Smoking introduces specific risks for transgender women, particularly those undergoing gender-affirming medical treatments:
: For those pursuing gender-affirming surgeries, smoking is associated with poorer surgical outcomes and slower healing. smoking mature shemale
: Transgender women on estrogen-based hormone replacement therapy (HRT) face a substantially increased risk of cardiovascular issues, including heart disease, stroke, and life-threatening blood clots (thromboembolic events) when they smoke. including heart disease