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Surgical Readiness Assessments

The surgical assessment process aligns with the World Professional Association for Transgender Health (WPATH) Standards of Care 7 and with the current process for other publicly funded surgeries, with primary care providers referring directly to surgeons and specialist referrals when needed.

To get MSP-funded surgery, the following are needed:

  1. Surgical readiness assessment by one or two qualified assessors, depending on the surgery
  2. Referral to a surgeon by a physician or nurse practitioner (if the MD or NP is a qualified assessor, they may do the assessment and the referral)
Ideally, if more than one assessment is required both assessments should be completed in a single client visit.


Check out the: accessing gender-affirming surgery for BC residents infographic.


Forms referred in this section to can be found on the Forms page.


Below are the steps for completing a surgical readiness assessment:

Steps for providers who are not surgical readiness assessors

Primary care provider requesting a surgical readiness assessment:

Choose one of the following options to book assessment visit(s) for your client:
  • Directly refer to a known assessor.
  • Submit a request for assessment using Trans Care BC referral form. Trans Care BC will coordinate the booking of the assessment visit with a qualified assessor(s) based on whether a single or double assessment is required.
Once the assessment(s) has been completed: 
  • The required paperwork will be returned to you by the assessor(s).
  • You can then directly refer to the surgeon’s office and include a copy of the completed assessment form(s). See the surgical referral checklist on the Forms page for more details of what to include in your referral package to the surgeon. 
Steps for providers who are qualified surgical readiness assessors
You are not the primary care provider but have been asked to do the surgical readiness assessment:

  • When possible, if more than one assessment is required, both assessments should be completed in a single client visit.  If you require assistance in coordinating a second assessor, please contact Trans Care BC using the referral form
  • Complete the surgical recommendation letter (Form A for assessor one or Form B for assessor two) 
  • Return the completed assessment(s) to the MD/NP who will make the surgical referral
You are the primary care provider and are completing the surgical readiness assessment:

  • Where possible, if more than one assessment is required, both assessments should be completed in a single client visit. If you require assistance in coordinating a second assessor, please contact Trans Care BC using the  referral form
  • As the first assessor, you will need to complete surgical the recommendation letter (Form A).
  • If a second assessor can participate in your client assessment visit, they will need to complete Form B and provide to you.
  • If the second assessor is completing the form during a separate client visit, they will need to review your completed Form A in advance of meeting with the client, and then complete Form B and forward to you.
  • Once you have both recommendation forms (Form A and B), directly refer to the applicable surgeon’s office. Be sure to include copies of both surgical recommendation forms. See the surgical referral checklist on the Forms page for more details of what to include in your referral package to the surgeon.

SOURCE: Surgical Readiness Assessments ( )
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