Service Providers

We want to make sure service providers in BC have up to date information, in order to provide the best possible gender-affirming care to trans individuals and their families. The following pages will link you with resources to inform your practice. We are always happy to have you Contact Us so we can answer any trans health questions you may have.

Guidelines and standards

The WPATH Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People, Version 7, are the standards used in British Columbia. New BC Endocrine Guidelines for Adults are also available.

Health Professionals

Visit our Health Professionals page for helpful information and resources to help you access and deliver care for trans and gender diverse clients including: forms, surgical readiness assessments, surgery quick reference guides and clinical resources.


Visit information for BC counsellors to access resources to help provide the best possible gender-affirming care to counselling clients.


Schools can be a supportive and nurturing environment for a trans or gender creative student. However, lack of understanding about trans issues and gender-based bullying can make school a stressful experience for many children and youth.

Human resources

Visit our Human Resources page for tips on how to create the best possible plan when an employee is transitioning at work.

Educational opportunities

Trans Care BC offers education opportunities to support BC service providers to provide the best possible gender-affirming care for trans individuals and their families.

Barriers for LGBT2Q+ clients

LGBT2Q+ (Lesbian, Gay, Bi, Trans, Two-spirit, and Queer) clients face a number of barriers that most people in society do not have to worry about. These barriers result in problems getting an education, gaining employment, accessing health care, finding appropriate housing, and other issues. It’s important as service providers to recognize these barriers and strive to improve safety and access for LGBT2Q+ clients.

  • Poverty as a consequence of discrimination, limited educational opportunities, and unemployment.
  • Lack of emotional, economic, and housing support from family due to family rejection.
  • Substance abuse and addiction from coping with constant stress and pressure of discrimination against LGBT2Q+ people.
  • Lack of education and training due to harassment and discrimination at school and at the workplace.
  • Increased likelihood of mental health issues as a result of living in a homo/bi/transphobic society, including anxiety disorders, mood disorders, and suicidality.
  • Inability to access LGBT2Q+ competent health care resulting in health issues that go undiagnosed, along with negative health outcomes due to marginalization.
  • Increased risk of getting HIV or other STIs from having to resort to survival sex in order to gain basic necessities to survive.
  • Frequent victims of violence and hate crimes from relatives and strangers.
  • Decreased self-esteem due to shame, isolation, and internalized homo/bi/transphobia.

Source: Working with LGBTQ2S Clients for Service Providers, Prism

Providing appropriate STI care

Providing appropriate STI care for trans and gender-diverse clients is important as trans people have unique health needs, particularly in regards to sexual health and HIV care. When combined with barriers to care, including fear of disclosure and real or perceived discrimination within social and health settings, extra care and knowledge is necessary to provide appropriate and culturally-competent sexual health care and screening.

Trans youth accessing health and social services

Y-GAP Community Bulletin