Clinical Handbook

The purpose of this content is to provide health care professionals with key messages and evidence-informed recommendations for gender-affirming care in British Columbia (BC). This content was developed by provincial subject matter experts. The review process involved an internal evaluation by interdisciplinary healthcare professionals at Trans Care BC, as well as an external review conducted by additional interdisciplinary healthcare professionals and community members from across the province.

This content reflects the best available knowledge and resources at the time of publication. Trans Care BC documents are intended to provide information, education, and guidance only and should not be used as a substitute for clinical judgement and assessment of the individual needs of transgender, Two-Spirit, and non-binary people. Health care professionals should continue to exercise clinical judgement and take into consideration context, resources, wise practices, and other relevant factors when providing gender-affirming care.

Provincial Health Services Authority (PHSA) and Trans Care BC are not liable for any damages, claims, liabilities, costs, or obligations arising from the use of this document including loss or damages from any claims made by a third party. PHSA and Trans Care BC also assume no responsibility or liability for changes made to this document without their consent.