Commissioned by NHS England’s Specialised Commissioning team in July 2024, this operational review of NHS adult gender dysphoria clinics (GDCs) in England was led by Dr David Levy, with the support of a panel of clinicians and other key stakeholders. The aim was to:

• determine whether the operation and delivery of the GDCs meet the requirements of the non-surgical interventions service specification
• consider the safety and effectiveness of the GDC service