Declaration of interest
J.B. works as a ful-time National Health Service Consultant in a large gender identity clinic.
Transsexualism is not usually indicative of psychopathology. In carefully selected individuals, with multidisciplinary support, a change of social gender role and cross-sex hormone treatment greatly improves the psychological and social state. Sustained improvement merits gender reassignment surgery. The key is early referral with subsequent primary care cooperation in the treatment plan.
- Royal College of Psychiatrists