This site is intended to give you general information about medical transition options. If you choose to begin hormone therapy or have gender-affirming surgery, your primary care provider will provide you with more detailed information that is specific to your needs.

Many trans and gender diverse people are happy with their bodies, or find comfort with their bodies without medical transition. Only you can decide whether medical transition options are right for you.

Changes to the WPATH Standards of Care

British Columbia has adopted Version 7 of the current WPATH Standards of Care This new version includes many positive changes. First, the current Standards of Care recognize trans* to be a matter of diversity, not pathology. Second, these standards of care no longer use the term “Real Life Experience”. Third, breast augmentation, orchiectomy, hysterectomy, and chest surgery no longer require lived experience. Lately, you no longer have to identify as a woman or a man to meet the criteria for medical transition – people who have non-binary identities (such as genderqueer) are also eligible for gender-affirming care.

This section will also provide information for trans people who are sexually active or who wish to find out more about reproductive health.


This page is intended to give you general information about hormones and hormone therapy.

Gender-affirming surgeries

Learn about gender-affirming surgeries, which change primary and/or secondary sex characteristics so that they correspond with one’s gender identity.

Sexual & reproductive health

This page provides sexual and reproductive health information that is specific to trans people, while also respecting those who are asexual, demisexual, or on the asexual spectrum.

A note about the information in this section

The medical information on our website has been reviewed by medical professionals, and is current as of Feb 2017. This information is not intended to replace consultation with your healthcare provider.