Nau mai, haere mai.

A very warm welcome to our transgender, non-binary, gender diverse community, whanau and friends, and all health professionals wanting to seek information about gender affirming health care and services.

Hauora Tāhine - Pathways to Transgender Healthcare Services is the collective name for a number of secondary services that provide gender affirming healthcare for transgender, non-binary and gender diverse people.

Across the Auckland Region, the two main service providers are Centre for Youth Health for young people and adolescents, and Auckland Regional Sexual Health Service for adults. These two services have multiple clinics across Auckland. They provide support around exploration of gender and medical affirmation, family/whānau support, puberty blockers, hormone therapy and referral for other gender affirming health care.

The teams recognise that you are the expert around your own gender, whether you're a binary trans person, non-binary, transsexual, agender, tāhine, whakawahine, tangata ira tane, fa'afafine, fakaleiti, leiti, akava’ine, genderqueer or however else you might like to describe yourself. When you come to Hauora Tāhine clinicians will work with you to establish your gender related health goals and provide support around an individualised health plan that may include accessing other specialist services such as: fertility, voice therapy, endocrinology, gynaecology, urology, mental health, general and plastic surgical services* as needed.

Your Hauora Tāhine clinician will send letters to your GP outlining your management plan and support your primary care health team to provide ongoing maintenance therapy once established. Your GP may refer you back to Hauora Tāhine for further support if your hormone therapy needs to be reviewed or you need to access further gender affirming healthcare.

*Note: At this time surgical services have a limited capacity for chest reconstruction and breast augmentation, with lower medical affirmation surgery being managed by the Ministry of Health’s High Cost Treatment Pool. See the Health care for transgender New Zealanders page.

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