There are several options available for medical transition including hormone therapy and feminizing or masculinizing surgery. Treatment is individualized. Based on your specific health care requirements, your health care provider may prescribe medication (e.g. hormones) or refer you to a Psychiatrist or another expert in transgender care who is registered with the College of Physicians and Surgeons of Alberta. You don’t always need to be assessed by a Psychiatrist (see below). If you decide that surgery may be needed to relieve your symptoms of gender dysphoria, your health care provider may also refer you to specific specialists to match the surgical approach with your needs.
When considering a surgical option, discuss your needs with your health care provider as they are the best pathway to care.
This Alberta Health funding program was established under a Ministerial Order with specific program criteria and is not funded under the Alberta Health Care Insurance Plan (AHCIP).
Alberta Health provides once per lifetime funding for eligible Alberta residents diagnosed with gender dysphoria who meet the established program criteria to receive Phalloplasty, metoidioplasty or Vaginoplasty. Patients must undergo two independent assessments by Psychiatrists or other physicians with extensive training or clinical experience in assessing and managing the mental health needs of the transgender population, and be diagnosed with gender dysphoria.
Though the program requires two diagnoses of gender dysphoria from Alberta practitioners with extensive training or clinical experience in assessing and managing the needs of the transgender population, any physician licensed in Alberta (psychiatrist, family physician, or others) can submit the application documents to Alberta Health. This means that the patient can be referred to other clinicians with expertise by their family physician, and the family physician may then submit the documents received from other physicians as part of the patient’s application package. Only complete applications will be processed. Alberta Health will return incomplete applications to the applying physician. Download application forms.
Surgeries for Phalloplasty, metoidioplasty or Vaginoplasty are provided at the Centre Metropolitain de Chirurgie in Montreal.
As of January 21, 2019, patients undergoing surgical transition, breast augmentation and mastectomy must have pre-approval from Alberta Health. A surgeon or primary care provider (PCP) must validate a patient’s eligibility using the Request for Breast Surgery form. Patients must undergo one independent assessment by a Psychiatrist or other physician with extensive training or clinical experience in assessing and managing the mental health needs of the transgender population, and be diagnosed with gender dysphoria.
To meet eligibility criteria for payment, the applying surgeon must submit the pre-approval form to Alberta Health. Note - to qualify for breast augmentation for cis and transgender women as an insured service, the patient must have little to no breast growth as clinically determined by the surgeon.
Please Note: To avoid errors, the following Government of Alberta forms must be downloaded to your computer and opened with Adobe Acrobat Reader instead of being viewed via the web browser. Right click on the URL and click "Save Link As" to save the file to your desktop. Download the approved form Request for Breast Surgery. For more information regarding insured services, see Health Care Services Covered in Alberta, update to breast augmentation bulletin and billing codes bulletin.
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