Introduction —
This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Health care for lesbian, gay, and other sexual minority populations".)
International
●Endocrine Society (ES): A scientific statement on endocrine health and health care disparities in the pediatric and sexual and gender minority populations (2023)
●World Professional Association for Transgender Health (WPATH): Standards of care for the health of transgender and gender diverse people, version 8 (2022)
●ES and Pediatric Endocrine Society (PES): Position statement on transgender health (2020)
●ES: Clinical practice guideline on endocrine treatment of gender-dysphoric/gender-incongruent persons (2017)
●International Medical Advisory Panel (IMAP): Statement on hormone therapy for transgender people (2015)
●World Health Organization (WHO): Guidance on oral pre-exposure prophylaxis (PrEP) for serodiscordant couples, men, and transgender women who have sex with men at high risk of HIV – Recommendations for use in the context of demonstration projects (2012)
Canada
●Canadian Paediatric Society (CPS): Position statement on an affirming approach to caring for transgender and gender-diverse youth (2023)
●Canadian Psychiatric Association (CPA): Position paper on mental health care for people who identify as two spirit, lesbian, gay, bisexual, transgender, and (or) queer (2SLGBTQ+) (2023)
●CPS: Practice point on comprehensive sexual health assessments for adolescents (2020)
United States
●American College of Obstetrician and Gynecologists (ACOG): Committee opinion on health care for transgender and gender diverse individuals (2021, reaffirmed 2024)
●ACOG: Committee opinion on marriage and family building equality for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals (2018, reaffirmed 2024)
●American College of Physicians (ACP): Position paper on lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority health disparities (2024)
●American Psychological Association (APA): Policy statement on affirming evidence-based inclusive care for transgender, gender diverse, and nonbinary individuals, addressing misinformation, and the role of psychological practice and science (2024)
●American Academy of Pediatrics (AAP): Policy statement on ensuring comprehensive care and support for transgender and gender-diverse children and adolescents (2018, reaffirmed 2023)
●Society for Adolescent Health and Medicine (SAHM): Recommendations for promoting the health and well-being of sexual and gender-diverse adolescents through supportive families and affirming support networks (2022)
●AAP: Policy statement on office-based care for lesbian, gay, bisexual, transgender, and questioning youth (2013, reaffirmed 2021)
●American College of Radiology (ACR): ACR Appropriateness Criteria for transgender breast cancer screening (2021)
●American Heart Association (AHA): Scientific statement on assessing and addressing cardiovascular health in people who are transgender and gender diverse (2021)
●American Society for Reproductive Medicine (ASRM): Access to fertility services by transgender and nonbinary persons – An ethics committee opinion (2021)
●Endocrine Society (ES) and Pediatric Endocrine Society (PES): Position statement on transgender health (2020)
●SAHM: Position paper on promoting health equality and nondiscrimination for transgender and gender-diverse youth (2020)
●AAP: Clinical report on sexual and reproductive health care services in the pediatric setting (2017)
●PES: Statement on gender-affirmative approach to care (2017)
●American Geriatrics Society (AGS): Care of lesbian, gay, bisexual, and transgender older adults position statement (2015)
●APA: Guidelines for psychological practice with transgender and gender nonconforming people (2015)
Europe
●European Academy of Paediatrics (EAP): Statement on the clinical management of children and adolescents with gender dysphoria (2024)
●European Society for Sexual Medicine (ESSM): Position statement – "Sexual wellbeing after gender affirming surgery" (2022)
United Kingdom
●National Health Services (NHS) England: Clinical commissioning policy – Prescribing of cross-sex hormones as part of the Gender Identity Development Service for children and adolescents (2016)
India
●Adolescent Health Academy (AHA): Statement on the care of transgender children, adolescents, and youth (2023)
●Integrated Diabetes and Endocrine Academy (IDEA) Group: Consensus statement on medical management of adult gender incongruent individuals seeking gender affirmation as male (2023)
●IDEA Group: Consensus statement on medical management of adult gender incongruent individuals seeking gender affirmation as female (2020)
Australia–New Zealand
●Royal Children's Hospital (RCH): Australian Standards of Care and Treatment Guidelines for trans and gender diverse children and adolescents (2020)
