WPATH Specific Criteria
IMPORTANT. PLEASE NOTE : Whilst the WPATH guidelines specify ‘Mental Health Workers’ are able to provide the necessary reports required for surgery, it is the policy of Mr Ives’ that those reports must be from either a Psychiatrist OR a Clinical Psychologist only. For further information and clarification on this, please contact the rooms.
The specific criteria for different surgeries are listed below.
Criteria for breast/chest surgery (one referral):
Criteria for mastectomy and creation of a male/androgenous chest
- Persistent, well documented gender incongruence;
- Capacity to make a fully informed decision and to consent for treatment
- Age of majority
- If significant medical or mental health concerns are present, they must be reasonably well controlled
Hormone therapy is not a pre-requisite.
Criteria for breast augmentation (implants/lipofilling)
- Persistent, well documented gender incongruence
- Capacity to make a fully informed decision and to consent for treatment
- Age of majority
- If significant medical or mental health concerns are present, they must be reasonably well controlled
Although not an explicit criterion, Mr Ives recommends patients undergo feminizing hormones for at least 12 months prior to surgery. He also recommends that patients should wait until their breast growth has ceased before considering surgery.
Criteria for genital surgery (one referral):
Criteria for orchidectomy
- Persistent, well documented gender incongruence
- Capacity to make a fully informed decision and to consent for treatment
- Age of majority
- If significant medical or mental health concerns are present, they must be reasonably well controlled
- 6 continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones)
Criteria of Genital Reconstructive Surgery
- Persistent, well documented gender incongruence;
- Capacity to make a fully informed decision and to consent for treatment;
- Age of majority in a given country;
- If significant medical or mental health concerns are present, they must be well controlled;
- A minimum of six months of hormone therapy as appropriate to the patient’s gender goals (unless hormone replacement therapy or gonadal suppression is not clinically indicated or the procedure is inconsistent with the pateints desires, goals or expressions of individual gender identity