This section contains resources to support clinicians providing gender-affirming care, including guidelines and standards, helpful links for supporting patients to access surgery, primary care tools, and online resources.
Endocrine Therapy for Transgender Adults in British Columbia: Suggested Guidelines – a document with protocols for the prescribing clinician relating to physical assessment, prescription planning, initiation of endocrine therapy, and ongoing maintenance (VCH, 2015)
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline (Endocrine Society, 2017)
Guidelines and Protocols for Hormone Therapy and Primary Health Care for Trans Clients (Sherbourne Health Centre, 2015)
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People (Center of excellence for transgender health, 2016)
- Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People Version 7. (WPATH, 2011). Available for download from
Funding Coverage - information on funding coverage options for the range of gender-affirming care your client might seek.
Funding Request Template Letters - template letters to help GPs/NPs when supporting eligible clients request funding for medical/post-surgical supplies.
- For information on gender-affirming surgeries, see our Surgery section and review the surgical summary sheets in link below
Surgical Summary Sheets - information about gender-affirming surgeries for discussion between primary care providers and clients (Rainbow Health Ontario)
Surgery Referral - information on how to refer clients for upper and lower gender-affirming surgeries. See Medical Forms for a checklist for referring patients for surgery
- For assistance in supporting your patient post-operatively, contact our health navigation team
Travel Assistance Program (TAP) - support with travel costs for eligible B.C. residents who must travel within province for non-emergency medical specialist services not available in their own community
Hope Air - a charity that provides free flights for financially disadvantaged Canadians for medically necessary travel
- Rafferty, Jason (2018) Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents - a policy statement from the American Academy of Pediatrics.
- Clark, Beth A; Veale, Jaimie F; Greyson, Devon; Saewyc, Elizabeth (2018). Primary care access and forgone care: a survey of transgender adolescents and young adults. Family Practice, 35(3), 302–306
- Ehrensaft, Diane (2017). Gender nonconforming youth: current perspectives. Adolescent Health, Medicine and Therapeutics 2017:8 57–67
- Olson, Johanna; Forbes, Catherine; Belzer, Marvin (2011). Management of the Transgender Adolescent. Arch Pediatr Adolesc Med. ;165(2):171-176.
- Olson, Johanna and Garofalo, Robert (2014).
The Peripubertal Gender-Dysphoric Child: Puberty Suppression and Treatment Paradigms.
Pediatric Annals, 43(6), e132–e137.
- Vance Jr, Stanley R.; Ehrensaft, Diane; and Rosenthal, Stephen M. (2014).
Psychological and Medical Care of Gender Nonconforming Youth.
For information on trans identity and gender, see our
For information on Trans Care BC education resources and trainings, see our Education