Information on surgical assessments at Transcend Gender Clinic

This page provides information about surgical assessments as part of the gender care pathway at Transcend Gender Clinic.

  • Transcend can refer patients to surgical providers for gender-affirming surgeries
  • While Transcend doesn't directly perform surgeries, the clinic plays a vital role in connecting patients with appropriate surgical specialists
  • Referrals for surgeries typically occur after a comprehensive assessment process and are part of a broader individualised treatment plan.

What can you expect when you go for your surgical assessment?

  • Comprehensive evaluation: Surgical assessments typically involve a comprehensive evaluation of your medical and psychological history to ensure you're a suitable candidate for surgery
  • Discussion of goals and expectations: The assessment might include discussions about your surgical goals, desired outcomes, and potential risks and benefits
  • Referral process: The assessment will determine the appropriate type of surgery and the most suitable surgical provider for your needs.

Consult directly with Transcend Gender Clinic for the most accurate and up to date information on surgical assessments and referrals.

Before we can refer you for surgery, your body mass index (BMI) usually needs to be less than or equal to 30. You can work out your BMI here.

Your waist measurement should also be less than or equal to 102 centimetres (40 inches). The referral portal for surgery, which is managed by the NHS Arden and Greater East Midlands Commissioning Support Unit (AGEM), will not accept patients with higher BMI than this. If your BMI is higher than 30, please be aware that we won’t be able to refer you until you lose weight. T

here may also be other conditions which may affect your fitness for surgery. As you prepare for your period of care with us, it’s a good idea to focus on healthy eating and regular exercise, which will help you manage your mood as well as your weight. Find out about how the NHS supports people to lose weight and improve their fitness.

The table below has the BMI acceptance criteria for the different hospitals and surgeries. 

Transcend BMI.png

Changing your name on NHS record

If you are a transgender patient registered at a GP practice and would like to change your name on your medical records, you can ask your GP practice to do this.

Each GP practice has its own procedures. There is no legal requirement for you to provide evidence of a name change, although some practices may ask for documentation as part of their usual process.

Your GP practice does not need to provide proof to PCSE that evidence has been seen in order to update your name. However, PCSE may contact the practice by phone or email to confirm that the change has been made.

Name changes can be made for

  • Adults

  • Children and young people under the age of 18

If your GP practice needs to submit a query about gender reassignment for a patient aged 18 or over, they should use the PCSE secure Gender Reassignment online form. If you have any questions or concerns, you are encouraged to speak directly with your GP practice.

Important information you need from surgeons:

  • Preparation for surgery: Surgical providers often require specific preparation steps, such as letters of support from mental health professionals, hormone therapy for a certain duration, or achieving specific health markers
  • Post operative care: Surgical assessments may also involve discussions about post-operative care, recovery expectations, and ongoing support.

Important considerations

There might be waiting times for assessments and subsequent hormone therapy initiation due to the high demand for gender care. It's essential to maintain open communication with your clinician throughout the process, asking any questions you may have and discussing any concerns that arise.