Programs that are staffed by specialists who provide diagnostic services for people who identify as transgender and offer gender reassignment surgery for those who wish to pursue this option as part of their transition. The procedure usually involves extensive psychological, psychiatric and medical examinations to rule out secondary diagnoses and ensure that the individuals understand the risks of surgery; hormone therapy and surgery to create the appropriate anatomical structures for the new gender; and counselling and support services to ensure that the individuals adjust physically and emotionally to their new bodies.

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Programs that offer hormone replacement therapy for transgender individuals who are beginning the anatomical and psychological transition to another sex and gender. The therapy involves taking estrogen (for male-to-female transition) or testosterone (for female-to-male transition) before, during, and after the surgical transition. The purpose of hormone therapy is to change the physical appearance of the individual to look like the other sex and to feel comfortable. The feminizing effects of estrogen and the masculinizing effects of testosterone may appear after the first couple of doses, though it may be several years before a person is satisfactorily transitioned.

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Mutual support groups whose members identify as lesbian, gay, bisexual, transgender, queer, two-spirit or as part of other communities such as those in the process of coming out or questioning their sexual orientation or gender identity. Groups may also be structured for parents, children, heterosexual partners or other relatives or significant others. The groups provide an opportunity for members to share their issues and concerns with others in a safe, supportive environment. Meeting formats may include in-person, telephone or Internet options.

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Programs that provide immediate assistance for individuals who identify as lesbian, gay, bisexual, transgender, queer,  
two-spirit or as part of other communities such as those in the process of coming out or questioning their sexual orientation or gender identity, and/or their friends and families. Included may be short-term emotional support, resources and community referrals. The service is generally free and confidential and may offer peer support. Helpline staff are generally available via telephone, email, chat and/or text.

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Organizations that support the passage and enforcement of laws and other social measures that protect and promote the rights and interests of individuals who identify as lesbian, gay, bisexual, transgender, queer, two-spirit, or otherwise as part of the gender and sexually expansive community.

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