Gender Clinics

What are Gender Clinics?

In the UK, people who are changing things linked to gender are supported by a set of specialist centres, often known as ‘gender identity clinics’ (GICs) or ”gender dysphoria clinics’ (GDCs), which offer formal diagnosis, psychological support, speech therapy, and access to other services like hormone medications and surgeries.

What do NHS Gender Clinics offer?

The services offered vary from clinic to clinic, but generally they offer assessment for hormone treatment and referral for gender confirming surgeries and hair removal, as well as initially monitoring hormone treatment and well-being in relation to gender dysphoria. Many GDCs offer counselling, peer support and speech therapy.

How can I access an NHS gender clinic?

You can access these gender services for free on the NHS. A GP or other medical professional can refer a trans person aged 17 or older to an NHS gender clinic. Some clinics accept self-referrals. Referral criteria related to the area you live in vary from clinic to clinic, so check their websites for more information.

Many gender services currently have very lengthy wait lists, and it can be very difficult to be waiting for so long. You can find sources of support on our trans inclusive organisations page. Gendered Intelligence have a helpline for people on waiting lists for NHS gender clinics.

You do not need to be seen by a local mental health team to be referred to an adult gender service.

NHS gender clinics

ServiceTo be seen (in months)To get hormones (in months)Total wait for hormones (in months)Referral
Aberdeen – Grampian Gender Identity Clinic241236GP
Belfast – Brackenburn Clinic Gender Identity Service59??GP
Belfast – KOI (young people)24??GP
Cardiff – Gender Identity Wales 15<1212-25GP
Edinburgh – The Edinburgh Chalmers Gender Identity Clinic23??GP
Exeter – Devon Partnership NHS Trust West of England Specialist Gender Identity Clinic871299GP or
Glasgow – The Sandyford NHS Gender Identity Clinic (Adults)55??GP or
Glasgow – The Sandyford NHS Gender Identity Clinic (Young People)42??GP or
Inverness – Highland Gender Identity Service29??GP
East of England – East of England Gender Service
(Pilot clinic)
???See their website for eligibility criteria
Leeds – Leeds and York Partnership NHS Foundation Trust Gender Identity Service571067GP or
London –The Tavistock and Portman NHS Foundation Trust: Gender Identity Clinic for Adults601070GP or
London – TransPlus
(New style clinic)
???See their website for eligibility criteria
Manchester – Indigo Gender Service
(Pilot clinic)
22??See their website for eligibility criteria
Merseyside – CMAGIC
(Pilot clinic)
???See their website for referral criteria
Newcastle – Northumberland, Tyne and Wear NHS Foundation Trust Northern Region Gender Dysphoria Service???Not accepting new referrals
Northamptonshire – Northamptonshire Healthcare NHS Foundation Trust Gender Identity Clinic53962GP or
Nottinghamshire – Nottinghamshire Healthcare NHS Foundation Trust The Nottingham Centre for Transgender Health231134GP
Sheffield – Sheffield Health and Social Care NHS Foundation Trust Gender Identity Service621678GP
Sussex – Sussex Gender Service
(Pilot clinic)
???See their website for eligibility criteria
The Northern Hub – for under 18s, coming soon
The Southern Hub – for under 18s, coming soon
Details for NHS Gender Clinics

About our waiting time data

Waiting time information shown on this page is taken from information given directly to by the services or from information published on their website. The waiting time information was last updated in December 2023.

Waiting times indicate how long patients who have just been invited for an appointment have waited for. As demand is currently increasing over time, this means it is likely you will wait longer than the time shown on this page.

Transferring to a different waiting list

The following clinics will honour your original referral date if you transfer onto their waiting list. Please note, there are different arrangements for young people transferring to adult waiting lists.

  • Cardiff – Welsh Gender Service
  • Edinburgh – Chalmers Gender Identity Clinic
  • Glasgow – Sandyford Gender Identity Clinic
  • London -The Tavistock and Portman NHS Foundation Trust: Gender Identity Clinic for Adults

This information was based on information on the websites of the services when it was last checked, but you may wish to confirm what rules would apply to you by contacting the gender service yourself before arranging a transfer to them.

What is a pilot clinic?

There are a number of pilot clinics in England. The purpose of these schemes is to explore a more holistic and comprehensive model of how gender clinics can function, with patient agency centred more in the process.

These clinics generally have a much shorter wait, but are only open to people who’ve already been referred to another clinic, and who meet particular requirements. Waits vary, usually depending on how long you’ve been on the waiting list for the other clinic.

What aspects of medical transition are available on the NHS?

  • Hormone blockers
  • Cross sex hormones
  • Hair removal for facial hair
  • Hair removal for surgical site (only if there is a clinical need, not for aesthetic purposes)
  • Mastectomy
  • Hysterectomy
  • Metoidioplasty 
  • Phalloplasty
  • Vaginoplasty

How much will it cost?

British citizens are able to access the NHS and HSC gender services for free. If you are not a British citizen, you may still be able to access these services for free, and more details can be found on‘s Immigration page.

Patients in Wales being referred to gender services for children and young people will need to ask their GP to apply for funding from their local Health Board.

You may be able to get help with the cost of travelling to attending appointments at NHS or HSC gender services. Further information about travel costs can be found:

More information about travel funding is also available on the London GIC website.

Where can I find more information?

Errors or omissions

Is there something missing from this page? Have you spotted something that isn’t correct? E-mail to let us know.