Lucy Barker

Introduction The summer of 2022 was particularly notable for the prolonged and extensive hot and dry conditions experienced across the UK. The resultant 2022 drought had widespread impacts and prompted much discussion about the continuing vulnerability of the UK to drought in the context of anthropogenic warming - particularly given that it occurred only a few years after another major drought episode, in 2018-2019 (Turner et al., 2021). Drought is widely described as a complex phenomenon.

Abstract Importance Vaginoplasty is a relatively common gender-affirming surgery with approximately 200 Ontarians seeking this surgery annually. Although Ontario now offers vaginoplasty in province, the capacity is not meeting demand; the majority of trans and gender-diverse patients continue to seek vaginoplasty out of province.

SYSTEMATIC REVIEW Abirami Kirubarajan, Corresponding Author Abirami Kirubarajan abi.kirubarajan@mail.utoronto.ca orcid.org/0000-0001-9807-5024 1 King's College Circle, University of Toronto Faculty of Medicine, Toronto, ON, Canada University of Toronto Institute of Health Policy, Management, and Evaluation, 155 College Street, Toronto, ON, Canada Correspondence Abirami Kirubarajan, University of Toronto Faculty of Medicine, 1 King's College Circle, Toronto, ON, Canada, M5S 1A8.