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A regional gender reassignment service

Academic Unit of Psychiatry, Clinical Sciences Building, St James's University Hospital, Leeds LS9 7TF

Alan Butler, Senior Lecturer in Mental Health Social Work

The Medical and Dental School, Leeds

Jo Donnelly, Senior Speech and Language Therapist

Leeds General Infirmary, Leeds

David Bromham, Senior Lecturer

Obstetrics and Gynaecology, St James's University Hospital, Leeds LS9 7TF

A Regional Gender Identity Clinic was established in Yorkshire ten years ago. It is an entirely NHS-based service and is well used by the psychiatrists in the region. The Director of the clinic is a psychiatrist and there is a cohesive group consisting of a plastic surgeon, gynaecologist (who supervises medication) and a speech therapist. The clinic has won the recognition of the Leeds Community & Mental Health Services Teaching NHS Trust which supports its continuation. An audit of outcome of the first 12 male to female reassignment procedures was conducted by a independent assessor. The result gave the team clear indication that the work should continue. A plea is made for the establishment of more regional services.