Specialists in the Medical & Psychological Aspects of Transgender Health Care 

Carl W. Bushong, Ph.D., LMFT
Richard A. Martin, Jr., M.D., FACEP
Kimberly L. Westwood, CPE, CCE
et al.
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home > Guidance & Transition > Resources > HBIGDA Standards of Care (01)

 HBIGDA STANDARDS OF CARE - 2001 (version 6) SECTIONS  
  Title Page
I. Introductory Concepts
II. Epidemiological Considerations
III. Diagnostic Nomenclature
IV. The Mental Health Professional
V. Assessment and Treatment of Children and Adolescents
VI. Psychotherapy with Adults
VII. Requirements for Hormone Therapy for Adults
 VIII. Effects of Hormone Therapy in Adults
 IX. The Real-life Experience
X. Surgery
XI. Breast Surgery
XII. Genital Surgery
XIII. Post-Transition Follow-up
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XIII. Post-Transition Follow-up

Long-term postoperative follow-up is encouraged in that it is one of the factors associated with a good psychosocial outcome. Follow-up is important to the patient's subsequent anatomic and medical health and to the surgeon's knowledge about the benefits and limitations of surgery.

Long-term follow-up with the surgeon is recommended in all patients to ensure an optimal surgical outcome. Surgeons who operate on patients who are coming from long distances should include personal follow-up in their care plan and attempt to ensure affordable, local, long-term aftercare in the patient's geographic region. Postoperative patients may also sometimes exclude themselves from follow-up with the physician prescribing hormones, not recognizing that these physicians are best able to prevent, diagnose and treat possible long term medical conditions that are unique to hormonally and surgically treated patients. Postoperative patients should undergo regular medical screening according to recommended guidelines for their age. The need for follow-up extends to the mental health professional, who having spent a longer period of time with the patient than any other professional, is in an excellent position to assist in any post-operative adjustment difficulties.

Some of the resources in this section contain differing viewpoints comprising a variety of authors, committees, and interest groups. Additionally, some of these materials are delivered in an advisory context, covering legal, ethical, medical and social issues. These materials do not necessarily represent the guidelines of TransGenderCare or the philosophies of our staff.


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