Disorders of gender identity: what to do and who should do it?

James Barrett
  • Declaration of interest

    J.B. works as a ful-time National Health Service Consultant in a large gender identity clinic.

Abstract

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.

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