There are many reasons why GPs do not feel able to treat trans patients. These can vary from reasons related to prejudice or religion, to a general belief that they lack the knowledge to do so, and a lack of training resources available. Prejudice or personal belief should never be accepted as a valid reason not to treat a patient, whatever their medical needs. Lack of specialist knowledge is also becoming less accepted as an argument against helping trans patients. We are seeing more GPs learning about the subject, and as their knowledge and confidence increases, then they will feel more comfortable in helping their patients, if not directly then with the support of a gender specialist.