The Clinician's Guide to Transgender Care
Key strategies necessary to provide comprehensive, sensitively delivered care


To keep pace with the growing clinical demands of transgender care, medical training necessitates focused skills and considered medical sensitivity.

The demand for medical care from individuals who are trans* (transgender or gender non-conforming) has reached a tipping point, challenging clinicians to have a greater proficiency in and sensitivity to the healthcare needs of these patients.

About the authors—Joshua D. Safer, MD, and Stephen M. Rosenthal, MD, represent internationally recognized experts in adult and adolescent transgender medical care.

In a newly created position, Joshua Safer, MD, joined Mount Sinai Beth Israel as the inaugural Executive Director of the of the Center for Transgender Medicine and Surgery in New York City. In addition, he serves as senior faculty in endocrinology at the Icahn School of medicine at Mount Sinai.

Dr. Safer is president of the United States Professional Association for Transgender Health and co-chair of the TransNet steering committee, for the international transgender research consortium. share the medical model they have developed as an educational resource to endocrinologists in order to foster a 21st-century approach to transgender medical care that is evidence-based and patient-centered.    

Dr. Rosenthal is a professor of pediatrics, director of pediatric endocrinology clinics,  and program director of pediatric endocrinology as well as co-director of the Disorder of Sex Development Clinic, and founder and medical director of the Child and Adolescent Gender Center, at the UCSF's Benioff Children's Hospital in San Francisco. 

There is an urgency to improve care for the growing number of trans* patients presenting to physicians offices in need of general care as well as treatment to support their transitioning process. The Clinician's Guide to Transgender Medicine brings together information in a concise format to provide clinicians with an overview of the barriers to care, best practices, and insights to support the best clinical care possible. '

The content is presented in 4 chapters and will be updated regularly to keep pace as evidence-based data becomes available and best practices evolved.

 Chapter 1; Putting transgender medical care into context

Chapter 2: Quality clinical care requires attention to common clinical concerns

Chapter 3: Approaching cross-sex Hormone Therapy

Chapter 4: Addressing post-transition clinical care.

In addition, you may find several articles on EndocrineWeb of additional interest, including an interview with Dr. Safer.

To supplement the clinical guide, there are some articles that may provide further interest:


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Putting Transgender Medical Care Into Context for Practitioners