The Counseling Hut, 132 East Broadway, Suite 318, Eugene, OR 97401, 541-342-8144 (Phone/TTY) 541-342-1724 (Fax) (E-mail)

WPATH Standards of Care, 7th Edition
Revised March 3, 2012
Exciting News for Trans Clients!
On September 25, 2011, World Professional Organization for Transgender Health (WPATH) announced the launching of the new Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, 7th edition, or SoCv7.

SoCv7 is a significant revision of the Standards of Care (SoC) in structure, philosophy, and language that was four years in the making, with a new emphasis on provider responsibility that replaces previous emphasis on client responsibility. If you are a member of the trans and allies community, please let as many people know as possible about this change. If you are working with a medical or mental health professional, please let them know that the new SoC is a significant revision. SoCv7 is available on the WPATH Web site here.

Here is a summary of changes:

1. Removal of the phrase "Gender Identity Disorder" from the title. This document is no longer about the treatment of a "disorder", but about the prevention and treatment of distress experienced by transsexual, transgender, and gender nonconforming people. SoCv7 emphasizes that gender nonconformity or variance is not a pathology, but an identity.

2. Emphasis on how to provide holistic healthcare for transsexual, transgender, and gender nonconforming people. It is no longer "just about hormones and surgery". It discusses treatments "beyond hormones and surgery", such as preventive and primary care, post-operative care, mental health concerns, eTherapy, voice and communication coaching, and reproductive health. An overview of medical risks of hormone therapies is included as well.

3. Emphasis on what professionals need to do, not what patients need to prove or achieve to get gender-related care. SoCv7 makes it clear that reparative therapy for gender concerns is unethical.

4. Emphasis on harm reduction and informed consent, rather than "gatekeeping". It emphasizes that the SoC needs to be applied flexibly and in response to individual needs, and adapted to the needs of different communities around the world.

5. Simplified, more humanized transitioning process:
  • No more "triadic sequence".
  • No more distinction between "eligibility" and "readiness".
  • No mention of "real life experience", although living "continuously for at least 12 months in the gender role that is congruent with their gender identity" still is recommended before genital surgery.
  • Allowance for medical gender specialists, rather than just mental health professionals, to recommend hormone therapy.
  • No more distinction between master's level and doctoral level mental health professionals for surgery recommendation.
Perhaps most importantly, unlike the previous SoCs, SoCv7 is fully "evidence based", and scientific data supporting its recommendations are included in the new references section and a review of literature.

The revision was an unprecedentedly multidisciplinary process involving medical, mental health, and legal professionals, as well as community members and activists, and panels of advisors from around the world. While it does not, and could not, meet the needs of everyone across the globe, it provides a foundation that can be readily adapted to different cultural, social, and national contexts.

Please do not hesitate to contact us at if you have any questions.

Contact Information for the Counseling Hut
The Counseling Hut
132 East Broadway, Suite 318
Eugene, Oregon 97401-3142
541-342-8144 (Phone/TTY)
541-342-1724 (Fax) (E-mail)

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