Non-binary identities

What is a non-binary identity?

‘Non-binary’ describes a gender identity that is neither male nor female. Male and female are ‘binary’ identities that exist at opposite ends of the gender spectrum. Identities that fall between them (or are not on the spectrum at all) fall under the ‘non-binary’ umbrella. Both people assigned male and assigned female at birth can be non-binary. For more information about non-binary identities visit our website (

Is there more than one way to be non-binary?

Yes. Non-binary describes a very wide range of identities. Some of them are somewhere between male and female. Some people have fluid, shifting identities, which may be called ‘genderfluid’ or ‘gender-flexible’. Others may feel like they do not identify with any gender at all, which may be called ‘agender’ or ‘genderless’. Each person’s identity is different, and it’s important to listen to them and understand their gender journey. For more information about non-binary identities you can visit ...

Do you need to take hormones or have surgery to be non-binary?

No. You do not have to have any medical interventions to be non-binary. This is true of all gender identities - it is about how you feel that matters, regardless of the way your body is configured. For more information about hormone use for non-binary people you can visit our website (

I am non-binary and I want hormones or surgery. Can I do this?

Yes. Some non-binary people experience gender dysphoria, or want to pursue a more androgynous appearance (a mixture of masculine and feminine, or neither masculine nor feminine), and may want to be referred for hormones or surgery as a result. Non-binary people may not want to undergo ‘full’ transmasculine or transfeminine transition. However, some of the effects of hormone replacement therapy (HRT) are permanent, so it’s important that you discuss your transition goals with your clinician to...