Following your initial assessment, you will be asked to meet with another
member of the team. If not seen by a psychiatrist initially, you will be seen by one on your second appointment. If both
these doctors agree, you will be accepted into the clinic.
After this, you will be invited to attend the drop-in clinic held on
Tuesday of each
month, plus any further scheduled appointments. The
clinic adopts a team approach and if you are accepted into the service, you
can expect to see most, if not all, the members of the team at some
clinic functions according to the minimum ‘Standards of
produced by the World Professional Association of Transgender Health.
These can be viewed at www.wpath.org
During your transition you will be expected to live the
Life Experience (RLE). This requires you to adopt the
appropriate appearance and behaviours of your chosen gender and
requires you to change your name and official documents to match your
chosen gender. You may be asked to bring evidence of these changes to
the clinic e.g. driver’s license, passport, letters from
If you are Male to Female (MTF), while transitioning, you may be offered speech
and language therapy to assist in achieving a more feminine voice.
Although it is a neccessity, Electrolysis/Laser hair
removal is currently unavailable if you live in the Greater Glasgow & Clyde Health Board area. It is however, under review.
For MTF's feminising hormones are prescribed. They will only be
prescribed after three months of a RLE has been completed. However, In
exceptional circumstances you may be prescribed them prior to transition. If you are overweight, you may be asked to lose weight prior to commencement.
If you are Female to Male (FTM), masculinising hormones are prescribed. These have irreversible actions and can only be
prescribed after 1 year of a RLE. Prior to prescription, you will need a second
opinion from a mental health professional, which are offered at the clinic.
During this time, whether you are are MTF or FTM, you may need to see a consultant endocrinologist, if you have
complicated hormonal requirements.
After you have completed at
least 1 year of your RLE, Gender
Confirmation Surgery (GCS) can be offered. Prior to this, a second opinion from a
mental health professional is required.
All GCS is performed in England and the following surgeons hold
clinics at Sandyford 3-4 monthly:
For MTF's - Mr
For FTM's - Mr
David Ralph or Mr Nim Christopher
you wish referral to a different surgeon this would be subject to
your local health authority agreeing to fund it.
trans-men breast reduction surgery can be arranged depending on
funding from your local health authority.
Breast Enhancement Surgery for trans-women is currently under
For MTF's, facial
feminisation and tracheal shave operations can be offered locally
through Mr Koppel based at the Glasgow Royal Infirmary.
After your surgery, you will be
offered an appointment to attend the clinic 6 months later. You will be
encouraged to attend the drop-in
clinic should any problems arise.
If you are under the age of 19 years, there
is a specific service.
This is provided by a Consultant Child and
Adolescent Psychiatrist. A full assessment will be carried out in which, your family will be invited to participate in
if you give your consent. You will also have the
opportunity to discuss issues on an individual basis. In some
circumstances, if you are under 13
years, you may be referred for an Endocrinological
opinion at Yorkhill hospital. You may be referred to your local
Child and Adolescent mental health team for further
are a number of groups around Scotland, where you will find peer
support from people who have had similar experiences to you. The
affiliated to the Gender Clinic at Sandyford, is the Sandyford
Trans-women Support Group.
further information about this group, contact Colin Mackillop, the Community Access
Co-ordinator at Sandyford firstname.lastname@example.org
Below are other MTF support groups around Scotland.
Crosslynx (Glasgow) www.crosslynx.org.uk
Edinburgh Trans-women's Group www.edinburghtranswomen.org.uk
Stirling TG Group (formally known as the West Lothian TV/TS Group) www.stirlingtggroup.org.uk
Swans of Scotland (Inverness) www.spanglefish.com/swansofscotland
North East Support Trans (Aberdeen) www.nestsupport.co.uk
For FTM's there is:
This group provides
peer support for all Female-to Male Trans-men, (FTM) and for anyone
labelled Female at birth who is exploring their Gender Identity. The
group has members across Scotland and hold meetings in Glasgow and
information re meetings phone: 07948 735 179