what my life might be like with each option. Remember that surgeons in the private sector tend to post photos online of only their best work and results. The picture’s you find online may not provide you with accurate or realistic expectations for you or your body type. (Visualizing life after surgery -see reflections below)\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eName my emotions:\u003c\/strong\u003e Check in with myself around my feelings throughout my decision-making process. This helps me take care of my needs. (Naming my feelings -see below)\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTalk to myself like a trusted friend:\u003c\/strong\u003e Use encouraging and kind self-talk. Be patient with myself while I make these big decisions.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eJournal:\u003c\/strong\u003e Writing in a journal can help clarify our thoughts, questions, hopes, and fears.\u003c\/p\u003e\n\u003cp\u003eConsult with healthcare providers: Share my hopes. Find out what surgeries are recommended for my body morphology*, expectations and goals.\u003c\/p\u003e\n\u003cp\u003e*Body morphology means your own individual variation of physical features and traits due to genetics, aging and lifestyle. This also includes the external appearance of your body, including your body’s shape, size and skin texture, and the internal structures including muscles and organs shape.\u003c\/p\u003e\n\u003cp\u003eAre my expectations realistic that take into account my current medical and mental health and my psychosocial situation?\u003c\/p\u003e\n\u003cp\u003eAsk questions. Share concerns. Listen to information and advice based on medical expertise from within Aotearoa\/New Zealand.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMindfulness:\u003c\/strong\u003e Mindfulness\/meditation is a way to feel calm and focused. It can involve quietening the mind by focusing on the breath, body sensations, senses or listening to guided imagery. A calm mind can help us feel grounded when making decisions. (Consider downloading and using a free mindfulness app such as Calm, Insight Timer or Headspace)\u003c\/p\u003e\n\u003ch3\u003eWhat is within my control? What is beyond my control? What is my circle of influence?\u003c\/h3\u003e\n\u003cp\u003eSurgical expectations, outcomes and results are impacted by many factors. Some factors are within our control, or inside of our circle of influence. Other factors are beyond our control, or outside of our circle of influence.\u003c\/p\u003e\n\u003cp\u003eBeing aware of what’s inside and outside of our circle of influence can help us be more mindful about what we focus on and how we use our time and energy. Here’s a list of factors that can impact surgical expectations outcomes and results.\u003c\/p\u003e\n\u003cp\u003eCircle any that might impact your surgical expectations, outcome or results.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eGenetics\u003c\/li\u003e\n\u003cli\u003eCurrent health conditions\u003c\/li\u003e\n\u003cli\u003eCommunicating my hopes or goals for surgery\u003c\/li\u003e\n\u003cli\u003eCurrent shape and size of genitalia\u003c\/li\u003e\n\u003cli\u003eWeight\u003c\/li\u003e\n\u003cli\u003eHaving a medical, mental health, or addiction issue\u003c\/li\u003e\n\u003cli\u003eEngagement with treatment for managing a medical, mental health or addiction issue\u003c\/li\u003e\n\u003cli\u003eWait times for assessments\u003c\/li\u003e\n\u003cli\u003eTime off work or studies to attend assessments and appointments\u003c\/li\u003e\n\u003cli\u003eStarting a new job or important study commitments\u003c\/li\u003e\n\u003cli\u003eChoice of surgeon\u003c\/li\u003e\n\u003cli\u003eExpressing my questions and concerns\u003c\/li\u003e\n\u003cli\u003eReading or writing difficulties\u003c\/li\u003e\n\u003cli\u003eWait times for surgeries\u003c\/li\u003e\n\u003cli\u003eWait times for other medical\/health appointments for progression consideration e.g. diabetes management, hysterectomy, urology.\u003c\/li\u003e\n\u003cli\u003eSleep\u003c\/li\u003e\n\u003cli\u003eReaching out for support\u003c\/li\u003e\n\u003cli\u003eWho my supports will be during this process\u003c\/li\u003e\n\u003cli\u003eWho my post operative caregivers and supports will be at home for 3 months if I have surgery\u003c\/li\u003e\n\u003cli\u003eLocation of the hospital for my surgery\u003c\/li\u003e\n\u003cli\u003eThe amount of money I have for surgery-related expenses\u003c\/li\u003e\n\u003cli\u003eRequesting financial assistance\u003c\/li\u003e\n\u003cli\u003eTaking the recovery time off from work or studies\u003c\/li\u003e\n\u003cli\u003eThe finances I will need to cover my ongoing living costs while I am off work or away from studies\u003c\/li\u003e\n\u003cli\u003eHygiene\u003c\/li\u003e\n\u003cli\u003eNutrition\u003c\/li\u003e\n\u003cli\u003eProcedures a surgeon will perform\u003c\/li\u003e\n\u003cli\u003eRest\u003c\/li\u003e\n\u003cli\u003ePhysical activity\u003c\/li\u003e\n\u003cli\u003eHaving to have hair removal\u003c\/li\u003e\n\u003cli\u003eTime off work or studies to regularly attend hair removal appointments (for about 1 year+)\u003c\/li\u003e\n\u003cli\u003eAdditional hair removal and other costs and expenses that I have to cover myself\u003c\/li\u003e\n\u003cli\u003eFollowing post-op instructions\u003c\/li\u003e\n\u003cli\u003eHaving post-op complications\u003c\/li\u003e\n\u003cli\u003eFollowing medication instructions\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eLook at the factors you’ve circled above. Are they inside or outside your circle of influence? Sort them into the following circles:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli style=\"list-style-type: none;\"\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eMe\u003c\/strong\u003e – things I can directly control through my thoughts, words and actions.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMy circle of influence\u003c\/strong\u003e – things I can’t control but can influence these with what I can control\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBeyond my control or influence \u003c\/strong\u003e- concerns of which I have no control or influence over the outcome\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eWhat personal resources can I draw on - what are my strengths and coping skills? \u003c\/p\u003e\n\u003cp\u003eWhat have I identified as concerns or difficulties for myself? \u003c\/p\u003e\n\u003cp\u003eWhat are my expectations of the time frame? Are they realistic? \u003c\/p\u003e\n\u003ch3\u003eVisualizing life after surgery\u003c\/h3\u003e\n\u003cp\u003eWhen you visualize, you make a picture in your mind of how something might look and feel. Visualizing can help with thinking through decisions about surgeries. Imagine how you might feel for each of the procedures you are considering. Imagine what life might be like.\u003c\/p\u003e\n\u003cp\u003eHere are some scenarios you may want to visualize for each of the procedures you’re considering:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eThe travel required\u003c\/li\u003e\n\u003cli\u003eVisits to the surgical hospital clinic for check-up appointments (post operatively follow up in person appointments continue at regular intervals for 1 year)\u003c\/li\u003e\n\u003cli\u003eRecovering from surgery in the first 3 months\u003c\/li\u003e\n\u003cli\u003eThe appearance of my vagina as it heals\u003c\/li\u003e\n\u003cli\u003eThe size and shape of my penis as it heals\u003c\/li\u003e\n\u003cli\u003eHaving complications related to peeing as I heal\u003c\/li\u003e\n\u003cli\u003eDilating regularly\u003c\/li\u003e\n\u003cli\u003eManaging a catheter during healing\u003c\/li\u003e\n\u003cli\u003eHaving complications related to peeing that don’t resolve on their own (phalloplasty and metoidioplasty)\u003c\/li\u003e\n\u003cli\u003eManaging a long-term catheter due to complications from urethral lengthening (phalloplasty and metoidioplasty)\u003c\/li\u003e\n\u003cli\u003eNumbness in my donor hand or wrist (RFF patients)\u003c\/li\u003e\n\u003cli\u003eHaving visible scars\u003c\/li\u003e\n\u003cli\u003eNumbness or hypersensitivity in my genitals\u003c\/li\u003e\n\u003cli\u003eLoss or change in sensation\u003c\/li\u003e\n\u003cli\u003eDifficulty walking during recovery\u003c\/li\u003e\n\u003cli\u003eHaving less energy during recovery\u003c\/li\u003e\n\u003cli\u003eRecovery taking longer than expected\u003c\/li\u003e\n\u003cli\u003eAsymmetrical genital appearance\u003c\/li\u003e\n\u003cli\u003eFeeling satisfied with appearance and depth of my vagina\u003c\/li\u003e\n\u003cli\u003eFeeling dissatisfied with the appearance and depth of my vagina\u003c\/li\u003e\n\u003cli\u003eFeeling satisfied with the size and shape of my penis\u003c\/li\u003e\n\u003cli\u003eFeeling dissatisfied with the size and shape of my penis\u003c\/li\u003e\n\u003cli\u003eNeeding unexpected revision surgeries\u003c\/li\u003e\n\u003cli\u003eManaging the post-operative blues\u003c\/li\u003e\n\u003cli\u003eHow I’ll feel in my underwear\u003c\/li\u003e\n\u003cli\u003eHow I’ll feel naked\u003c\/li\u003e\n\u003cli\u003eUsing bathrooms and toilets\u003c\/li\u003e\n\u003cli\u003eBeing in open change rooms\u003c\/li\u003e\n\u003cli\u003eBeing physically active (running, riding a bike, playing sports, etc.)\u003c\/li\u003e\n\u003cli\u003eFeeling aroused\u003c\/li\u003e\n\u003cli\u003eMasturbating\u003c\/li\u003e\n\u003cli\u003eBeing sexually active with others\u003c\/li\u003e\n\u003cli\u003eAdjusting a penile implant or external device\u003c\/li\u003e\n\u003cli\u003eWhat else do I think will change in my life after surgery?\u003c\/li\u003e\n\u003cli\u003eWhat else can I think of that will not change in my life after surgery?\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eHow do the options compare?\u003c\/p\u003e\n\u003ch3\u003eReflection activities\u003c\/h3\u003e\n\u003ch4\u003eNaming my feelings.\u003c\/h4\u003e\n\u003cp\u003eMaking decisions around genital surgery can bring up all kinds of emotions. Feelings are information from your heart and your body that can help you decide what to do. Naming emotions can make them feel less overwhelming. Talking to other people about what you’re feeling can also bring relief and help you cope better.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eReflect on the emotions you’re experiencing as you explore genital surgeries. \u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eAnger Anxious Belonging Blame Curious Disgust Disappointed Embarrassment Empathy Excited Fear\/Scared Frustrated Gratitude Grief Guilt Happy Humiliation Hurt Jealous Joy Judgment Lonely Love Overwhelmed Regret Sad Shame Surprised Vulnerable Worried\u003c\/p\u003e\n\u003cp\u003eThis list is based on the List of Core Emotions by Brene Brown (2020) Available from: \u003ca href=\"https:\/\/brenebrown.com\/resources\/\"\u003eResources | Brené Brown\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003ePick a feeling that’s hard for you. Consider the following questions in relation to genital surgery. When I feel ______________________________________________\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eWhere in my body am I physically feeling this? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eWhat do I notice?\u003c\/li\u003e\n\u003cli\u003eWhat’s the first thing I want to do when I feel this way? \u003cbr\u003e\n\u003c\/li\u003e\n\u003cli\u003eHow can I show myself empathy and compassion when I feel this emotion? \u003cbr\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eClosing reflections\u003c\/h3\u003e\n\u003cp\u003eAfter considering everything, do I still want surgery?\u003c\/p\u003e\n\u003cp\u003eWhat procedures do I now want to eliminate?\u003c\/p\u003e\n\u003cp\u003eWhat are my biggest hopes about surgery at this time? \u003c\/p\u003e\n\u003cp\u003eWhat are my biggest concerns about having surgery at this time? \u003c\/p\u003e\n\u003ch4\u003eTiming is also an important consideration for surgery.\u003c\/h4\u003e\n\u003cp\u003eYou may be heading off to school, starting a new job or have other important life events. Commitments like these make it difficult to accommodate the down time (with associated financial costs) to recover from surgery. Picking the right time for surgery is just as important to your recovery as managing and maintaining your physical and mental health and wellbeing.\u003c\/p\u003e\n\u003cp\u003eWhen is the right time, should I decide I want surgery? \u003c\/p\u003e\n\u003cp\u003eLooking over what I have written, Is now the right time? \u003c\/p\u003e\n\u003cp\u003eWhat would it be like if now is not the right time - what changes do I need to make to be ready for surgery? \u003c\/p\u003e\n\u003cp\u003eHow do I see it impacting my wellbeing and daily life if surgery doesn’t happen at this time? \u003c\/p\u003e\n\u003cp\u003eWhat are my coping skills and strengths that starting now I can begin building upon even further, to additionally strengthen my resilience and stress management? \u003c\/p\u003e\n\u003cp\u003eDo I have any other concerns, questions or thoughts? \u003c\/p\u003e\n\u003cp\u003e\u003cbr\u003eWe hope you find this reflection worksheet to be a useful tool. We are constantly working to update and improve our resources to better suit your needs. We welcome any feedback you wish to provide.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eGender Affirming (genital) Surgery Service Team National Specialist Services\u003c\/strong\u003e\u003c\/p\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":48868314710244,"sku":"HE1286","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/HE1286.png?v=1777872337","url":"https:\/\/healthed.govt.nz\/products\/reflection-activities-worksheet-he1286","provider":"HealthEd","version":"1.0","type":"link"}