What Do I Need To Know About Medical Transition?

Following the publication of the Levy Review, we anticipate that NHS England will change how medical transition is accessed in England. The information on this page represents our understanding of how people can access medical transition in December 2025. We will continue to update this page as more information becomes available about what changes NHS England plan to make. To find out more about the Levy Review, read our press release.

This is the menu page for TransActual’s What Do I Need To Know About Medical Transition? resource. Click the chapter title to go to a page.

Getting access to medical transition

Gender affirming treatments and services

Once you’ve completed the initial assessment process, you can start to access gender-affirming treatments and services. Exactly what’s available to you will depend on your exact situation, including whether you’re over 18 and which local NHS organisation you’re registered with, but many people choose to access some or all of:

  • Hormone therapy
    including testosterone, oestrogen, and GnRH agonoists (“blockers”)
  • Surgery
    including chest surgery and genital surgeries like metoidioplasty, phalloplasty, and vaginoplasty
  • Permanent hair removal
    including facial and pre-surgical laser hair removal and electrolysis
  • Fertility preservation (page coming soon)
    including freezing eggs, sperm, embryos, and fertility treatment
  • Speech therapy
    learning techniques that help you change how your voice sounds

Extra support

Private care

Further information

TRANSforming futures logo

Thank you to TRANSforming Futures for funding the work needed to create this resource. TRANSforming Futures is partnership funding trans-specific projects, thanks to National Lottery players, by the National Lottery Community Fund, the largest funder of community activity.

A disclaimer: TransActual do not provide medical, health, or legal advice. The content of this page is intended for information purposes only. It is not a substitute for medical advice, diagnosis or treatment from a medical professional. It is not a substitute for advice from a legal professional. We strongly suggest you consult a healthcare professional or legal professional for specific advice about your situation. TransActual do not advocate or recommend the purchase of any specific product and we do not endorse or guarantee the credentials or appropriateness of any health care provider, any product or any provider of legal services.

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