Gender Reassignment Case Study

This project involved a longitudinal case study made up of ten interviews with an individual who was undergoing gender reassignment. At key points during the reassignment pathway between March 2017 and September 2020 the individual was asked about the highs and lows of their experience, their treatment by health care professionals and recommendations on how the service could be improved.

The report documents a number of positive experiences from the individual which include the encouraging and supportive approach from health and social care professionals, networks of support, a shared decision-making approach and the involvement of the individual in the transition process. The time restrictions associated with the process were identified as a key area where improvements could be made to reduce the anxiety experienced by those experiencing the gender reassignment process and use of future provisions. In addition, improved knowledge of the costs involved with transitioning should be a key consideration of health and social care provisions.

The report makes 4 recommendations.

1. Primary care for individuals undergoing gender transition should be provided by one named person throughout the process. It is essential for such persons to be fully trained on trans issues and provides compassionate care.
2. Primary and specialist care providers must ensure that individuals who are considering gender transition are given detailed medical advice. Further consideration should be given to explain practical advice and support on allied matters such as lifestyle changes due to uptake of hormones, impact on cost of living.
3. Individuals undertaking gender transition should be provided detailed information in format other than just verbal consultation explaining in detail all the clinical steps and surgical processes that person will have to undergo so they can engage with shared decision making
4. During the periods of waiting times between procedures and treatments it is essential that individuals received continuous and compassionate support from primary care, and specialist services keep them fully informed of timelines.