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Item type:Publication, Living a livable body: Trans masculinities, surgery, and resistance in the Global South(Taylor & Francis, 2025-01-01)Background In the Global South, transmasculine individuals often access gender-affirming care within systems marked by structural inequality, limited legal protections, and cisnormative medical frameworks. In Peru, the absence of trans-inclusive public health policies has rendered transmasculine surgeries rare, under-researched, and stigmatized, further marginalizing these experiences in both biomedical and academic discourses.Aim This study aims to explore the lived experience of a Peruvian trans man—among the first to undergo phalloplasty in the country—to examine how gender-affirming surgery can function as an act of self-determination, resistance, and survival under precarious conditions.Methods Using a single-case narrative design, this qualitative study draws from a four-hour in-depth interview and employs a feminist decolonial analytical framework. Thematic analysis was conducted to identify key dimensions of the participant's experience, including healthcare navigation, bodily autonomy, and affective-political meanings of transition.Results Findings show that surgical transition in Peru is shaped by financial precarity, social stigma, and institutional neglect, yet also becomes a terrain for transmasculine agency. The participant reframed surgery not as correction, but as an embodied intervention toward livability, presence, and gender affirmation. Photography and bodily documentation emerged as practices of self-construction and resistance within a cisnormative and colonial context.Conclusion This article contributes to trans health scholarship from the Global South by foregrounding localized, intersectional narratives of transmasculine embodiment. It calls for trans-centered, decolonial healthcare models in Latin America and highlights how gender-affirming practices can be both personal and political acts of resistance and survival.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Gender, health-seeking, and tuberculosis: Negotiating responsibility in urban Peru(Society for Applied Anthropology, 2026-01-01)Tuberculosis (TB) remains a persistent public health concern in Peru, particularly in densely populated urban districts marked by poverty, informal labor, and overcrowded housing. Drawing on 25 semi-structured interviews with adult residents insured under the public health system (Seguro Integral de Salud) in San Juan de Lurigancho, Lima, this article examines how gender norms shape everyday understandings of TB, health-seeking practices, and moral responsibilities for care. Rather than focusing on individuals currently undergoing treatment, the study explores how TB is understood through the experiences of relatives, neighbors, coworkers, and illness trajectories within participants' social networks. Findings show that masculinities and femininities organize distinct moral economies of risk and care. Men's narratives emphasize endurance, work obligations, and the minimization of symptoms, often delaying engagement with health services, while women's accounts foreground caregiving responsibilities and the coordination of care within households. These gendered practices intersect with structural constraints, making self-medication and delayed consultation pragmatic responses to precarious everyday conditions rather than signs of neglect. By situating TB within everyday life and gendered moral expectations, this study contributes to debates on health, gender, and urban inequality. It argues for gender-sensitive public health strategies that engage with local moral worlds beyond purely informational models.1