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Transgender Health Services improves access and quality of healthcare for transgender San Franciscans via its Transgender Surgery Access Program for Healthy San Francisco and Medi-Cal patients. It also partners throughout the SF Health Network to strengthen competency in transgender healthcare at all access points.


The Transgender Surgery Access Program is accepting new patients for surgery every day.

How to learn more about the Transgender Surgery Access Program:


For Patients

  • Attend an upcoming Community Orientation
  • Visit our information pages:
  • Lastly, remember that surgery is not the deciding factor in what gender you are. That is for you to decide, whether or not surgery is part of that journey. There are transgender people who feel they need surgery, and there are those who don’t. It is completely OK either way, and it is up to you.

For Providers/Clinicians

  • Attend an upcoming Provider Training
  • Visit our information pages:

Background and History of Transgender Health Services

The San Francisco Department of Public Health (SFDPH) established Transgender Health Services to provide access to transgender surgeries and related education and preparation services to eligible uninsured transgender adult residents. Currently, SFDPH also provides a range of health services to transgender residents such as primary care, prevention, behavioral health, hormone therapy, specialty and inpatient care.

This new initiative was born out of the incredible work of community advocates, which ultimately led to the following developments:

  • The Board of Supervisors adopted resolution number 288-12 in July 2012, encouraging the Department to ensure the provision of medically necessary gender-transition-related care.
  • In addition, in November 2012, the San Francisco Health Commission approved the following:
  • Developing a new program (Transgender Health Services) to transgender surgery to eligible uninsured transgender adult residents
  • Using gender identity disorder (now called gender dysphoria) as a clinical indication for surgical procedures
  • Removing transgender surgery from the list of excluded services under the Healthy San Francisco program.

 

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Transgender Health Services
San Francisco Department of Public Health
415.355.7513
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