The World Professional Association for Transgender Health Standards of Care requires an assessment before hormone therapy is started. Care in B.C. is guided by Version 8 of the Standards (WPATH SOC-8), which were published in 2022. 

 

I provide hormone and surgical recommendations for transgender, non-binary, gender diverse, genderqueer adults looking for gender-affirming care. As a transgender person who has gone through the assessment process I recognize the importance of letting folx know upfront that the recommendation is not having to prove whether you are "trans enough." It is an opportunity to have conversations in a non-judgemental, person-centered, and strengths-based way to explore hormone therapy, surgery and any related questions and/or concerns. 

​​The process may take longer if someone has complex physical health, mental health or substance use concerns. These concerns are not barriers but need to be considered when making a plan. Please see below for information on a Standard HRA/SRA.

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If you are a youth receiving support through the Gender Clinic at BC  Childrens' Hospital, they require an assessment through a psychologist or a registered clinical social worker 

Surgical readiness is for top surgery only. Genital surgery assessments are conducted by a medical provider (physicians, nurse practitioners or registered nurses).

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Note that “Real Life Experience” is no longer a requirement for hormone therapy. Version 7 of the Standards of Care removed this requirement and Version 8 maintains this change. 

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