Health care for transgender New Zealanders

Services providing gender-affirming health care vary across the country and may be found in primary care, youth one-stop-shop services, sexual health and other hospital services.

Hormone therapy

Service providers who can help you access hormone therapy include:

  • primary health care teams
  • sexual health services
  • youth health services
  • endocrinologists.

The process of starting hormonal therapy includes assessing readiness, from a medical and psychosocial perspective, to begin. More visits may be required for people with complex physical or mental health issues. Information needs to be provided to support an informed consent approach.

Some hormone therapy may produce irreducible changes that you’ll need to consider, such as to your fertility. You may want to investigate fertility preservation (like freezing sperm or eggs) before you start hormones.

Mental health

Counselling and mental health services

Seeking help with a counsellor or mental health professional is a key part of managing any distress.

The experiences of stigma and discrimination can stop people from reaching out and accessing support. It is important to know that some of the uncomfortable experiences of social and medical transition are temporary – and that health professionals are available to help when you face these barriers.

If you want to know more about mental health providers, you can contact one of the following services, or check with your GP or primary care provider for a referral.

Support networks

Medical and social transition encompasses many changes in our values, relationships and life choices. Finding an understanding person to share the experience with can help to get through some of the doubts, concerns and worries.

It is common to feel isolated, to feel like you are the only person who has had to face barriers or concerns. But often there are many networks and people in our everyday community who are more than willing to introduce or link others to peer support networks.

Check out the Resources page for support networks outside of the medical and mental health sector.

If you need urgent help

If there is any concern for the safety of a person or yourself, seek help and guidance from mental health services.

Voice therapy

  • Voice therapy can help you train your voice to achieve a more gender neutral pitch and communication style.

Gender-affirming surgeries

Gender affirming surgeries include:

  • Feminising breast augmentation
  • Masculinising chest reconstruction
  • Hysterectomy (removal of the uterus)
  • Salpingo-oophorectomy (removal of ovaries and fallopian tubes)
  • Orchidectomy (removal of testicles)
  • Gender affirming genital surgery.

Availability of these surgeries (except for genital surgery) will depend upon the surgical expertise and capacity within your regional hospital, and the clinical priority given to your surgery.

An assessment of your readiness for surgery may be required before you can be referred for consultation with a surgeon. Guidance on eligibility for all gender affirming surgery is available in the Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People, published by The World Professional Association for Transgender Health (WPATH). The WPATH Standards Version 8 is due to be released in 2022.

Gender affirming genital surgery

From 2020, gender affirming genital surgery has been publicly funded and provided in New Zealand in the private sector.  People who have been referred for gender affirming genital surgery are on a waiting list to see a surgeon who can discuss suitability for surgery and surgery options. There is currently a long waiting list.   

Referrals for gender affirming genital surgery are generally made by the health care professional who has been providing transgender health care for a person. This is often an endocrinologist or a sexual health physician at a hospital. In some areas, a hospital network may have an agreed process with a general practitioner with special expertise in transgender care to provide referrals.

If you wish to be considered for this surgery, you should discuss this with your transgender care specialist. If you are not currently under the care of a specialist, then you should discuss this with your GP, who can make a referral to an appropriate specialist.

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