Gender affirming care in Canada comes with barriers and delays, especially in N.S.
To apply for these surgeries, Nova Scotians must first obtain at least three letters: one mental health assessment letter confirming that the patient has gender dysphoria and is capable of informed consent; a support letter from a clinic or family doctor confirming that the patient will be cared for post surgery; and a letter from an endocrinologist, psychiatrist or surgeon also assessing the patient’s mental wellness.
“There seems to be an assumption somewhere in the medical community that trans people can’t make their decisions or give informed consent without repeated psychological assessment, which is a little unfair,” she said.Jenn Macgillvray, a clinical lab technologist at a Halifax hospital who is non-binary, joined the wait list to receive the first required letter for gender-affirming surgery in June 2021 and will travel to Montreal for the procedure in September.
Macgillivray and their lawyer are preparing to file a human rights complaint against the province because of the specialist letter requirement, they said, noting that many provinces don’t require this third step.
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