Abstract

In ‘Digital Twins for Trans People in Healthcare: Queer, Phenomenological and Bioethical Considerations’,1 we examine the use of digital twin (DT) technology for transgender individuals. Our central thesis is that a DT does not merely represent the patient’s body, but actively produces a specific kind of body, thereby exerting significant influence on gender identity, self-understanding and embodiment. We propose a framework for the development and use of DTs for trans persons in healthcare as a starting point for future discussions on inclusive DT technology. This challenge has been taken up by many scholars, who have responded with commentaries that offer valuable insights and contributions to the ongoing discourse. Boretti highlights the practical and ethical challenges of creating inclusive DTs. Boretti proposes reinterpreting biomedical principles through a queer bioethical framework, reflects on more inclusive methods of data collection and explores participatory co-design for developing DTs that integrate the lived experiences of trans persons.2 Boretti also provides a helpful figure outlining the key ethical considerations. Wang focuses on how DTs can create false expectations at the physiological level, with patients relying more on the information provided by the technology than on their own bodily experiences.3 As a …