Primary care for the transgender is bimodal
What are the biological implications to chronic hormone use and post-surgical trauma?
What are the psychological implications to living with new roles and responsibilities and acculturation stress?
Patients “in transition” should be co-managed with psychiatry and endocrinology because of the high risk of suicide
Transgender care providers can be found on the AAFP LGBT Listserve or Transgender medicine yahoo group.
Patients “in transition” are required to live in the cross-sex role for 12-24 months and need primary care during this period that is accepting
Surgery resolves the dysphoria in 80% of patients and less than 1% decide to be
