Gender Dysphoria

Gender Dysphoria may be characterised by a strong and persistent cross-gender identification (such as stating a desire to be the other sex or frequently passing as the other sex) coupled with persistent discomfort with a person’s sex (International Statistical Classification of Diseases and Related Health Problems).

Not all transgender or non-binary people will have gender dysphoria, but only those with a diagnosis of gender dysphoria are eligible for the various interventions on the NHS pathway of care.

NHS England commissions three components of the gender dysphoria pathway, each of which works to a separate service specification:

  • A therapeutic service for children and young people up to 18 years of age, and their families; including a linked paediatric endocrinology service
  • Gender Dysphoria Clinics for adults from 17 years of age, offering assessment, diagnosis, overall care coordination, hormone treatments, voice and communication therapies and talking therapies
  • Certain surgical interventions of the chest and genitals for adults.