Everything on this site about what good care looks like: 126 pieces in all.
Trans healthcare systems are built around the intervention itself, with almost nothing structured before it or after it. Pre-care, the period when…
Yes. A trans woman who has not had lower surgery retains a prostate and may need prostate screening, while also accessing gynaecological services for…
Gillick competence does not mean a child asks for treatment and receives it. It means a clinician must establish that this particular child fully…
Gender-affirming medical treatment is essential healthcare. The NHS, the World Health Organisation, and the Royal College of Psychiatrists recognise…
Empathy means understanding and sharing what a patient feels. Affirmation in a clinical context means agreeing that a particular treatment path is…
Expertise in gender medicine, like expertise in any clinical subspecialty, is built through postgraduate practice, research, peer learning, and…
Gender-affirming care is a broad term for any support that helps a person live in alignment with their gender identity. It includes social steps such…
I'm Dr Helen Webberley, a doctor, a mum, and a gender specialist. Over the last ten years I've learned everything I can about gender identity and…
If your hormone levels are low on HRT, the cause is usually the dose, the way the medication is taken, when the blood test was done, or how your body…
Inclusive sex education addresses puberty and reproductive health using body-based, anatomical language that does not assume gender, so that trans…
In theory, a GP refers to a gender identity clinic, the GIC assesses and recommends, and the GP then prescribes and monitors under a shared-care…
You do not have to come out to your doctor to get good care. You can describe your symptoms, your body, and what you need in plain terms, without…
HRT for trans women involves oestrogen and usually an anti-androgen, and it is safe when properly monitored. The checks that matter most go beyond…
The NHS is failing trans people because gender-affirming care was classified as highly specialised medicine when fewer than 500 people a year sought…
HRT is not automatically ruled out for trans people with heart conditions or atrial fibrillation. Cardiovascular risk is assessed individually,…
Some councils are pushing back on government trans policy guidance because they believe it conflicts with their legal equalities duties and with the…
Trans youth advocates are not calling for hormones to be handed out without clinical oversight. What they are defending is the assessed, supervised,…
Trans men and nonbinary people on testosterone can develop vaginal atrophy because testosterone suppresses oestrogen, thinning the vaginal tissue.…
Trans people face challenges that are both deeply personal and shaped by the systems around them. Gender dysphoria, when it occurs, varies…
Texas Children's Hospital has opened what critics call a forced detransition clinic, requiring trans young people to halt or reverse gender-affirming…
Lawsuits filed by detransitioners in the US allege that doctors failed to obtain proper informed consent before providing gender-affirming care.…
Autism and gender diversity do overlap more often than we would expect by chance. What the research has not established is why. There is no evidence…
Sex hormones, whether testosterone or oestrogen, are not optional extras. Research shows that people who live for decades with insufficient sex…
The debate about gender-affirming surgery for under-18s is often muddled by treating very different procedures as if they were the same thing.…
Gender dysphoria is the distress that arises when a person's gender identity does not match the sex they were assigned at birth. It is recognised as…
Trans-competent mental health support means working with a therapist or counsellor who understands gender diversity without treating your identity as…
NHS gender clinics are legally required to see patients within 18 weeks of referral under the NHS Constitution. In practice, waiting times across UK…
Testosterone doses for trans men are prescribed to bring hormone levels into the normal male physiological range, typically 10 to 35 nmol/L. Because…
GenderGP is an online private gender-affirming care service founded by Dr Helen Webberley. It is funded through the fees people pay for consultations…
Trans people working in or receiving care from NHS and healthcare settings are protected under the Equality Act 2010's characteristic of gender…
Showing 30 of 48. See all Insight.
Priya walked into a GP surgery needing help and walked out with nothing but a referral to a psychiatrist she had not asked for, and it took her three…
Rachel had a simple, sensible question about her own body after vaginoplasty, and the answer turned out to be much more reassuring than she had…
A young person goes to their paediatrician hoping finally to be understood, and leaves with their identity questioned and their care delayed.
An autistic man who spent decades quietly finding himself asked Sammy whether the same child, born into today's world, would have been guided…
The BMA has published guidance on inclusive care for trans and non-binary patients, affirming their right to dignified, discrimination-free…
The Health Council of the Netherlands, the country's highest scientific advisory body, has completed a landmark two-year review of gender-affirming…
The FTC's lawsuit against WPATH is not a consumer-protection action in any ordinary sense. It is an attempt to use federal law to delegitimise the…
Helen assesses the BMA's LGBTQ+ equality commitments against its institutional response to the Cass Review. The BMA's equality page is strong: it…
The BMA's guidance on inclusive care of trans and non-binary patients contains genuinely useful direction for clinicians, but inclusive care requires…
Mainstream institutions and clinical bodies worldwide affirm gender-affirming care. The idea that this is a minority or extreme view does not hold up…
When social workers become involved with trans young people, families need clear information about what constitutes a genuine safeguarding issue and…
Following her GMC referral of Dr Hilary Cass, Helen Webberley reflects on the patient testimonies and stories that have shaped her perspective.
Helen calls on the GMC, NMC, and HCPC to provide clearer guidance and protection for professionals delivering evidence-based gender-affirming care.
Seven medical ethicists explain why restricting access to gender-affirming care contradicts core ethical principles and professional guidance.
Treating every person as an individual, rather than applying blanket policies, is a principle the Scottish government is right to defend.
Trans young people identified their key needs from gender services, but the reality of what they received tells a different story.
Helen Webberley responds to Gregory Stafford's comments, emphasising that clinical decision-making must remain in the hands of healthcare…
Young trans people deserve the same attention, respect, and quality of care as any other young person navigating healthcare and identity.
Dr Webberley reflects on the importance of hearing from patients and what their feedback means for her work.
Gender-affirming care is a individualised, evidence-based approach to supporting transgender and non-binary people in living authentically.
Sandie Peggie, an NHS nurse who previously brought a case against NHS Fife over a shared changing room with transgender colleague Dr Beth Upton, is…
A study by the Desmond Tutu Health Foundation found that trans and gender-diverse people in South Africa face severe structural barriers to…
Gavin Grimm won the right to use the boys' bathroom at his Virginia school after years of legal battles, but research by Professor Victoria…
A Finnish register study published in Acta Paediatrica in April 2026 found higher rates of psychiatric treatment among young people who sought gender…
A landmark report from Voluntary Health Scotland, the (IN)VISIBLE report, found that sex and gender inequalities are making thousands of people…
The EHRC's updated Code of Practice on single-sex spaces gives employers a legal framework, but it does not tell them what to do on Monday morning…
The EHRC's updated Code of Practice on single-sex spaces has been laid before Parliament and gives employers a legal framework, but not a complete…
Health Minister Mike Nesbitt has asked Hilary Cass to assess Northern Ireland's gender identity services, including a proposed Lifespan Gender…
At least 38 Dutch websites run by a single anonymous administrator pose as helpful resources for people questioning their gender identity but contain…
Fem forskere ved Oslo universitetssykehus er felt for grov uaktsomhet etter å ha brukt pasienters helseopplysninger i forskning uten samtykke. Saken…
James Murray replaced Wes Streeting as Health Secretary in May 2026. He has previously stated that trans women are women, but retreated from that…
The US Federal Trade Commission has filed a new complaint against WPATH, enlisting the attorneys general of Alaska, Iowa, Nebraska, and Texas in what…
The UK Pathways Trial for puberty blockers has set a minimum participation age of 11, after the MHRA paused it in February 2026 over safety concerns.…
Northern Ireland's Health Minister Mike Nesbitt has published a report by Dr Hilary Cass assessing the region's Gender Identity Service against the…
Showing 30 of 73. See all News.