• About DPH

  Doing Business with DPH Health Commission Inside the Department Internships Jobs DPH RN Reassignment News and Media Office of Policy and Planning Prop I Notifications

• Our Services

  Birth/Death Certificates Community Behavioral Health Services Dental Services Disease Prevention Emergency Services Laguna Honda Hospital & Rehabilitation Center Maternal, Child & Adolescent Health Medical Services Pregnancy Resources Primary Care SF Health Network Zuckerberg San Francisco General Hospital and Trauma Center

• Our Programs

  Assisted Outpatient Treatment (AOT) Communicable Disease Control & Prevention Community Programs Education Environmental Health Section Healthy San Francisco Maternal, Child & Adolescent Health Mental Health Board Mental Health Services Act (MHSA) Rebuild Zuckerberg San Francisco General Hospital and Trauma Center Research Shelter Monitoring Committee SF PATH Program Transgender Health Services Whole Person Care

• Healthy Living

  By Life Phase   - Pregnancy & Parenting   - Children   - Adolescents & Teens   - Young Adults   - Mature Adults   - Elderly Disease Prevention Education Medical Services Research Women's Services Your Rights

• Records, Permits & Licensing

  Applications Forms Licensing Permits Request Public Records Vital Records

• Knowledge Sharing & Collaboration

  Administration, Programs, Policy & Planning Environmental Health Publications Cannabis State Legalization Task Force Community Health Improvement Plan CPMC Compliance Statement and Healthcare Compliance Report Food Security Task Force Health Care Services Master Plan Task Force Jail Replacement Project Law Enforcement Assisted Diversion San Francisco (LEAD SF) Listen, Share, Connect Meetings & Groups Methamphetamine Task Force Occupational Health Services at ZSFG Occupational Safety & Health Palliative Care Task Force Policy & Procedures Library Privacy Policies Reports, Studies & Data Safe Injection Services Task Force Sugary Drinks Distributor Tax Advisory Committee Supervisorial District Health Profiles Universal Healthcare Council Climate and Health Program Housing Conservatorship

• Diseases & Conditions

  Coronavirus (COVID-19) Disease Reporting & Control Education Infectious Diseases A to Z Medical Services Research

• Training

  CBO Annual Compliance and Privacy Training ELM Compliance and Privacy Training instructions Center for Learning & Innovation DPH Code of Conduct Health Impact Assessment Tools Online Training San Francisco Indicator Project User Agreement for Confidentiality, Data Security and Electronic Signature

Our Programs

Gender Health SF Home

Gender Affirming Surgery Eligibility, Referral, and Readiness Process

Provider Trainings

Provider Surgery FAQ

Patient Surgery FAQ

Community and Patient Resources

Clinical Resources

Attention Clinicians: Please see the new section “Clinician Forms & helpful documents when writing Pre-Surgical Assessments” for the most updated forms regarding “mental health letters”. The section is located on the "Gender Affirming Surgery Eligibility, Referral, and Readiness Process" page.

 

If emailing documents please send to new email account for Gender Health SF: GHSFDocuments@sfdph.org or fax to 628-206-7999.

 

If you're interested in reproductive options please read the Reproduction Fact Sheet Here!!

 

Provider Information:  The medical team at our program has provided updates to the Hormone Therapy Table.  Please Review

 

How to learn more about the Gender Affirming Surgery Access Program:

For Patients

• Gender Health SF wants to help you have optimal outcomes from gender affirming surgery, this includes holistic wellness, education, preparation, and planning. Gender Health SF can help you set individual goals and make a care plan to prepare and recover from surgery. Please connect with your navigator at Gender Health to learn more.
• Visit our information pages:

• Gender Affirming Eligibility, Referral, and Readiness Process
• Community and Patient Resources
• Patient Surgery FAQ

• Lastly, remember that everyone’s journey is unique and different. Surgery is not a deciding factor to what your gender identity is. Only you get to decide how your gender is affirmed and whether or not surgery or other medical interventions are part of that journey. There are transgender and non-binary people who feel they need surgery, those that are considering surgery, and those who don’t want surgery. There is no right way to transition or affirm your gender identity.

For Providers/Clinicians

• Attend an upcoming Provider Training or Gender Affirming educational event
• Visit our information pages:

• Gender Affirming Eligibility, Referral, and Readiness Process
• Surgery Referral Documents
• Patient Surgery FAQ
• Clinical Resources

Background and History of Gender Health SF

The San Francisco Department of Public Health (SFDPH) established Gender Health SF to provide access to gender affirming surgeries, education, and preparation services to eligible uninsured transgender adult residents. Currently, SFDPH also provides a range of health services to transgender residents such as primary care, prevention, behavioral health, hormone therapy, specialty and inpatient care.

This new initiative was born out of the incredible work of community advocates, which ultimately led to the following developments:

• The Board of Supervisors adopted resolution number 288-12 in July 2012, encouraging the Department to ensure the provision of medically necessary gender-transition-related care.
• In addition, in November 2012, the San Francisco Health Commission approved the following:

• Developing a new program (Gender Health SF) to manage gender affirming surgery access to eligible underinsured transgender and non-binary adult residents of SF.
• Using gender identity disorder (now called gender dysphoria) as a clinical indication for surgical procedures
• Removing transgender surgery from the list of excluded services under the Healthy San Francisco program.

 

Gender Health SF San Francisco Department of Public Health 628.206.7979 Email Us