My free advice for better transgender care:

Make transgender care widely available. Not just 2 or 3 major centers. Transgenders should have a choice on where to go for their health care.

GP’s, social workers, psychologists, everyone in medical care needs basic training on trans bodies & identities.

The client is leading, not the doctors.
The client need the direction and path.
Tell your patients about their reproductive options the moment they apply for your care. Discussing this shortly before a patient starts hormone treatment is much too late!!!

More demand based transition supporting care.

MY LIFE DOESN’T ADHERE TO YOUR PROTOCOLS.

COMPLETE SELFDETERMINATION.

Title of the transgenders who do not yet have an expert statement.

The decision to follow therapy or not should be up to me.
I’m not crazy, I’m sure about my decision; I should be able to TRANSITION.
The different knowledges that come from transgender experiences should be taken seriously and integrated in how professionals deal with their jobs. (Example: not every one describes themselves as man/woman, but just trans + not always a ‘suffering’ narrative).

More information.
More knowledge by doctors.
Free the butterfly from the cocoon as soon as possible.

You can trust your patients.
Can your patients trust you?
Don’t question our Identity, we can do that quite well ourselves.

More transgender empowerment.
Dear doctor: “You have no power over me.”
The VUmc hurt more people than they help.

It would be usefull if the trans community and caregivers could cooperate.

If you consider the ‘risk’ of allowing access to transition,
consider the risk of denying access to transition
(and the damage of waiting and ‘proving’ your identity).
Don’t be scared to believe somebody who says what’s been said. It’s unlikely somebody lies about it’s feelings.

Trans health care providers are biased??
And cis health care provides are not?!?
Meaningful and ongoing inclusion of diverse trans folks in planning and delivering healthcare.

THIS IS NOT OUR BULLSHIT.

Autistic behaviour might be a coping method for gender dysphoria.

Better medication demand = room to complain about side effects + alternative options.
(meno implants back)
CHALLENGING BINARY THINKING.

Don’t ask people to prove themselves (for a year), and anyway.

Don’t penalise people that take responsibility for their own well-being.

Control over my transition. Less sticking to protocol and more tailor made approach.
Provide counseling instead of just determining whether or not I’m really a transman.
Work according to informed consult.
Do something about the very long waiting lists.
How is it possible to organise an all-white conference? Especially on pathologisation that is extremely problematic & naive.

Find the balance between the right to decide about one’s own life and body, and care combined with carefullness.

The BMI is a sham, not science. Forcing trans people to lose weight for their care causes eating disorders & more. Stop it now!!

Providers should start translating fearlessly with unbabel about our needs.
Tech advise is OK, but “my body, my decisions”.
Openness / collaboration, etcetera in the medical world.

Centre trans voices, especially trans people of colour.

Society needs to be diagnosed and counseled.

Personalised trans* health care, actualised!

Listen and hear what person says as they know their body and are the ones living their lives.

Ask the trans* person you care for what they find important & listen.
DON’T ASSUME ANYTHING.
When nothing is wrong, diagnostic phase for hormones should take at most one meeting with a psychologist.

TRANS = NORMAL

Less discussion, more CARE.

When a doctors (or psychologist) controls a patients’ life and transition there is dependence. There can not be honesty, there can not be real mental health care & all your studies are useless. Get rid of gate keeping and the patient-care giver relationship will improve dramatically.

MAKE IT SUITS THE CLIENT, NOT THE CLINIC.

Clients should be free to choose the care they need, not what package can be offered.

Give the trans* community an important space at the WPATH – and EPATH – congresses. They are completely healthy and can show you what they really need.

New candidates for transgender care must first be diagnosed on what they want and what experience they have.

MY BODY, MY RULES. This is not up for debate.

Why would a woman want a vagina?

HOW ABOUT GENDER EUPHORIA?

The BMI is a sham, not science. Forcing trans people to lose weight for their care causes eating disorders & more. Stop it now!!
… And [is] unfair towards trans people with chronic gastrointestinal conditions.

Time to accept trans people as “third party”, as is common for most other groups.

Safe care involves including and centering trans* voices in information exchange.
Making conferences inaccessible and limiting trans* inclusion creates unsafe spaces and pratices!
Gender teams should include transgender activists that can train professionals on trans issues on an experiential, social and political level.
THERE IS VERY FEW TRANS AWARENESS IN GENDERTEAMS AND HEALTH CARE SYSTEMS IN GENERAL.
MORE HUGS

We have been sterilized, bullied and driven to suicide by our trans care doctors. Be thankful we are talking about better care with you and not burning your medical empires to the ground.

Collaborate with client & other health care providers.

Cruel irony:
– Trans care is anything but transparent.
– Socialistic – supply side, capitalist pricing.
You say you’re not gatekeepers, but you still control my access to trans-related care. That control should be mine.

Care provided to the individual, because one size doesn’t fit all.

Every municipality a social worker with gender expertise!

Meer begeleiding bij sociale transitie!

Informed Consent – I’ve done more research than my doctor – let me choose my treatment path!

Stop treating transgender care as a luxury thing.
When being addicted I get help a lot faster, and my problem is understood as a serious problem. Why is transgender care addressed to as a luxury thing? Do I need to be a problem in order to have one?
Better information of medication or hormones to the client.

Informed consent model conform Callen-Lorde Community Health Centre – counseling and education session.
Decentralisation transgender care.
Complete information about the entire process: hormones, surgical techniques and other (alternative) options / alternatives.
Better communication and more self-management of the process, etc.
I dream of a transgender “plaza” where all kinds of gender care is accesible where you can shop for what you need.

