Changes in WPATH Standards of Care

Surgical & Post-Operative Gender Affirming Care for Mental Health Providers

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The Gender Health Training Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Gender Health Training Institute maintains responsibility for this program and its content.

The World Professional Association for Transgender Health recently published the new Standards of Care (SOC8) for the treatment of transgender and gender diverse (TGD) people. Given the global concern regarding gender affirming medical care for TGD people, especially for youth, and the concerns around TGD people’s capacity to consent to gender affirming surgeries, makes this a very important chapter for mental health providers to understand when referring and advocating for gender affirming surgeries for their clients.

There are some significant changes from previous versions that mental health providers who work with gender diverse people need to be aware of. This webinar will help anyone who works with gender diverse clients across the lifespan understand their role, the impact of gender affirming surgeries, and the importance of post operative care, when these treatments are medically necessary as a part of their care. These new standards may significantly change how we practice and especially what is expected of us as mental health providers when evaluating both youth and adult for gender affirming medical care. If you work with gender diverse people or their families it is important to understand these changes and how they may impact your work.

We’re going to talk about…

  • SoC8 expectations for mental health providers working with gender diverse people seeking gender affirming surgeries
  • Guidelines regarding referrals for gender affirming surgeries with gender diverse people across the lifespan
  • The role of Mental Health Providers in the preparation for and throughout post-operative care
  • What mental health care providers need to know about surgeries, consent, and embodiment goals for adolescents and adults.

Learning Objectives:

  • Describe the common gender affirming surgical interventions for both AMAB and AFAB patients as a function of adolescent and adult authentic embodiment goals. 
  • Describe the stages of development and medical necessity for gender affirming surgical interventions across the lifespan.
  • Explain both the efficacy and the potential for surgical regret for both adolescent and adult patient’s accessing gender affirming surgery and their families.
  • Explain the role of mental health providers as a part of a multi-disciplinary team in the evaluation of medical necessity for gender affirming surgeries.

Why this is important?

This Webinar will help mental health providers who work with transgender/gender diverse people and those who assess them for gender affirming care navigate the latest changes in the WPATH Standards of Care, version 8 and know how to implement them in your practice and evaluations. It will also help any provider working with adolescents and adults seeking gender affirming surgeries understand the approach to treatment, what to explore in an assessment, understanding surgical regret, and what needs to be addressed when referring gender diverse adolescents and adults for gender affirming surgical treatment even in complex cases or when co-occurring mental health symptoms are present.

The overall goal of the Standards of Care guidelines is to provide clinical guidance for health professionals to assist transgender and gender diverse people with safe and effective pathways to achieve lasting personal comfort with their gendered selves, and to maximize their overall health, psychological well-being, and self-fulfillment.

Version 8 of the standards of care is a broad expansion of the guidelines, since quite a lot has changed in the world of gender affirming care in the past 11 years since SOC7 was unveiled. For mental health providers who work with transgender and gender diverse children, especially those who are evaluating them for social transition, it is important to understand the latest changes.

2.0 CE Credit Available ($30 – available in Full Access Plan)

The Gender Health Training Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Gender Health Training Institute maintains responsibility for this program and its content.

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  • Video Recording

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  • Video Recording

  • Presentation Slides

  • Post-Training Quiz

  • Evaluation

  • Certificate (2.0 CE’s)

About the Presenter: Shawn V. Giammattei, PhD

For those who don’t know me, I am a licensed psychologist in Northern California, a member of the transgender community, and a WPATH certified mentor who is dedicated to helping therapists provide gender affirmative care to transgender, nonbinary, gender-expansive (trans) clients and their families across the life span, and build gender-affirming practices while navigating the quickly changing world of transgender health so that your clients and their families can build stronger connections, live with authenticity, and receive the care they need.

Dr. Giammattei has no commercial disclosures or conflicts of interest.


American Psychological Association
Family Process
WPATH Journal

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