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WPATH Standards of Care:

 The World Professional Association for Transgender Health, Inc. (WPATH) (formerly, the Harry Benjamin International Gender Dysphoria Association, Inc. (HBIGDA) is a professional organization devoted to the understanding and treatment of gender dysphoria.

 WPATH is known for publishing the Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People. They also provide information for healthcare proffesionals, sponsor scientific conferences and offer ethical guidelines. The SOC are based on the best available science and current expert professional consensus. 

 The objective of the WPATH standards of care is to provide clinical guidance for medical professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. This assistance may include primary care, gynecologic and urologic care, reproductive options, voice and communication therapy, mental health services (e.g., assessment, counseling, psychotherapy), and hormonal and surgical treatments.

 While this is primarily a document for health professionals, the SOC may also be used by individuals, their families, and social institutions to understand how they can assist with promoting optimal health for members of this diverse population.


 As of 2012, the 7th version of the Standards of Care is the newest version. The first six versions were published in 1979, 1980, 1981, 1990, 1998, and 2001.

 The 7th version of the WPATH Standards of Care is available for reading at www.wpath.org/documents/SOC%20V7%2003-17-12.pdf.


WPATH Approved Letters of Recommendation for SRS Includes:

1. The patient's general identifying characteristics.

2. The initial and evolving gender, sexual and other psychiatric diagnoses.

3. The duration of their professional relationship, including the type of                   psychotherapy or evaluation that the patient underwent.

4. The eligibility criteria that have been met and the mental health                         professional's rationale for hormone therapy or surgery.

5. The degree to which the patient has followed the Standards of Care to date         and the likelihood of future compliance.

6. Whether the author of the report is part of a gender team.

7. That the sender welcomes a phone call to verify the fact that the mental             health professional actually wrote the letter as described.

The organization and completeness of these letters provide the hormone prescribing physician and the surgeon an important degree of assurance that the mental health professional is knowledgeable and competent concerning gender identity disorders.

List of online gender therapists that can provide a letter of recommendation for sex reassignment surgery