wpath Public Policies

 

July 1, 2020

WPATH Sends Letter of Support to Republic of Kazakhstan

CLICK HERE TO VIEW FULL Letter

June 18, 2020

USPATH, WPATH, EPATH Statement: Black Lives Matter - A Call to Action

USPATH, WPATH and EPATH stand in solidarity with those protesting the violent deaths of George Floyd, Breonna Taylor, Nina Pop, Tony McDade, and many other people of color who lost their lives needlessly from police violence. These names are just a few among countless who have lost their lives. We say their names to remember their lives and see their deaths as unacceptable acts of racist violence, contrary to our values. We demand that those responsible be held fully accountable for their actions.

People of color around the globe are rising up to have their voices heard, because they are disproportionately singled out for violence at the hands of law enforcement as well as experiencing systematic racism within all societal institutions. In these circumstances, we urge all our members to publicly condemn actions that harm and dehumanize people of color.  

click here to view full statement

May 8, 2020

WPATH / USPATH Statement on Resumption of Gender-Affirming Surgery During COVID-19 Pandemic

WPATH recognizes the adverse effects of COVID-19 on the physical and mental health of individuals across the globe. Due to the stress placed on healthcare systems as well as the uncertainty associated with the pandemic, many people have had medically necessary procedures postponed. As the medical community resumes elective surgical procedures, WPATH reaffirms the medical necessity of gender-affirming surgery and its importance to patients’ overall health. WPATH understands the impact of delayed access to medically necessary care and encourages surgeons to work with their local public health officials so as to resume providing surgical care as soon as public health conditions allow.

CLICK HERE TO VIEW FULL STATEMENT

January 28, 2020

Statement in Response to Proposed Legislation Denying Evidence-Based Care for Transgender People Under 18 Years of Age and to Penalize Professionals who Provide that Medical Care

The World Professional Association for Transgender Health (WPATH) and its US chapter, the United States Professional Association for Transgender Health (USPATH), vehemently oppose the legislation being proposed in Florida (HB 1365), South Carolina (HB 4716), South Dakota (HB 1057), Colorado (HB 20-1114), and similar legislation in other states.  These bills seek to deny evidence-based care for transgender people under 18 years of age and to penalize professionals who provide that medical care.  These bills will punish practitioners of gender affirming care with revocation of their medical license, or up to 15 years in prison in some states.  These bills will treat health care providers as if they committed manslaughter or arson. 

Many of the procedures mentioned by these bills are not even offered to transgender youth, revealing these bills to be alarmist expressions of ill-informed opinion. Guidance for the provision of medical care for transgender youth is outlined within the 7th edition of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender-Nonconforming People created by the World Professional Association for Transgender Health (Coleman et al. 2012). The guidelines differentiate between children and adolescents with regard to the provision of care

CLICK HERE TO DOWNLOAD FULL STATEMENT

                                                                                                                                                                                                                                                                                                              

November 22, 2019

WPATH, USPATH, EPATH Statement in Response to Calls for Banning Evidence-Based Supportive Health Interventions for Transgender and Gender-Diverse Youth

Diversity in gender expression and variations in gender identity represent normative developmental processes for children and adolescents and are not inherently pathological aspects of the human experience. They are also not uniformly indicative of a future gender transition. These facts are substantiated by many reputable professional associations representing thousands of pediatric providers. Clinical guidelines for youth experiencing an incongruence between their gender identity and sex assigned at birth have been published, are widely used nationally, and are based on the current evidence. These guidelines support the use of interventions for appropriately assessed minors. The following organizations have pediatric clinical guidelines and/or policy statements on these issues: American Academy of Child and Adolescent Psychiatry, American Academy of Pediatrics, American Psychological Association, and the Endocrine Society. In response to recent critiques of supportive health interventions for transgender and gender-diverse youth, the boards of directors of the World Professional Association for Transgender Health (WPATH), its US chapter (USPATH) and its Europe chapter (EPATH) have authorized the following statement.

CLICK HERE TO VIEW FULL STATEMENT

                                                                                                                                                                                                                                                                                                              

September 26, 2019

WPATH Statement on Yogyakarta Principles plus 10 and Healthcare Delivery 

The Board of Directors of the World Professional Association for Transgender Health (WPATH) recognizes the Yogyakarta Principles plus 10 as operational policy guidelines that governments should follow in order to ensure the health and rights of all persons under internationally accepted human rights declarations. In states and under laws that are in conflict with the Yogyakarta Principles plus 10, WPATH recommends that health professionals work within existing regulations and available mechanisms to advance the health and rights of all people in ways that move treatment closer to that advocated by the Yogyakarta Principles plus 10, with the primary objective of the immediate best interests of the patient or client. 

Click Here to Download Policy Document

 

 

June 4, 2019

WPATH Submits Letter to Japanese Government Officials re Identity Recognition

Click here to download policy document

click here for policy document in Japanese

 

 

May 17, 2019

 WPATH Board Responds to Health Care Policies and Practices Imposed by Certain Religious Institutions 

CLICK HERE TO DOWNLOAD POLICY DOCUMENT

 

 

September 4, 2018

WPATH Position Statement On “Rapid-Onset Gender Dysphoria (ROGD)”

CLICK HERE TO DOWNLOAD POLICY DOCUMENT

 

 

June 28, 2018

WPATH RECOMMENDED BENEFITS POLICY DOCUMENT: CREATED IN PARTNERSHIP WITH STARBUCKS

Click here to download policy document

For more information, please see the announcement on Starbuck's website. Click Here

 

 

May 30, 2018

WPATH RESPONSE TO OPEN LETTER

 Dear Open Letter Signers: 

The WPATH Board of Directors thanks you for your constructive open letter. We begin by writing that we stand with you. The mission of the WPATH is to promote evidence-based care, education, research, advocacy, public policy, and respect in transgender health. WPATH strives to promote high quality care, in the context of a culture devoted to competent, ethical, and compassionate care. And while we are proud of the progress that has been made, we know there remains much work ahead.

(To continue reading, please download the full document below)

Click here to download the PDF of the Letter

 

 

 

For Immediate Release
November 15, 2017
This statement replaces WPATH’s Identity Recognition Statement of January 19, 2015. 

Click here to download the PDF 

WPATH Identity Recognition Statement

 

 

WPATH Opposes Transgender Military Ban

July 26, 2017: Elgin, IL. 

The Executive Board of the World Professional Association for Transgender Health (WPATH) deplores President Trump’s tweet this morning, in which he declared that transgender people will not be allowed to serve in the U.S. military “in any capacity.” Citing “tremendous” costs of care and “disruption,” the President said he had consulted with “my Generals and military experts” in reaching his decision, but this reversal of policy is itself disruptive and wasteful.

“Many thousands of dollars have already been spent studying the matter,” said Gail Knudson, M.D., WPATH President, “and creating detailed analyses reaching the conclusion that transgender people are already serving, and have been serving in secret for decades. There’s no appreciable increase in cost associated with allowing transgender people to serve openly, which is what the current policy, as stated in Directive-Type Memorandum (DTM) 16-005, ‘Military Service of Transgender Service Members’ (issued June 30, 2016) is designed to achieve. Instead, this reversal will waste all of the previous studies and the investment in training the Armed Forces have made in the estimated up to 250 currently-serving transgender-identified soldiers and sailors who have already come forward under the assumption it was safe to do so. Thousands more who haven’t come forward will have to go back into hiding to continue serving their country.”

George Brown, M.D., a former WPATH board member and author of numerous scholarly papers focused on transgender military veterans and active duty personnel, wrote in an email to the WPATH Directors, “the policies (issued last year) are currently in effect unless and until officially rescinded by the Secretary of Defense, General Jim Mattis.  The 6-month hold on new accessions ("enlistments"), effective June 30, 2017, is the last official statement in the form of a memorandum from SecDef Mattis.”

WPATH members in the US region (and globally) are professionals who work with transgender people every day. Transgender people are not a mystery to WPATH, nor is the science concerning transgender care. As a professional and educational association, WPATH is committed to promoting health, research, education, respect, dignity, and equality for transgender people in all settings, including the U.S. Armed Services.

              Transgender troops have proven themselves to be capable and dependable soldiers. They should be judged on their performance of their duties, like any other service member, and not denied medically necessary care or otherwise discriminated against or because of their gender identity. The President’s tweet is a shameful attack on a group of our fellow citizens who are right now risking their lives to protect our society and way of life. The damage done by this morning’s tweet is an outright threat to unit cohesion and military readiness as it reinforces stigma and contributes to uncertainty, leading to depression and anxiety, undermining troop morale. Along with the American Medical Association, the American Psychological Association, the HIV Medicine Association, GLMA—Health Professionals Advancing LGBT Equality, and many other healthcare, legal advocacy, and civil rights organizations, WPATH stands in staunch opposition to this proposed policy reversal. 

 

FORTHCOMING ICD-11 PROPOSED DRAFT MAY CONTAIN HOPE FOR TRANSGENDER HEALTH

In an unprecedented move, the World Professional Association for Transgender Health (WPATH) has joined the World Association for Sexual Health (WAS) in delivering three joint statements to the World Health Organization (WHO) as the latter group is engaged in the ongoing revision of its International Classification of Diseases (ICD). Both Associations consider proposals for a new chapter on sexual health, and the relocation of relevant trans-related diagnoses to that chapter, as being of the utmost importance. Both Associations are aware that there has been debate around these proposals, and they have therefore issued the following three joint statements, all dated 30/6/2017:

The World Association for Sexual Health and the World Professional Association for Transgender Health urge the World Health Organisation to remain fully committed to inclusion of a chapter on Conditions Related to Sexual Health in ICD-11 in the version to be presented for approval at the World Health Assembly. We also urge WHO member states to support the proposed chapter.

The World Association for Sexual Health and the World Professional Association for Transgender Health urge the World Health Organisation to remain fully committed to locating the proposed diagnosis of Gender Incongruence of Adolescence and Adulthood within the chapter on Conditions Related to Sexual Health. We also urge member states to support the proposed placement.

The World Association for Sexual Health and the World Professional Association for Transgender Health call on WHO to consider further the proposed Gender Incongruence of Childhood diagnosis, including through comprehensive consultation with the transgender community.

 

 


August 15, 2017

Roger Severino, JD, MPP
Director, Office of Civil Rights
U.S. Department of Health and Human Services (HHS)
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Dear Director Severino:

Thank you for your consideration in reading this letter. The World Professional Association for Transgender Health (WPATH) is the only medical association dedicated to the study, care, and treatment of transgender and gender-nonconforming people. Founded in 1979, ours is a
non-profit, interdisciplinary association of over 1400 physicians, mental health professionals, legal professionals, and academic and clinical researchers whose work directly impacts the health of transgender people. We are based near Chicago, and while we are an international association, the majority of our members practice in the U.S. As such, we have a firm stake in the provisions of § 1557 of the Affordable Care Act, and we were grateful for the opportunity to submit our comments during the prior review of § 1557 last year. We are the source of the internationally accepted Standards of Care for the Health of Transsexual, Transgender, and
Gender-nonconforming People which is referenced extensively in medical education, research, and policy statements.

We are concerned that the Trump administration has adopted an antagonistic position with regard to transgender people. It may be helpful to HHS to know that transgender people are not a modern invention, but they have been part of the human family in every race, class, and culture since the start of recorded history. The term “transgender,” though, is relatively new, as both science and culture have struggled for centuries to define people whose gender and sex do not correspond, or may be seen as untypical. Regardless of terminology, our research and clinical experience has shown that being a transgender person does not in itself constitute
mental illness (this is confirmed by the American Psychiatric Association). However, being transgender can lead to experiences of ridicule, intolerance, adverse discrimination in workplaces and even when accessing basic medical and emergency care, and various forms of abuse, both psychological and physical. No one should have to experience adverse discrimination when they are in need of health care. Such discrimination is known to lead to worse health outcomes for anyone, not just transgender people. We unequivocally support nondiscrimination protections for transgender people, and also for others with marginalizing characteristics such as race, age, disability, national origin, etc.

We also attest to the fact that medical and mental health treatments related to gender transition have been demonstrated to be beneficial and medically necessary for many transgender patients. Treatments are cost-effective and, when averaged into a large pool of covered individuals, are typically less expensive than many common, routine procedures, such as appendectomy or childbirth. We oppose health insurance exclusions targeting transition-related care. Accordingly, we support the gender identity nondiscrimination provisions of the § 1557 final rule and oppose reopening the rule. To the extent that HHS seeks to clarify the application of § 1557 and the final rule in certain respects and to address issues raised inlitigation, we urge HHS to do so through issuing interpretive guidance. However, if HHS chooses to reopen the rule, we ask HHS to first seek input from stakeholders through a Request for Information and public comment period prior to issuing a proposed rule. This is appropriate given the importance and scope of the rule, and the fact that the rule was originally developed using this process.

Please do not hesitate to contact us should you require further information.
Sincerely,

Gail Knudson, M.D.
President, WPATH

 


Forthcoming icd-11 proposed draft may contain hope for transgender health

July 2017

WPATH/WAS Joint In an unprecedented move, the World Professional Association for Transgender Health (WPATH) has joined the World Association for Sexual Health (WAS) in delivering three joint statements to the World Health Organization (WHO) as the latter group is engaged in the ongoing revision of its International Classification of Diseases (ICD). Both Associations consider proposals for a new chapter on sexual health, and the relocation of relevant trans-related diagnoses to that chapter, as being of the utmost importance. Both Associations are aware that there has been debate around these proposals, and they have therefore issued the following three joint statements, all dated 30/6/2017:

The World Association for Sexual Health and the World Professional Association for Transgender Health urge the World Health Organisation to remain fully committed to inclusion of a chapter on Conditions Related to Sexual Health in ICD-11 in the version to be presented for approval at the World Health Assembly. We also urge WHO member states to support the proposed chapter.

The World Association for Sexual Health and the World Professional Association for Transgender Health urge the World Health Organisation to remain fully committed to locating the proposed diagnosis of Gender Incongruence of Adolescence and Adulthood within the chapter on Conditions Related to Sexual Health. We also urge member states to support the proposed placement.

The World Association for Sexual Health and the World Professional Association for Transgender Health call on WHO to consider further the proposed Gender Incongruence of Childhood diagnosis, including through comprehensive consultation with the transgender community.


WPATH opposes the Trump administration's effort to curtail enforcement of section 1557 of the Affordable Care Act (ACA)

May 2017

Click here to download official statement

 


WPATH Supports Students Health and Safety

February 2017

The World Professional Association for Transgender Health (WPATH) today affirms its commitment to the health and safety of transgender students in the U.S. and across the world. 

Click here to download official statement

 


WPATH Timeline Guide for United States Armed Service Members Going Through Transgender Hormonal or Surgical Transition

January 2017

This guide is intended to assist in determining relative deployability of transgender service members during hormonal and surgical transition.  Customization of the specific treatment plan should be discussed by the medical provider and the service member informed by duty requirements and the below timeline guidance.

Click here to download full document



Position Statement on Medical Necessity of Treatment, Sex Reassignment, and Insurance Coverage in the U.S.A.


Position Statement on Medical Necessity of Treatment, Sex Reassignment, and Insurance Coverage in the U.S.A.

December 21, 2016

Click Here to read the Position Statement

Download a copy of the Medical Necessity Statement

 


WPATH Statement about Medical Necessity of Electrolysis

July 15, 2016

Click Here to read and print this document

 


WPATH Statement Against Forced Anal Exams

June 23, 2016

The United Nations’ "Principles of Medical Ethics Relevant to the Role of Health Personnel, Particularly Physicians, in the Protection of Prisoners and Detainees Against Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment” prohibits health personnel from "participation in, complicity in, incitement to, or attempts to commit torture or other cruel, inhuman or degrading treatment or punishment.” Further, the 1975 Tokyo Declaration of the World Medical Association strictly forbids medical personnel from engaging in acts of torture or other forms of cruel, inhuman or degrading treatment and requires them to protect the confidentiality of medical information. However, since 2011, in at least eight countries, medical personnel have participated in forced anal examinations of men and transgender women who are charged with consensual same-sex conduct. The UN Special Rapporteur on Torture and other forms of Cruel, Inhuman and Degrading Treatment has described forced anal examinations as "medically worthless.”  The Independent Forensic Experts Group, composed of forensic medicine specialists from around the world, has determined that "the examination has no value in detecting abnormalities in anal sphincter tone that can be reliably attributed to consensual anal intercourse.”

The Board of Directors of the World Professional Association for Transgender Health (WPATH) is deeply disturbed by the complicity of medical personnel in these involuntary examinations that have absolutely no medical or scientific value, and are a violation of a person’s bodily integrity. That medical personnel would also prepare "medical reports” which are used in trials to convict men and transgender women of sexual offenses is an unethical and inhumane abuse of medical authority.

The WPATH Board of Directors calls on the medical profession as a whole to abstain from participation in forced anal examinations, urges WPATH members to advocate for their own National Medical Councils to officially prohibit doctors from participating in such examinations, and calls upon the World Health Organization to adopt an official stance opposing forced anal examinations as unscientific and in violation of medical ethics. 

 


FOR IMMEDIATE RELEASE
July 15, 2014

WPATH Statement Concerning Cross-dressing, Gender-Nonconformity, and Gender Dysphoria

The World Professional Association for Transgender Health (WPATH) calls for the repeal of laws criminalizing gender non-conformity and expression of transgender identity.
Download the full policy statement

 


FOR IMMEDIATE RELEASE
May 26, 2010

WPATH De-Psychopathologisation Statement

The World Professional Association for Transgender Health has prepared and released a statement urging the de-psychopathologisation of gender variance worldwide. The statement is as follows:
The WPATH Board of Directors strongly urges the de-psychopathologisation of gender variance worldwide. The expression of gender characteristics, including identities, that are not stereotypically associated with one's assigned sex at birth is a common and culturally-diverse human phenomenon which should not be judged as inherently pathological or negative. The psychopathologisation of gender characteristics and identities reinforces or can prompt stigma, making prejudice and discrimination more likely, rendering transgender and transsexual people more vulnerable to social and legal marginalisation and exclusion, and increasing risks to mental and physical well-being. WPATH urges governmental and medical professional organizations to review their policies and practices to eliminate stigma toward gender-variant people." To download a copy of this statement, please click here.

 


FOR IMMEDIATE RELEASE
May 25, 2010

WPATH Reaction to DSM-V Criteria for Gender Incongruence

The WPATH Board of Directors and the Chairs of the DSM Consensus Building Process Work Group of the World Professional Association for Transgender Health, would like to thank all those who contributed their expertise to draft our formal response to the proposed DSM 5 Criteria for Gender Incongruence. To view WPATH's response, please click here

 


WPATH Responds to Alberta, Canada's Decision to Delist Sexual Reassignment Surgery as a Covered Medical Benefit.
Click here to read or print this document.

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