Gender Dysphoria - Commissioning and Treatment


Assessment and treatment of patients registered with General practitioners in the east of England PCTs who present with gender dysphoria. Gender dysphoria is a condition in which a person feels that there is a mismatch between their biological sex and their gender identity.

Who to Refer

People registered with a general practitioner in one of the following Primary Care Trusts:- NHS Bedfordshire, NHS Luton, NHS Cambridgeshire, NHS Peterborough, NHS Hertfordshire, NHS Norfolk, NHS Great Yarmouth and Waveney NHS West Essex NHS Mid Essex NHS North East Essex NHS South East Essex NHS South West Essex NHS Suffolk

People with the desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment

People whose transsexual identity has been present persistently for at least two years and for whom the disorder is not a symptom of another mental disorder or a chromosomal abnormality

Young people under 18 should be referred to a child and adolescent Psychiatrist in the first instance.

Who not to Refer

People who do not meet the above criteria


The Gender Recognition Act 2004 allows for a person to change their legal gender to their preferred gender.

Commissioning and Treatment of People with Gender Dysphoria - Policy Update

Gender Dysphoria - policy update letter

Gender Dysphoria - updated policy

Last updated: 06/07/2012

Update due: 06/07/2013