volume 23 issue sup1 pages S1-S259

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

E. Coleman 1
A E Radix 2, 3
W P Bouman 4, 5
G R Brown 6, 7
A L C De Vries 8, 9
M B Deutsch 10, 11
R Ettner 12, 13
L. Fraser 14
Goodman M 15
J. Green 16
A B Hancock 17
T.W. Johnson 18
D H Karasic 19, 20
G A Knudson 21, 22
S F LEIBOWITZ 23
H.F.L. Meyer-Bahlburg 24, 25
S.J. Monstrey 26
J Motmans 27, 28
L Nahata 29, 30
T O Nieder 31
S L Reisner 32, 33
C. Richards 34, 35
L S Schechter 36
V. Tangpricha 37, 38
A C Tishelman 39
M A A Van Trotsenburg 40, 41
Winter s 42
K Ducheny 43
N.J Adams 44, 45
T M Adrián 46, 47
L. R. Allen 48
D Azul 49
H Bagga 50, 51
K. Başar 52
D S Bathory 53
J J Belinky 54
D R Berg 55
J U Berli 56
R O Bluebond Langner 57, 58
M B Bouman 9, 59
M. L. Bowers 60, 61
P J Brassard 62, 63
J Byrne 64
L Capitán 65
C J Cargill 66
J M Carswell 32, 67
S.-C. Chang 68
G Chelvakumar 69, 70
T Corneil 71
K B Dalke 72, 73
G. De CUYPERE 74
E de Vries 75, 76
M. den Heijer 9, 77
A H Devor 78
C Dhejne 79, 80
A Dmarco 81, 82
E. K. Edmiston 83
L Edwards Leeper 84, 85
R Ehrbar 86, 87
D Ehrensaft 19
J. Eisfeld 88
E Elaut 74, 89
Els Elaut 74, 89
L Erickson Schroth 90, 91
J. L. Feldman 92
A. D. Fisher 93
M.M. García 94, 95
L Gijs 96
S E Green 97
B P Hall 98, 99
T L D Hardy 100, 101
M S Irwig 32, 102
L A Jacobs 103
A C Janssen 23, 104
K Johnson 105, 106
D T Klink 107, 108
B P C Kreukels 9, 109
L E Kuper 110, 111
E J Kvach 112, 113
M A Malouf 114
R. Massey 115, 116
T Mazur 117, 118
C. McLachlan 119, 120
S D Morrison 121, 122
S W Mosser 123, 124
P M Neira 125, 126
U Nygren 127, 128
J M Oates 129, 130
J Obedin Maliver 131, 132
G Pagkalos 133, 134
J. Patton 135, 136
N Phanuphak 137
K Rachlin 103
T. Reed 138
G N Rider 55
J. Ristori 93
S Robbins Cherry 4
S. A. Roberts 32, 139
K A Rodriguez Wallberg 140, 141
S M Rosenthal 142, 143
K Sabir 144
J.D. Safer 60, 145
A I Scheim 146, 147
L. J. Seal 35, 148
T J Sehoole 149
K. SPENCER 55
C St Amand 150, 151
T D Steensma 9, 109
J F Strang 152, 153
G. B. Taylor 154
K Tilleman 155
G G Tsjoen 74, 156
L N Vala 157
N M Van Mello 9, 158
J F Veale 159
J A Vencill 160, 161
B. Vincent 162
L M Wesp 163, 164
M. A. West 165, 166
J Arcelus 5, 167
2
 
Callen-Lorde Community Health Center, New York, NY, USA
4
 
Nottingham Centre for Transgender Health, Nottingham, UK
7
 
James H. Quillen VAMC, Johnson City, TN, USA
12
 
New Health Foundation Worldwide, Evanston, IL, USA
13
 
Weiss Memorial Hospital, Chicago, IL, USA
14
 
Independent Practice, San Francisco, CA, USA
16
 
Independent Scholar, Vancouver, WA, USA
20
 
Independent Practice at dankarasic.com
22
 
Vancouver Coastal Health, Vancouver, Canada
34
 
Regents University London, UK
35
 
Tavistock and Portman NHS Foundation Trust, London, UK
38
 
Atlanta VA Medical Center, Decatur, GA, USA
40
 
Bureau GenderPRO, Vienna, Austria
41
 
University Hospital Lilienfeld—St. Pölten, St. Pölten, Austria
43
 
Howard Brown Health, Chicago, IL, USA
45
 
Transgender Professional Association for Transgender Health (TPATH)
46
 
Asamblea Nacional de Venezuela, Caracas, Venezuela
47
 
Diverlex Diversidad e Igualdad a Través de la Ley, Caracas, Venezuela
53
 
Independent Practice at Bathory International PLLC, Winston-Salem, NC, USA
54
 
Durand Hospital, Guemes Clinic and Urological Center, Buenos Aires, Argentina
58
 
Hansjörg Wyss Department of Plastic Surgery, New York, NY, USA
61
 
Mills-Peninsula Medical Center, Burlingame, CA, USA
62
 
GrS Montreal, Complexe CMC, Montreal, Quebec, Canada
65
 
The Facialteam Group, Marbella International Hospital, Marbella, Spain
66
 
INDEPENDENT SCHOLAR
68
 
Independent Practice, Oakland, CA, USA
81
 
UCTRANS—United Caribbean Trans Network, Nassau, The Bahamas
82
 
D M A R C O Organization, Nassau, The Bahamas
84
 
Pacific University, Hillsboro, OR, USA
85
 
Independent Practice, Beaverton, OR, USA
86
 
Whitman Walker Health, Washington, DC, USA
87
 
Independent Practice, Maryland, USA
88
 
Transvisie, Utrecht, The Netherlands
90
 
The Jed Foundation, New York, NY, USA
91
 
Hetrick-Martin Institute, New York, NY, USA
97
 
Mermaids, London/Leeds, UK
99
 
Duke Adult Gender Medicine Clinic, Durham, NC, USA
100
 
Alberta Health Services, Edmonton, Alberta, Canada
103
 
Independent Practice, New York, NY, USA
104
 
Northwestern Feinberg School of Medicine, Chicago, IL, USA
108
 
Division of Pediatric Endocrinology and Diabetes, ZNA Queen Paola Children’s Hospital, Antwerp, Belgium
111
 
Department of Endocrinology, Children’s Health, Dallas, TX, USA
112
 
Denver Health, Denver, CO, USA
114
 
Malouf Counseling and Consulting, Baltimore, MD, USA
115
 
WPATH Global Education Institute
118
 
John R. Oishei Children’s Hospital, Buffalo, NY, USA
119
 
Professional Association for Transgender Health, South Africa
120
 
GENDER DYNAMIX, CAPE TOWN, SOUTH AFRICA
123
 
Gender Confirmation Center, San Francisco, CA, USA
124
 
Saint Francis Memorial Hospital, San Francisco, CA, USA
130
 
Melbourne Voice Analysis Centre, East Melbourne, Australia
133
 
Independent PracticeThessaloniki, Greece
134
 
Military Community Mental Health Center, 424 General Military Training Hospital, Thessaloniki, Greece
135
 
Talkspace, New York, NY, USA
136
 
CytiPsychological LLC, San Diego, CA, USA
137
 
Institute of HIV Research and Innovation, Bangkok, Thailand
138
 
Gender Identity Research and Education Society, Leatherhead, UK
144
 
FtM Phoenix Group, Krasnodar Krai, Russia
145
 
Mount Sinai Center for Transgender Medicine and Surgery, New York, NY, USA
148
 
St George’s University Hospitals NHS Foundation Trust, London, UK
149
 
Iranti, Johannesburg, South Africa
154
 
Atrium Health Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Charlotte, NC, USA
157
 
Independent Practice, Campbell, CA, USA
162
 
Trans Learning Partnership at https://spectra-london.org.uk/trans-learning-partnership, UK
164
 
Health Connections Inc., Glendale, WI, USA
165
 
North Memorial Health Hospital, Robbinsdale, MN, USA
Publication typeJournal Article
Publication date2022-08-19
scimago Q1
wos Q1
SJR3.422
CiteScore13.2
Impact factor14.8
ISSN26895269, 26895277
Medicine (miscellaneous)
Health Policy
Health (social science)
Gender Studies
Abstract
Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment. Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for the treatment of people experiencing gender incongruence. As in all previous versions of the SOC, the criteria set forth in this document for gender-affirming medical interventions are clinical guidelines; individual health care professionals and programs may modify these in consultation with the TGD person.
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Coleman E. et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 // International Journal of Transgender Health. 2022. Vol. 23. No. sup1. p. S1-S259.
GOST all authors (up to 50) Copy
Coleman E. et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 // International Journal of Transgender Health. 2022. Vol. 23. No. sup1. p. S1-S259.
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BibTex (up to 50 authors) Copy
@article{2022_Coleman,
author = {E. Coleman and A E Radix and W P Bouman and G R Brown and A L C De Vries and M B Deutsch and R Ettner and L. Fraser and Goodman M and J. Green and A B Hancock and T.W. Johnson and D H Karasic and G A Knudson and S F LEIBOWITZ and H.F.L. Meyer-Bahlburg and S.J. Monstrey and J Motmans and L Nahata and T O Nieder and S L Reisner and C. Richards and L S Schechter and V. Tangpricha and A C Tishelman and M A A Van Trotsenburg and Winter s and K Ducheny and N.J Adams and T M Adrián and L. R. Allen and D Azul and H Bagga and K. Başar and D S Bathory and J J Belinky and D R Berg and J U Berli and R O Bluebond Langner and M B Bouman and M. L. Bowers and P J Brassard and J Byrne and L Capitán and C J Cargill and J M Carswell and S.-C. Chang and G Chelvakumar and T Corneil and K B Dalke and others},
title = {Standards of Care for the Health of Transgender and Gender Diverse People, Version 8},
journal = {International Journal of Transgender Health},
year = {2022},
volume = {23},
publisher = {Taylor & Francis},
month = {aug},
url = {https://doi.org/10.1080/26895269.2022.2100644},
number = {sup1},
pages = {S1--S259},
doi = {10.1080/26895269.2022.2100644}
}
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MLA Copy
Coleman, E., et al. “Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.” International Journal of Transgender Health, vol. 23, no. sup1, Aug. 2022, pp. S1-S259. https://doi.org/10.1080/26895269.2022.2100644.