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Standards of Care for the Health of Transgender and Gender Diverse People, Version 8
"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 mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8.
Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment.
Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings."
📑Direct Link 🔓 Open Access
💬 Standards de soins pour la santé des personnes transgenres et de la diversité de genre, version 8
"Contexte: Les soins de santé pour les personnes transgenres sont un domaine interdisciplinaire qui évolue rapidement. Au cours de la dernière décennie, on a assisté à une augmentation sans précédent du nombre de personnes transgenres et de la diversité de genre (TDG) à la recherche d’un soutien et d’un traitement médical d’affirmation de genre, parallèlement à une augmentation importante de la littérature scientifique dans ce domaine. L’Association mondiale des professionnels pour la santé transgenre (WPATH) est une association professionnelle internationale et multidisciplinaire dont la mission consiste à favoriser les soins fondés sur les preuves, l’éducation, la recherche, les politiques publiques et le respect dans le domaine de la santé transgenre. L’une des principales fonctions de la WPATH est d’établir des Standards de soin (SDS) se basant sur les évidences scientifiques et empiriques répondant aux normes de rigueur les plus élevées. Les SDS ont été initialement élaborés en 1979, et la dernière version (SDS-7) a été publiée en 2012. Au vu de l’augmentation des données probantes, la WPATH a commandé une nouvelle version des Standards de soins, les SDS-8.
Objectif: L’objectif global des SDS-8 est de fournir aux professionnels de la santé travaillant avec les personnes TDG des recommandations cliniques basées sur les preuves. Ceci afin de favoriser chez les personnes TDG un accès à des voies sûres et efficaces dans le but d’atteindre un confort personnel durable avec leur genre, afin d’optimiser leur santé physique globale, leur bien-être psychologique et leur épanouissement personnel.
Méthodologie: Les SDS-8 sont fondés sur les meilleures données scientifiques disponibles et sur un consensus professionnel d’experts dans le domaine de la santé transgenre. Des professionnels et des acteurs internationaux ont été sélectionnés pour siéger au comité des SDS-8. Les recommandations ont été élaborées sur la base de données provenant de revues de littérature systématiques indépendantes, lorsque celles-ci étaient disponibles, d’analyses de fond et d’avis d’experts. Les recommandations ont été graduées en fonction des données probantes disponibles à l’appui des interventions, d’une discussion sur les risques et les torts, ainsi que de la faisabilité et de l’acceptabilité dans différents contextes et pays."
📑Telecharger Rapport 🔓 Open Access
🍁 🦁 Horizon Health Library Services: LGBTQ+ Health Resources
🍁🦁 2SQTP-NB/P2SQT-NB: Education Package, Version 3
"This education package seeks to share lived experiences with accessing care in New Brunswick, was created by Two-Spirit, trans, Indigiqueer, and gender-diverse (2STIGD) individuals in consultation with other 2STIGD community members, with a goal of incorporating as many intersecting identities and voices as possible. Because the project is action oriented, we seek to share our real and lived experiences with the medical system and society at large, and we offer these resources as a way to make a change. Where we repeat ourselves in the education package, it’s intentional. Our experiences have been overlooked, erased, and misunderstood repeatedly. We want better care for others and for ourselves."
💬 P2SQT-NB/2SQTP-NB: Trousse de sensibilisation, Troisième version
La présente trousse de sensibilisation vise à communiquer des expériences vécues en matière d’accès aux soins au Nouveau-Brunswick. Elle a été créée par des personnes bispirituelles, transgenres, queers autochtones et de la diversité de genre (2STQADG) en consultation avec d’autres membres de la communauté 2STQADG, dans le but de laisser place au plus grand nombre possible d’identités et de voix intersectionnelles. Puisque notre initiative est axée sur l’action, nous cherchons à faire connaître nos expériences réelles et vécues dans le système médical et la société dans son ensemble, et nous offrons ces ressources comme outils pour changer la donne. Dans une trousse de sensibilisation, les répétitions sont intentionnelles. Nos expériences ont été négligées, effacées et mal comprises à maintes reprises. Nous voulons de meilleurs soins pour les autres et pour nous-mêmes.
Fenway Health: Medical Care of Trans and Gender Diverse Adults
🍁 Rainbow Health Ontario
Trans Health Knowledge Base
"This knowledge base answers common questions from trans and non-binary people in Ontario. Designed for residents 18 and over, it uses plain language to clarify social and medical transition processes and help you find community support. Where possible, we’ve included system navigation tips for those facing additional barriers to health care."
Sherbourne’s Guidelines for Gender-affirming Primary Care with Trans and Non-Binary Patients: Fourth Edition
"The fourth edition of Sherbourne’s Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients, like its predecessor, was authored by Dr. Amy Bourns, a family physician on Sherbourne’s 2SLGBTQ+ Health Team. In addition to incorporating recently available evidence in both general primary care and trans health, the 2019 edition features revisions and expansions in several areas"
📑 Direct Link
The Trans Primary Care Guide
"The Trans Primary Care Guide, the online interactive tool based on the Guidelines, has also been updated to reflect the most current clinical information consistent with this new 4th edition of the Guidelines."
🍁🥔📑 GAC PEI: Gender-Affirming Primary Care Toolkit (2026 Revision)
"A practical evidence-based guide to providing primary care for Prince Edward Island transgender patients."
🍁Script
"Script is an accessible, one-stop destination for credible LGBTQ2S+ health information. We recognize that queer and trans people are too often dismissed, ignored or condescended to as they navigate healthcare systems that aren't equipped to serve them. Script's mission is to deliver crucial, timely stories about LGBTQ2S+ health that actually reflect readers' perspectives, experiences and unique healthcare needs. We aim to have our coverage capture the complexity of how factors such as race, class, citizenship status and disability affect the ways people move through the world and the impacts this has on health outcomes.
We believe that access to equitable healthcare is a human right. We believe that discussions about our health should be frank, but that there's also room for irreverence and fun. We believe that factual, reliable healthcare information can empower people to improve their own well-being. We are pro-queer, pro-sex and pro-bodily autonomy."
🍁 Women and Gender Equality Canada Partner
🍁💬Script
"Script est une référence accessible et centralisée pour obtenir des informations fiables sur la santé LGBTQ2S+. Nous reconnaissons que les personnes queer et trans sont trop souvent mises à l'écart, ignorées ou méprisées lorsqu'elles doivent faire face à des systèmes de santé qui ne sont pas équipés pour les prendre en charge. La mission de Script est de fournir des informations cruciales et actuelles sur la santé LGBTQ2S+ reflétant réellement les points de vue, les expériences et les besoins spécifiques de nos lecteurices en matière de soins de santé. Nous voulons que notre couverture médiatique reflète la complexité des facteurs-tels que la race, la classe sociale, le statut de citoyenneté et le diversité capacitaire-qui influencent la façon dont les gens vivent dans le monde et les conséquences que cela a sur leur santé.
Nous croyons que l'accès à des soins de santé équitables est un droit humain. Nous croyons que les discussions sur notre santé doivent être franches, mais qu'il y a aussi de la place pour de la dérision et du plaisir. Nous croyons que des informations factuelles et fiables sur les soins de santé peuvent donner aux gens des moyens d'améliorer leur propre bien-être. Nous sommes pro-queer, pro-sexe et pro-autonomie corporelle."
🍁💬Femmes et Égalité des genres Canada Partenaire
Conscious Euphoria: A Practical Guide to Gender-Affirming Healthcare
"A Practical Guide to Gender-Affirming Care is a 145-page illustrated digital guide to transgender healthcare, covering surgeries, hormone therapy, and fertility options in a clear and accessible format.
Designed to make complex medical information easier to understand, this ebook explores a wide range of gender-affirming procedures — including top surgery, vaginoplasty, phalloplasty, facial surgeries, and more — alongside hormone treatments and reproductive options. Each section is supported by simple illustrations and straightforward explanations."
🍁Canadian Healthcare Education Network: Culture and Diversity in a Binary World
"The “Culture and Diversity in a Binary World” program delves into the critical intersections of cultural diversity, neurodiversity, and gender identity in healthcare. This course is designed to equip participants with the tools and knowledge to understand the unique challenges faced by diverse populations. By examining the impacts of systemic bias and social determinants of health, participants will explore how cultural and identity-related factors influence patient experiences and outcomes."
"This program is ideal for:
• Healthcare professionals, including nurses, social workers, and allied health practitioners.
• Patient advocates, navigators, and harm reduction workers.
• Anyone interested in fostering equity and inclusion in healthcare environments."
"3 hrs/day over 4 days online. Fully Online - Live Instructor Led sessions"
🍁 Rainbow Health Ontario
Trans Primary Care: Masculinizing Hormone Therapy
"The cornerstone of hormone therapy for trans masculine patients is testosterone. The goal of treatment is virilization – the development of masculine secondary sexual characteristics."
📑 Quick Reference Guide for Primary Care Providers
💬📑 Aide-mémoire pour professionnels de la santé de première ligne
📑 Checklist for Patient Review – Initiation of Masculinizing Hormone Therapy
🍁🥔 GAC PEI
📑 Quick Reference Sheet: Masculinizing Hormone Therapy
"These guidelines do not present it as a ‘Standard of Care’ but instead as a guide to help clinicians in their day-to-day practice. Adaptations may be considered based on each
patient’s unique circumstances. Clinicians must use their own expertise and decision-making skills within each clinical encounter."
📑 Testosterone-Based Hormone Therapy: Managing Expectations
💬📑 Hormonothérapie avec testostérone: Gérer les attentes
📑 Masculinizing Top Surgery - Self-Care Guide
💬📑 Masculinisation du torse: Guide d’autosoins
Gender Affirming Care at UC San Francisco
Information on Testosterone Hormone Therapy
"This document will provide an overview of gender affirming masculinizing hormone therapy, including choices, risks, and unknowns associated with testosterone therapy."
Healthy Chest Binding for Trans and Non-Binary People: A Practical Guide
Author: Frances Reed, LMT
Published: 18 April 2024
ISBN, Print: 9781787759480
ISBN, Digital: 9781787759497
"Binding is a crucial strategy in many transgender and non-binary people's lives for coping with gender dysphoria, yet the vast majority of those who bind report some negative physical symptoms. Written by Frances Reed, a licensed bodywork and massage therapist specialising in gender transition, this comprehensive guide helps you make the healthiest choices from the very start of your binding journey.
Including guidance for choosing the right binder, approaching your first bind, an overview of potential health risks and complications, a range of self-massage and self-fascial release exercises to minimize pain and dysphoria, as well as tips and tricks for exercising safely in a binder - this is the ultimate resource for anyone that practices chest binding."
🍁📑 McGill Guide for Healthcare Professionals: "Towards Affirmative Intersex Health Communication in Canada"
"While practices and medical norms are shifting towards affirmative intersex care, there is still much progress to be made and community members are still reporting adverse experiences. Intersex individuals and organizations continue to ask for improved health communication practices from healthcare providers. At the same time, healthcare providers in most specialties repeatedly point to gaps in their training regarding intersex care and the need to pursue independent supplementary training to familiarize themselves with the needs andbackground of this population. This guide is a primer for healthcare providers interested in bridging those gaps and helping to make healthcare communication more accessible, effective, relevant, and responsive."
A Comprehensive Guide to Intersex
Author: Jay Kyle Petersen
Published: 21 Dec 2020
ISBN, Print: 9781785926310
ISBN, Digital: 9781785926327
"This comprehensive yet accessible resource provides readers with everything they need to know about intersex - people who are born with any range of sex characteristics that might not fit typical binary notions about male and female bodies.
Covering a wide variety of topics in an easy-to-read way, the book explores what intersex is, what it is not, a detailed overview of its 40 or so different variations, historical and social aspects of intersex and medical intervention, along with practical, proven advice on how professionals can help and support intersex people.
Written by an intersex man with over 65 years of first-hand experience, this book is an ideal introduction for any medical, health and social care professional or student, as well as family members and friends, seeking to improve their practice and knowledge."
United Nations Free & Equal
Know the Facts - Intersex
📑 Fact Sheet
💬 Nations Unies Libres et Égaux
💬 Apprenez les faits - Personnes Intersexes
💬📑 Fiche d'information
