Secretaries/Administrative Staff

Help create and foster safe environments by greeting patients in a welcoming manner. They play a key role in ensuring patient intake forms are inclusive and accurately reflect the patient’s name and pronouns in the medical record.

Primary Care Providers

Provide timely transition-related support and clinical consultation related to the delivery of gender-affirming care; this may include gender-affirming hormone assessment, monitoring, referrals and assessment for readiness of gender-affirming surgery.

Endocrinologists

Provide timely transition-related support and clinical consultation related to the delivery of gender-affirming care; this may include gender-affirming hormone assessment, monitoring, referrals and assessment for readiness of gender-affirming surgery. Endocrinologists have supplemental training in the study of hormones and provide specialized care in areas of diabetes, thyroid diseases, adrenal concerns, and pituitary hormone issues.

Transition-Related Surgeons

The Transition-related surgical team may include physician specialists in plastic surgery, urology, gynecology and anesthesiology. They provide assessment for gender-affirming surgeries which may include: mastectomy with chest contouring, chest augmentation, hysterectomy, bilateral salpingo-oopherectomy, orchiectomy, scrotectomy, metoidioplasty, phalloplasty, vaginoplasty, and vulvaplasty.

Fertility Clinic Teams

Support a number of family planning and assisted reproductive options for members of the LGBTQ+ community, such as donor eggs, donor sperm, gestational carrier options, fertility preservation for individuals who produce sperm, fertility preservation for individuals with ovaries and uteri, donor insemination and intrauterine insemination.

Nurse Practitioners

When specialized in gender-affirming care, Nurse Practitioners are able to begin hormone initiation, hormone blockers, and provide follow up care. Nurse practitioners are also able to refer patients for gender-affirming surgeries. Nurses can also aid in education and instruction on hormone self-injection and self-management techniques.

Pharmacists

Advise patients about prescriptions, including how to take them, and what side effects might entail. They review medication interactions, and ensure patients receive their medications through a safe and trusted supply chain.

Dietitians

Help improve nutritional care to balance out macros and micros for trans and gender diverse patients. Specific side effects of hormonal therapy may include weight gain, changes in body composition, altered lipid profiles, changes in bone composition, and other metabolic factors. Clinical nutrition care for trans and gender diverse is a new field that continues to expand.

Speech Language Pathologists (SLP)

Aid in an important aspect of social transitioning through voice training and help patients change their speech to present more masculine, feminine or androgynous in gender expression. SLPs work with clients to provide education and training on pitch, vocal inflections, voice quality, vocal resonance and articulation.

Social Worker/Clinical Counsellors

Work with individuals of intersectional identities to promote gender-affirming sexual health and wellness, while supporting individuals through mental, physical, and social transition. These health professionals speak with anyone who is concerned about their general well-being and advocate on behalf of their clients if someone is having difficulty accessing care.

Peer Supports

Are community members who serve as advocates and allies providing peer-support and shared spaces for trans folks at all points of their transitions.