Our model of informed consent ensures that, before any irreversible or life-altering medication is taken, all patients know what the effects would be, both psychologically and medically. We have a very experienced team of doctors, counsellors and psychologists on hand for consultations at every stage of the process. Current best practice is to make counselling, psychotherapy and support available at any stage of a trans person’s journey, and while this is certainly not mandatory for all it is available to all of our patients on a case by case basis. Forcing people into therapy is counter-productive against the true potential benefits of good counselling. You can find out more about our approach to assessments here.