Transitioning is a highly personal journey and everyone’s path is different. For those right at the start of their journey contemplating what’s ahead, or for friends and family keen to support a loved one through the process, it is understandable that you may have lots of questions. With that in mind, the gender specialists at Waterside Clinic answer some of your most common ones below.

What are the legalities surrounding changing gender?
Before you can legally change your gender in the UK, you must live as your preferred gender for two years. This is a requirement under the 2004 Gender Recognition Act for applying for a Gender Recognition Certificate. A diagnosis of gender dysphoria from a medical professional is also required. And you must be aged 18 or over.

What is involved in changing gender?
Changing gender, or transitioning, is not a simple process. It is a complex journey featuring multiple stages:

  1. Social transition: This involves living as your preferred gender, changing the way you present, through clothing choices for example, and changing your name and pronouns.
  2. Legal transition: This involves officially changing your name and gender on legal documents. You change your name at any time via Deed Poll or statutory declaration. However, to change your name and gender on legal documents such as birth, marriage and death certificates, you will require a Gender Recognition Certificate.
  3. Medical transition: This can include hormone therapy and surgeries.

It is important to note that not all trans people may wish to progress through to a full medical transition. Talking to medical professionals, gender specialists and support groups is the best way to decide what is right for you.

What is hormone therapy?
Hormone therapy involves taking hormones such as oestrogen or testosterone to physically change your body so that it aligns with your gender identity. Examples of such physical changes include changes in body hair, fat distribution, muscle mass and breasts.

What is gender-affirming surgery?
Gender-affirming surgeries are part of the medical transition and they can take a variety of forms, such as:

• Chest reconstruction: Such as breast augmentation or a mastectomy
• Genital surgery: Such as vaginoplasty or phalloplasty
• Facial feminization or masculinization surgery: This can include treatment to the forehead, nose, cheeks, jawline and chin areas to make the face look more traditionally feminine or masculine.

How long is the typical waiting list for gender-affirming surgery?
The amount of time people have to wait for gender-affirming surgery varies hugely depending on individual circumstances, location and clinic. However, the average waiting time is two to five years. It’s a long journey and it’s best to be aware of this right from the beginning.

Who can I turn to for support?
The process of transitioning involves big decisions, so it is essential that you take all the time you need to reflect on your gender identity and do your research so you fully understand the complexities involved.

For some people, the prospect of transitioning can seem exciting but also daunting. The process itself can bring up all sorts of emotions. It is therefore important to have a good support network around you. Reach out to family and friends for support, or if that is not possible, look to support groups and connect with those who have already been through the process.

And remember, you can always speak to the gender specialists here at Waterside Clinic. We are proud to provide supportive transgender care within a safe, inclusive and welcoming environment, and we have supported countless people through their journey. If you would like to find out more about our services, get in touch with our friendly team on 0131 202 5314, or email us on hello@waterside.clinic.