Minimally invasive procedures in gender-affirming care: the case for public funding across Canada

The lived experiences of transgender and gender-diverse people in accessing publicly funded penile-inversion vaginoplasty in Canada

“… 16 , 17 Some systemic barriers include omission of TGD people as valued participants within health care systems, absence of inclusive policies, and failure to recognize the importance of such inclusive policies. Factors that shape the health care experiences of TGD people include physicians’ inadequate knowledge about care of TGD people, 18 – 20 a loss of autonomy, 18 , 21 increased wait times, 20 – 22 outright discrimination, 3 , 19 – 21 and transphobia. 20 A national survey in Canada found that, although most TGD people had a primary care physician, nearly half were uncomfortable talking to their family physician despite having unmet health care needs.…”