This document provides updated protocols for the prescribing clinician relating to physical assessment, prescription planning, initiation of endocrine therapy, and ongoing maintenance.
It is intended to assist endocrinologists, family physicians, and nurse practitioners whose patients may ask for feminizing/masculinizing medication.

The original guidelines were developed in 2006 as part of a set of clinical guidelines produced by the Trans Care Project, a joint initiative of Transcend Transgender Support & Education Society and Vancouver Coastal Health’s Transgender Health Program.

We thank the Canadian Rainbow Health Coalition and Vancouver Coastal Health for funding this project.

The 2015 update was supported by the Transgender Health Information Program at Vancouver Coastal Health.