BackTable / Urology / Podcast / Episode #284
Integrating Gender Affirming Care Into Urology
with Dr. Eric Walton
Gender affirming surgery is becoming a more visible part of urologic practice, raising practical questions about surgical training, case volume, and multidisciplinary support. In this episode of BackTable Urology, Dr. Eric Walton of The Ohio State University joins Dr. George Koch to examine how gender affirming surgery is being integrated into contemporary urology. Dr. Walton discusses his path into reconstructive urology, structural barriers that limit patient access, and why expanding surgical training pathways is central to closing gaps in care.
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BackTable, LLC (Producer). (2026, January 13). Ep. 284 – Integrating Gender Affirming Care Into Urology [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
The conversation explores fellowship models, academic versus private practice settings, and the role of multidisciplinary teams in supporting surgical programs. Practical considerations around patient screening, care coordination, and insurance are addressed, reframing gender affirming surgery as a core component of modern urologic care rather than a subspecialty outlier.
Timestamps
00:00 - Introduction
00:52 - Journey to Gender Affirming Surgery
03:29 - Specialized Training in Gender Surgery
09:34 - Building a Gender Surgery Program
27:54 - Providing Competent and Affirming Care
32:54 - Future of Gender Affirming Surgery in Urology
39:58 - Final Thoughts and Advice
Resources
World Professional Association for Transgender Health (WPATH) Standards of Care:
https://wpath.org/publications/soc8/
The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.









