British Columbia residents are covered through MSP for approved gender-affirming surgeries.
- Breast construction (breast augmentation) - only publicly funded in certain circumstances. Request for public funding must submitted by a plastic surgeon to MSP. See breast augmentation page for more information.
- Chest construction
- Hysterectomy with bilateral salpingo-oophorectomy
- Clitoral release
- Facial procedures (such as reduction of the Adam's apple, nose feminization, facial bone reduction, face lifts, rejuvenation of the eyelid);
- Pectoral implants;
- Hair reconstruction or restoration;
- Liposuction or lipofilling;
- Vocal feminization surgery or voice surgery.
While MSP pays for the cost of the above surgeries, there are some costs that are not covered. These include:
- Travel and accommodation costs to and from surgical centres (in BC, Montreal and out-of-country) for all gender-affirming surgeries and surgical revisions. Please note that masculinizing lower surgeries, erectile and/or testicular implants require at least two trips to surgical centres.
- Supportive garments (for breast construction and chest surgery), and wound care for post-surgery.
- Hair removal for surgery as required by surgeon.
- Other travel related costs: travel insurance, accommodation (as needed outside of surgical care), accompaniment's travel and accommodation cost (if applicable).
Unfortunately, additional costs may be a barrier to surgery for some people. Strategies people have used to cover these costs include checking with extended benefits or other funding sources like FNHA, throwing a fundraising party and taking out a loan.
What if I am on provincial disability assistance or income assistance?
If you are on provincial disability assistance, you may wish to contact the Ministry of Social Development and Poverty Reduction to discuss funding for travel, support garments, and other medically necessary supplies. Your primary care provider can write a letter of support to obtain these funds.
You can apply to Hope Air, a Canadian charity that arranges free flights with commercial carriers, for Canadians who must travel to health care. The assistance is based on financial need. BC also offers travel assistance through the Medical Services Plan (MSP) Travel Assistance Program (TAP).
If you are approved for TAP, you may also qualify for a Request for Non-local Medical Transportation Assistance. If you need advice, you may visit the Contact Us page for contact information with our Trans Care BC care coordination team.