One aspect of social transition is changing speech to present a more masculine, feminine or androgynous gender expression.
*COVID-19 UPDATE- please note that Changing Keys sessions continue to take place but have been adapted to virtual/online sessions
Many people interested in a more feminine vocal presentation choose to work on their own or with a speech therapist for vocal and speech training. There are also some surgical options, but these are not covered by MSP in BC.
Trans Care BC offers a free program for BC residents called Changing Keys. Changing Keys is an intensive speech and voice training program offered in a group format. It consists of a private speech and voice evaluation and the group therapy program itself. Some of the speech and voice parameters we work with include speaking pitch, vocal inflections, voice quality, vocal resonance and speech sound articulation.
We discuss but do not work directly with other aspects of communication such as gestures, facial expressions, word choice, laughing, listening behaviours and turn-taking in conversation.
Changing Keys information sheet and application form – to apply for this program, complete the
and email it to
Vocal and speech therapy are available through private-pay Speech Language Pathologists who specialize in gender affirming voice training. For more information about Speech Language Pathologists in your area please
Testosterone lowers the voice by thickening and lengthening the vocal folds and cords. Some people have concerns about the effects of testosterone on the singing voice. Little research has been done on this topic, however some people report good results with a slow introduction of testosterone, which mimics the rate of testosterone increase during puberty of cisgender males. If you are concerned about the effects of testosterone on your voice, talk with your primary care provider.