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Provincial Health Services Authority (PHSA) improves the health of British Columbians by seeking province-wide solutions to specialized health care needs in collaboration with BC health authorities and other partners.
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Transc Care BC
Clinical Handbook

Clinical Handbook

The Clinical Handbook is a resource to help clinicians provide gender-affirming care to trans, Two-Spirit, and non-binary patients (TTNB). We will be releasing new topics throughout 2025 and 2026.

Clinical Handbook TOC

Fundamentals of TTNB care

Non-medical gender affirmation

Pregnancy & infant feeding

PHSA provides specialized health care services to communities across British Columbia, on the territories of many distinct First Nations. We are grateful to all the First Nations who have cared for and nurtured the lands and waters around us for all time, including the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), and səl̓ílwətaʔ (Tsleil-Waututh Nation) on whose unceded and ancestral territory our head office is located. 

Commissioned artwork by Chase Gray
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