Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

  title={Standards of Care for the Health of Transgender and Gender Diverse People, Version 8},
  author={Eli Coleman and Asa E. Radix and Walter Pierre Bouman and George R. Brown and Annelou L C de Vries and Madeline B. Deutsch and Randi Ettner and Lin Fraser and Michael Goodman and J A Green and Adrienne B Hancock and Thomas W. Johnson and Dan H. Karasic and Gail Knudson and Scott F. Leibowitz and Hfl Meyer-Bahlburg and Stan Monstrey and Joz Motmans and Leena Nahata and Timo Ole Nieder and Sari L. Reisner and Catherine Richards and Loren Schechter and Vin Tangpricha and Amy C Tishelman and Mick van Trotsenburg and S. Winter and Kelly Ducheny and Noah Adams and Thays Adri{\'a}n and Lester R Allen and David Azul and Harjit Bagga and K. Başar and David S. Bathory and J. Belinky and David R. Berg and Jens Urs Berli and Rachael Bluebond-Langner and Mark Bram Bouman and M. L. Bowers and Patricia Brassard and Jack L. Byrne and L. M. Capitan and Cornelia Cargill and Jeremi M. Carswell and S. C. Chang and Gayaythri Chelvakumar and Trevor Corneil and Katharine Baratz Dalke and Griet De Cuypere and Elma de Vries and Martin den Heijer and Aaron Devor and Cecilia Dhejne and A. D’Marco and E. Kale Edmiston and Laura Edwards-Leeper and Randall D. Ehrbar and Diane Ehrensaft and J. Eisfeld and Els Elaut and Laura Erickson-Schroth and Jamie L Feldman and Alessandra D. Fisher and M. M. Garcia and Luk Gijs and Susan E. Green and Bertha Parker Hall and Teresa L. D. Hardy and Michael S. Irwig and Laura A Jacobs and A. C. Janssen and Katherine Johnson and der Klink and Bpc Kreukels and Laura E. Kuper and Elizabeth J. Kvach and Matthew A. Malouf and Roger Massey and T. Mazur and Chris/Tine McLachlan and Shane D. Morrison and Scott W. Mosser and Paula Neira Placer and Ulrika Svea Nygren and James Oates and Juno Obedin-Maliver and Georgios Pagkalos and J. Patton and Nittaya Phanuphak and Katherine Rachlin and Terry Reed and G. Nic Rider and Jiska Ristori and Sally Ann Robbins-Cherry and Stephanie A Roberts and Kenny A. Rodriguez-Wallberg and Susan M. Rosenthal and Kenny Sabir and Joshua D Safer and Ayden I. Scheim and Leighton J. Seal and Tshegofatso J. Sehoole and Katherine G. Spencer and Colt St. Amand and Thomas D. Steensma and John F. Strang and Guy B. Taylor and Kinzie Tilleman and Guy T’Sjoen and Ladislav V{\'a}la and Norah M. van Mello and Jaimie F. Veale and Jennifer A. Vencill and B. Vincent and Linda Wesp and Michael A. West and Jon Arcelus},
  journal={International Journal of Transgender Health},
  pages={S1 - S259}
Abstract Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose… 

Transgender Individuals and Digital Health

Digital health technologies, including HIT-enabled clinical decision support, telehealth, telemedicine, and mHealth, offer innovative ways to improve health care access, improve quality of care, and reduce health disparities for TGD populations, including and beyond HIV outcomes.

Medical considerations in the care of transgender and gender diverse patients with eating disorders

A review of the available literature regarding the medical care of TGD patients and those of patients with eating disorders integrates this with the eating disorder literature and highlights areas for further research.

Feminizing gender-affirming hormone therapy for the transgender and gender diverse population: An overview of treatment modality, monitoring, and risks.

Feminizing GAHT appears to carry a low risk profile for most patients; however, further research describing the risks of hormone management around the time of gender-affirming surgery and in the aging TGD population is needed to optimize GAHT in the context of the evolving health risks over a TGD patient's lifespan.

Readiness assessments for gender-affirming surgical treatments: A systematic scoping review of historical practices and changing ethical considerations

A trend across successive iterations of the WPATH guidelines in both reducing stigma against TGD individuals and shift in ethical considerations from “do no harm” to the core principle of patient autonomy is identified.

Utilization and Costs of Gender-Affirming Care in a Commercially Insured Transgender Population

Almost three decades of commercial insurance claims from a proprietary database containing data on more than 200 million people are used to identify temporal trends in the provision of gender-affirming hormone therapy and surgeries and to quantify the costs of these services.

Choosing Castration: A Thematic Analysis of the Perceived Pros and Cons of Genital Injuries and Ablation by Men Who Voluntarily Sought Castration.

Clinicians need to understand men's diverse perceptions on castration in order to provide appropriate care for individuals with strong castration desire to better understand their motivations for castration.

The Evolution of Adolescent Gender-Affirming Care: An Historical Perspective

Currently available evidence supports the benefits of an interdisciplinary model of gender-affirming medical care for transgender/gender-diverse adolescents, and further long-term safety and efficacy studies are needed to optimize such care.



Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7

This version of the SOC recognizes that treatment for gender dysphoria has become more individualized, and can be used to help patients consider the full range of health services open to them, in accordance with their clinical needs and goals for gender expression.

Comprehensive Transgender Healthcare: The Gender Affirming Clinical and Public Health Model of Fenway Health

The evolution of a Boston community health center’s multidisciplinary model of transgender healthcare, research, education, and dissemination of best practices is described.

Healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People

The urgent necessity for adequate health policies and for the training of professionals regarding the needs of transgender and gender diverse people in Brazil is discussed.

Coordination of healthcare for transsexual persons: a multidisciplinary approach

The experience in Spain concerning the public healthcare for transsexual persons is described using a multidisciplinary approach and to review the relevant literature.

Challenges in the care of transgender and gender-diverse youth: an endocrinologist’s view

Although the relative paucity of outcomes data raises concerns, the stance of not intervening until more is known is not a neutral option, and large observational studies evaluating current models of care are necessary and are now underway.

Care of the elderly transgender patient

  • R. Ettner
  • Medicine
    Current opinion in endocrinology, diabetes, and obesity
  • 2013
It is important that guidelines for appropriate and sensitive care be established for the elderly transgender patient, as this population is proliferating due to media attention and greater access to care.

Psychotherapy in the World Professional Association for Transgender Health's Standards of Care: Background and Recommendations

ABSTRACT This invited article on psychotherapy in the Standards of Care (SOC) of the World Professional Association for Transgender Health (WPATH) provides background and makes recommendations for

The Impact of Training in Transgender Care on Healthcare Providers Competence and Confidence: A Cross-Sectional Survey

The study provided strong support for the use of training in improving healthcare conditions for transgender people, not only to raise awareness among HCP, but also to increase knowledge, competence and confidence levels of HCP in working with transgender people.

What are the health outcomes of trans and gender diverse young people in Australia? Study protocol for the Trans20 longitudinal cohort study

A longitudinal study of TGD patients attending a multidisciplinary paediatric gender service in Melbourne, Australia, Trans20 aims to understand the demographic and clinical characteristics of these patients, to document the natural history of gender diversity presenting in childhood and to investigate long-term outcomes for those receiving interventions.

Health and Well-Being of Transgender Elders

  • T. Witten
  • Medicine
    Annual Review of Gerontology and Geriatrics
  • 2017
Key concepts around transgender aging, health, and wellness are discussed and a discussion of best practices and future challenges for this growing population and for those who work on its behalf are discussed.