Guidelines and Standards

WPATH Standards of Care

The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary professional organization devoted to trans health. It was formerly known as the (Harry Benjamin International Gender Dysphoria Association, HBIGDA). WPATH’s mission is to promote evidence based care, education, research, advocacy, public policy and respect in trans health.

The WPATH Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People, Version 7, are the standards used in British Columbia. You can find the Standards of Care on the WPATH website, available in multiple languages.

“Caring for Trans and Gender Diverse Clients in BC”: A Primary Care Toolkit

The Primary Care Toolkit was developed in collaboration between Trans Care BC and its Primary Care Working Group comprised of family physicians, nurse practitioners and nurses who have expertise in trans care by virtue of the volumes of patients they have seen and the care they have managed. This Primary Care toolkit has been developed not as a standard of care but rather as a general guide to assist clinicians who are or may be taking on similar work.

BC Trans Adult Endocrine Guidelines

New BC guidelines for adult endocrine care that align with the current WPATH Standards of Care are now available.



Recently Published Document for Voice and Communication Professionals

Voice and Communication Change in Gender Non-Conforming Individuals: Giving Voice to the Person Inside. This WPATH document provides foundations for clinical practice by reviewing the evidence and offering suggestions for developing goals and protocols. Available for free download here

For more information

Please see the Education Opportunities page for a video on the following education session:

Accessing Gender Affirming Surgery in BC: How do the WPATH Standards of Care Affect You?

Presented by: Dr. Gail Knudson MD, MPE, FRCPC & Dr. Marria Townsend, MD, CCFP