top of page
-
What is the Gender Identity Clinic (GIC)?GIC is a multidisciplinary clinic offering gender-affirming healthcare to transgender and gender diverse individuals. According to the World Health Organization (WHO), gender-affirmative healthcare can include any single or combination of a number of social, psychological, behavioural or medical interventions designed to support and affirm an individual’s gender identity. Gender-affirming healthcare has been offered at public hospitals since 1980. In 2016, the one and only GIC was established at Prince of Wales Hospital in Shatin. At GIC, a psychiatrist first understands the gender identity and mental health needs of a service user, offering support and follow up. According to one’s needs, they will then be referred to corresponding services.
-
Who can write a referral letter to GIC?Any doctor (including general practitioners and specialists) registered in Hong Kong, or any clinical psychologists of the Hospital Authority.
-
Who can be referred to GIC?Anyone 18 years old or above, and intends for gender-affirming healthcare. Psychiatric or physical illnesses, if present, should not be a hindrance nor barrier to the referral. One’s healthcare needs and arrangement will be followed up by GIC.
-
What do I need for new case registration at GIC?Please visit GIC in person, on 3/F, Li Ka Shing Specialist Outpatient Clinics (North Wing), Prince of Wales Hospital, with the following: Hong Kong identity card A referral letter issued within 3 months. Please note that GIC's office hours are from Monday to Friday: 9AM to 1PM, then 2PM to 5PM. It is closed on Saturdays, Sundays, and public holidays. Please ensure to arrive at least 30 minutes prior to closure time for registration.
-
What is a real life experience letter (RLE letter)?RLE letter certifies one’s gender identity and transgender identity, and that one is living in the gender one identifies, as an important part of gender-affirming healthcare. It is often useful in communication with schools, workplace, etc. regarding gender-friendly arrangements. Much like any other medical certificates, it is a formal legal document. RLE letter is available in both Chinese and English. Please consult your doctor for details.
-
Are there any private doctors offering gender-affirming healthcare?Yes! For visiting a private psychiatrist, one can directly book an appointment without any referral letters. For visiting a private endocrinologist, a referral letter from a public or private psychiatrist (or proof of upcoming appointment at GIC endocrinology) is required.
-
What is gender identity?Everyone has their own gender identity. It is a person’s innate sense, or self-understanding, of their gender. This may or may not be the same as one’s assigned sex at birth.
-
What does cisgender mean?Cisgender means one’s gender identity is the same as that of society’s expectations based on their assigned sex at birth.
-
What does transgender mean?Transgender means one’s gender identity is not the same as that of society’s expectations based on their assigned sex at birth. E.g. transgender women have a female gender identity, and were assigned male at birth, and vice versa for transgender men. The transgender and gender diverse community also includes non-binary people, whose gender identity (e.g. genderfluid, agender) does not fall into the gender binary of male or female.
-
Is being transgender defined by whether one receives gender-affirming healthcare?No! One’s gender identity, or being transgender, is not based upon receiving gender-affirming healthcare. Appropriate and medically necessary healthcare should be arranged according to one’s needs.
-
Are there any international clinical guidelines for gender-affirming healthcare?Yes! Currently, the major international clinical guideline is the Standards of Care Version 8 (SOC 8), published by the World Professional Association for Transgender Health (WPATH) in 2022.
-
What is assigned sex at birth?Assigned sex at birth refers to the gender marker indicated on one’s birth certificate, based on appearance or category of external genitalia (or other sexual characteristics). It can also be considered as society’s expectation of gender identity based on one’s assigned sex at birth.
-
Does transgender refer to a certain sexual orientation?No! Gender identity is independent of sexual orientation. E.g. transgender women can be attracted to women, transgender men can be attracted to men, non-binary individuals attracted to more than one gender, and so forth.
-
Is being transgender a mental illness?No! Being transgender and gender diverse are natural parts of human diversity, and are neither pathological nor negative. Depathologization efforts have been emphasized by the DSM-5* published in 2013, and by the WHO, on their ICD-11^ endorsed in 2019. The pathologizing term “gender identity disorder” has been abolished. As of ICD-11, having a gender identity different from one’s assigned sex at birth, is termed as gender incongruence, and included in the chapter “Conditions related to sexual health”. *Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ^International Classification of Diseases, Eleventh Revision
-
What are the current queue times for referral to GIC?Queue for First Psychiatry Appointment: 1 year and 4-5 months Queue for Endocrinology Appointment: 2 years and 9-10 months* Queue for Surgery Urology Appointment: 7-8 months (for removal of the penis and testes, and vaginoplasty) (Last updated in September 2024 - we will continue to update with the latest news when we receive it!) *Even if one has been followed up in private or overseas, one must first see a psychiatrist (waiting time: >1 year), before being referred to an endocrinologist (waiting time: >2.5 years. The time needed is more than 4 years as of September 2024.
-
How do I find my way to GIC?Click here for a visual tutorial on the path towards GIC, starting from the City One MTR Station. Both Chinese and English captions are available in the description!
-
Can childhood & adolescent psychiatry of public hospitals refer me to endocrinology, or prescribe gender-affirming hormones?Unfortunately no.
-
Can I find more information on GIC?Of course! Click here to find a pamphlet on the Gender Identity Clinic by the Hospital Authority, and here for a pamphlet on gender affirming healthcare in Hong Kong by Quarks.
bottom of page