being refused?

[KilljoyMillie]

Are there any reasons that I would be refused hormones and/or surgery?

Millie

[FalseHybridPrincess]

well yeah...

[immortal gypsy]

Depends country to country we all have different systems.  Hopefully one of our UK brothers or sisters come along soon. They will be able to give you the help you need

[FTMDiaries]

Of course there are reasons why people could be refused: there are medical reasons, there are psychological reasons, there are personal reasons, there are social reasons, there are financial reasons... the question is: do any of them apply in your case? Without knowing the specifics, it's hard for us to advise you.

You said in your introductory post that you already live full-time as a female. That's a great step, and one that the Gender Identity Clinics (GICs) look on positively. There are several GICs in the country (and only one that treats under-18s) and as with everything else in the NHS they each tend to do their own thing, but as a general rule the following will help you:

• It'll strengthen your case if you can show your GIC evidence in writing that you've been living full-time in your preferred gender. This could include having changed your name; using your new name at school, uni, college or work; dressing full-time as a woman etc. My GIC wanted to see my Deed Poll to see my change of name, and wanted to know whether I was out to my family and at work (I was and am).
• If you're generally healthy, that will go in your favour. If you have any mental or physical health issues, it'd help if you take steps to get those seen to.
• Please bear in mind that most GICs have long waiting lists, and that you probably won't get hormones for quite a few months, or even longer. GICs generally like to see you for several appointments before prescribing hormones (although they can make exceptions) but many of us have waited months or even years before starting hormones. Please be patient and keep your expectations realistic.
• Hormones are neither here nor there financially, if you're on the NHS. At worst you can expect the standard NHS prescription charge for each item prescribed, but if you're on benefits they're free of charge. So they don't generally break the bank.
• Surgery, too, is free of charge... but think about transport to & from hospital, how long you'll need to recover (this depends on the procedure), who will take care of you whilst you recover, how you will support yourself (you won't be able to work for part of your recovery period).
• Your GIC will need evidence (your word is often enough) of persistent Gender Dysphoria. They'll ask you about your history and will need to see a pattern of dysphoria over quite some time. So be honest and tell them your history.
• Your GIC will need to see that your desire to live as a woman is due to your identity, and not due to a fetish. They'll assess you to make sure you genuinely have Gender Dysphoria. They're very experienced in this, so genuine cases don't tend to be refused.

If you haven't yet done so, the first step is to go to your GP and ask to be referred to a GIC. There are several, and they have different waiting times. So it all depends on which part of England you live in, really. The GIC will assess you and will recommend hormones and refer you for surgery, if appropriate.

Alternatively, if you're in a rush to get on hormones and don't want to wait for the NHS to do its thing, there are a couple of private clinics in London that could see you much sooner. They tend to cost something in the region of £200 per appointment.

[KilljoyMillie]

Of course there are reasons why people could be refused: there are medical reasons, there are psychological reasons, there are personal reasons, there are social reasons, there are financial reasons... the question is: do any of them apply in your case? Without knowing the specifics, it's hard for us to advise you.

You said in your introductory post that you already live full-time as a female. That's a great step, and one that the Gender Identity Clinics (GICs) look on positively. There are several GICs in the country (and only one that treats under-18s) and as with everything else in the NHS they each tend to do their own thing, but as a general rule the following will help you:

• It'll strengthen your case if you can show your GIC evidence in writing that you've been living full-time in your preferred gender. This could include having changed your name; using your new name at school, uni, college or work; dressing full-time as a woman etc. My GIC wanted to see my Deed Poll to see my change of name, and wanted to know whether I was out to my family and at work (I was and am).
• If you're generally healthy, that will go in your favour. If you have any mental or physical health issues, it'd help if you take steps to get those seen to.
• Please bear in mind that most GICs have long waiting lists, and that you probably won't get hormones for quite a few months, or even longer. GICs generally like to see you for several appointments before prescribing hormones (although they can make exceptions) but many of us have waited months or even years before starting hormones. Please be patient and keep your expectations realistic.
• Hormones are neither here nor there financially, if you're on the NHS. At worst you can expect the standard NHS prescription charge for each item prescribed, but if you're on benefits they're free of charge. So they don't generally break the bank.
• Surgery, too, is free of charge... but think about transport to & from hospital, how long you'll need to recover (this depends on the procedure), who will take care of you whilst you recover, how you will support yourself (you won't be able to work for part of your recovery period).
• Your GIC will need evidence (your word is often enough) of persistent Gender Dysphoria. They'll ask you about your history and will need to see a pattern of dysphoria over quite some time. So be honest and tell them your history.
• Your GIC will need to see that your desire to live as a woman is due to your identity, and not due to a fetish. They'll assess you to make sure you genuinely have Gender Dysphoria. They're very experienced in this, so genuine cases don't tend to be refused.

If you haven't yet done so, the first step is to go to your GP and ask to be referred to a GIC. There are several, and they have different waiting times. So it all depends on which part of England you live in, really. The GIC will assess you and will recommend hormones and refer you for surgery, if appropriate.

Alternatively, if you're in a rush to get on hormones and don't want to wait for the NHS to do its thing, there are a couple of private clinics in London that could see you much sooner. They tend to cost something in the region of £200 per appointment.

Thank you for the full answer. I am going to change my name by deed poll as soon as my care home gets me a solicitor (though. I am older enough to change my name without permission) I do live full time as a female now and when meeting new people I introduce myself by my chosen,female, name. I am going to be applying to a college (I don't know which one) in my (then legal) female name.
It"s not a fetish at all.
I live as a female full time with female clothing ,scarves, panties etc
I have been referred by my gp to a peadiatrition who I am due to meet next month.

Some of my staff at my carehome already knew before I told them " I could tell you had gender issues by your manerisms and the way you ran and spoke" (that kind of sounds more like a sexuality thing to me tbh) and some staff I already told that I wanted to transition before living full time as female.
Most of my teen hood I tried to genderblend the best I could by wearing mostly female clothing  but usuallly in a subtle way eg female jackets tops and skinnies

Thanks,
Millie

[FTMDiaries]

Brilliant! It sounds like you're doing everything right.

Being out to the staff at your care home should be treated in the same way as being out at work, so that should satisfy that requirement. See if you can make a note of the date on which you came out to them: the GIC will probably treat this as evidence of when you started living full-time as female.

You can use the care home's solicitor to do a deed poll if you wish... but under British law, you don't actually need to pay anyone to do it for you; you could write it up yourself if you wanted. However, I have found that having one signed by a solicitor makes it easier to change official documents, such as passports etc.

When you do get the solicitor to help you with your deed poll, please make sure you get them to make you some certified copies - and then keep these in a safe place. You'll be surprised how many people will want to see a copy of it, particularly if you don't have any ID. In fact, I recommend getting some sort of ID in your new name as soon as you can afford it, so that you don't have to keep showing it alongside documents in your old name, every time you apply for something. I've just applied for my passport in my new name & gender, which I can then use as ID for anything else.

If your GP has referred you to a paediatrician, that's a great first step. The paediatrician will assess you and will most likely refer you to the Tavistock & Portman in London (if you're in the South) or Leeds (if you're in the North). Here's their website, so you can see what to expect: http://www.tavistockandportman.nhs.uk/care-and-treatment/information-parents-and-carers/our-clinical-services/gender-identity-development - there's a handy Patient Leaflet on that page that goes into some detail of what you can expect.

Good luck!

[KilljoyMillie]

Thank you! My carehome is trying to sort out my solicitor as soon as possible because I need to apply to college in my legal name and having *ThAt* as my legal name that I have to write on stuff is really upsetting, thank you for the full answers!

Millie

[FTMDiaries]

You're welcome.

One thing to bear in mind is that your school records are in your old name, and the college you apply to may want to see them. Also, your first few employers might want to see evidence of your school qualifications.

If you want to avoid that kind of upset, consider whether you want to contact your old school and get them to change your name & gender in their records. Some schools will do this with a Deed Poll; others will want the Deed Poll plus a letter from the GIC stating that you're undergoing gender reassignment. But if you do this, any time anyone wants to see evidence of your school results, they'll be in the right name and you won't have to experience that awful, uncomfortable feeling.

[KilljoyMillie]

Sorry for the slow reply I definitely will don't worry thank youu

Millie