Gender-affirming care

Banner that reads "Gender affirming care is life-saving healthcare" with blue pink and white diaganolly across the background.

Whether you are transgender, non-binary, intersex, or somewhere else along the gender spectrum, your providers should understand that you know yourself best.  Learn about the options for gender-affirming care through CareOregon.

Please note: We use medical terms to make it easier to understand the types of care available. We know that not everyone feels comfortable with these terms to describe your experience and body.

What is gender-affirming care?

Gender-affirming care is health care that helps people feel more comfortable with their gender. Some people might not feel like the gender they were assigned at birth matches who they really are. Gender-affirming care helps people make changes so they can feel more like themselves. The goal is to help people feel happy and safe in their own bodies.

You can view or download our gender-affirming care handout below.

What type of gender-affirming care does CareOregon cover?

CareOregon covers medically necessary care related to gender transition, as established by the Oregon Health Plan and Oregon law (ORS 414.769). This includes:

  • Puberty blockers
  • Primary care and specialist doctor visits
  • Mental health care 
  • Hormone therapy
  • Electrolysis
  • Top surgery
  • Bottom surgery
  • Body contouring
  • Facial gender confirmation surgery
  • Lab work

Click on the arrows below for drop-down lists of covered medical and surgical services. If you have questions or don't see the care you want listed, please call Customer Service.

Please note: Some services may need prior approval first.

  • Hormone therapy
  • Puberty blockers
  • Hormone blockers
  • Mental health therapy, including letters of support
  • Lab work
  • Electrolysis
  • Laser hair removal*
  • Pre-and post-surgical pelvic physical therapy
  • Speech therapy
  • Medical tattooing*

*Please call Customer Service for assistance in finding providers for these services

  • Mastectomy & chest reconstruction/reduction
  • Breast augmentation & mastopexy
  • Urethroplasty
  • Penectomy
  • Orchiectomy
  • Phalloplasty
  • Metoidioplasty
  • Scrotoplasty
  • Penile & testicular implants
  • Scrotectomy
  • Vulvectomy
  • Nullification surgery
  • Clitoroplasty
  • Vaginectomy
  • Vaginoplasty
  • Vulvoplasty
  • Hysterectomy
  • Salpingo-oophorectomy
  • Facial gender confirmation/facial feminization surgery
  • Tracheal shave
  • Body contouring
  • Medical tattooing*
  • Surgical revisions

*Please call Customer Service for assistance in finding providers for this service

Where can I find gender-affirming care?

CareOregon works with many licensed behavioral health professionals, primary care doctors, specialists (such as endocrinologists) and surgeons who provide gender-affirming care. These providers have special training and experience working with people of all genders. Oregon law (ORS 414.769) says that care organizations must help everyone get gender-affirming treatment without long delays. If they can't offer it directly, they must help you find someone else who can.

Still, some types of care—like laser hair removal or medical tattooing—can take a long time to schedule because there aren’t enough providers yet. If you need help getting services, finding providers or want to learn more about what CareOregon offers, call Customer Service.

Please note:

  • These provider lists are updated at certain times (current as of April 2025)
  • Services are available to members of Health Share of Oregon, Jackson Care Connect and Columbia Pacific CCO
  • Many behavioral health providers offer telehealth (online) services throughout the state

County codes: Clackamas = CL; Columbia = CO; Jackson = JA; Multnomah = MU; Washington = WA

Provider Name

Owl's Nest North Therapy Joint

Credentials

LCSW, PhD

Pronouns

he/him

County

MU

Provider Name

André Pruitt

Credentials

LCSW, PhD

Pronouns

he/him

County

MU

Provider Name

LaTrece Gaither

Credentials

LPC, LMFT

Pronouns

she/her

County

MU

Provider Name

Vanessa Washington

Credentials

LPC

Pronouns

she/her

County

MU

Provider Name

Madilyn Long

Credentials

LCSW

Pronouns

she/they

County

MU

Provider Name

Matthew Lucas

Credentials

LCSW

Pronouns

he/him

County

MU

Provider Name

Ian Schroeder

Credentials

LPC, CADC III

Pronouns

he/him

County

MU

Provider Name

Chloe Jacobson

Credentials

LPC Associate

Pronouns

she/her

County

MU

Provider Name

Deirdre Rundle

Credentials

LPC, NCC

Pronouns

she/her

County

MU

Provider Name

Chris Doud

Credentials

CSWA

Pronouns

they/them

County

MU

Provider Name

Rebekah Lubeck

Credentials

LCSW

Pronouns

unknown

County

MU

Provider Name

Rosanne Marmor

Credentials

LCSW

Pronouns

she/her

County

MU

Provider Name

Lola Ryan

Credentials

LCSW

Pronouns

she/her

County

MU

Provider Name

Jenny Lee

Credentials

LPC Associate

Pronouns

she/her

County

MU

Provider Name

Cole Prophet

Credentials

LPC

Pronouns

they/them

County

MU

Provider Name

Sam Skye

Credentials

ATR, LAT, LPC

Pronouns

he/him

County

MU

Provider Name

Abri Radically Open DBT

Credentials

Varies

Pronouns

Varies

County

MU

Provider Name

Asha Jetmalani

Credentials

DO

Pronouns

she/her

County

MU

Contact

 

Provider Name

Ryan Loiselle

Credentials

LPC

Pronouns

they/them

County

MU

Website

Website

Provider Name

Sprout Therapy PDX

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Health Allies Counseling

Credentials

Varies

Pronouns

Varies

County

MU

Contact

N/A

Website

N/A

Provider Name

Portland Mental Health and Wellness

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Bridge City Counseling

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Dians Well Counseling

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Spectrum Counseling

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Connective Therapy Collective

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Link Therapy

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Amenda Clinic

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

NW Counseling Associates

Credentials

Varies

Pronouns

Varies

County

WA

Provider Name

A Healing Intention

Credentials

Varies

Pronouns

Varies

County

CL, WA

Contact

N/A

Website

Website

Provider Name

Destiny Bankhead

Credentials

LPC

Pronouns

she/her

County

CL, WA

Provider Name

Andy Vogler

Credentials

LCSW, CADC I

Pronouns

he/him

County

CL, WA

Provider Name

Dmitri Dosamantes

Credentials

LMFT

Pronouns

he/him

County

CL, MU, WA

Provider Name

Megan Lester

Credentials

Unknown

Pronouns

she/her

County

CL, MU, WA

Provider Name

Anya Glenn

Credentials

LPC, CADC II

Pronouns

she/her

County

CL

Provider Name

Connected Space Counseling

Credentials

Unknown

Pronouns

Unknown

County

CL

Provider Name

Tawnya Soltis

Credentials

LPC, NCC, QMHP

Pronouns

she/her

County

JA

Provider Name

Pivot Behavioral Health

Credentials

Varies, but all have PMHNP

Pronouns

Varies

County

Virtual

Website

Website

Provider Name

Mindful Therapy Group

Credentials

Varies

Pronouns

Varies

County

Virtual

Website

Website

Provider Name

Prism Health

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Outside In

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Amenda Clinic

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Bridge City Family Medical Clinic

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Be Well Holistic Health

Credentials

Varies

Pronouns

Varies

County

MU

Website

Website

Provider Name

Margot Presley

Credentials

NP

Pronouns

she/her

County

MU

Website

N/A

Provider Name

Richard Bruno

Credentials

MD, MPH, FAAFP, FACPM, AAHIVS

Pronouns

he/him

County

MU

Website

N/A

Provider Name

Wendy Vannoy

Credentials

ND

Pronouns

she/they

County

MU

Provider Name

Karletia Lewis

Credentials

FNP

Pronouns

she/her

County

MU

Provider Name

Teri Bunker

Credentials

DNP, FNP

Pronouns

she/her

County

MU

Provider Name

Megan Brusca

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Planned Parenthood NE Portland Health Center

Credentials

Varies

Pronouns

Varies

County

MU

Provider Name

Planned Parenthood Hillman East Portland Center

Credentials

Varies

Pronouns

Varies

County

MU

Provider Name

Tahsa Searles

Credentials

APRN, AGCNS-BC

Pronouns

she/they

County

MU

Provider Name

Maliheh M. Nakhai

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Tove Silver

Credentials

WHNP, AGNP

Pronouns

she/her

County

WA

Provider Name

Megan Manley

Credentials

PA

Pronouns

unknown

County

WA

Provider Name

Lisa Kipersztok

Credentials

MD

Pronouns

unknown

County

WA

Provider Name

Ericka Horner

Credentials

PA-C

Pronouns

she/her

County

WA

Provider Name

Planned Parenthood Beaverton Health Center

Credentials

Varies

Pronouns

Varies

County

WA

Provider Name

Planned Parenthood Milwaukie-Oak Grove Health Center

Credentials

Varies

Pronouns

Varies

County

CL

Provider Name

Nat Fondell

Credentials

MD

Pronouns

he/him

County

JA

Provider Name

Kelly Church

Credentials

FNP

Pronouns

she/her

County

JA

Provider Name

Victor Paul Garcia

Credentials

FNP

Pronouns

he/him

County

JA

Provider Name

La Clinica

Credentials

Varies

Pronouns

Varies

County

JA

Website

Website

Provider Name

Nehalem Bay Health Center

Credentials

varies

Pronouns

varies

County

TI

Provider Name

Kaiser Permanente Gender Pathways Clinic

Credentials

Varies

Pronouns

Varies

County

Statewide

Provider Name

Anisa Richardson

Credentials

MD

Pronouns

she/her

County

CO

Website

Website

Provider Name

Britta Ameel

Credentials

MD

Pronouns

she/her

County

CL

Contact

Website

Provider Name

Michele T. Quinn

Credentials

MD

Pronouns

she/her

County

CL

Provider Name

Oscar Polo

Credentials

MD, FACOG

Pronouns

he/him

County

MU

Provider Name

Jens Berli

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Daniel Dugi

Credentials

MD, FACS

Pronouns

he/him

County

MU

Provider Name

Megan Bird

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Hema Thakar

Credentials

MD, FACS

Pronouns

she/her

County

MU

Provider Name

Jyoti Chouhan

Credentials

DO, PharmD

Pronouns

she/her

County

MU

Provider Name

Juliana E. Hansen

Credentials

MD, FACS

Pronouns

she/her

County

MU

Provider Name

Nick Esmonde

Credentials

MD

Pronouns

he/him

County

MU

Website

Website

Provider Name

Geolani Dy

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Jennifer Franz

Credentials

MD, FACOG

Pronouns

she/her

County

MU

Contact

 

Provider Name

Lishiana Shaffer

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Krista Jensen

Credentials

DO

Pronouns

she/her

County

MU

Provider Name

Scott Hoffman

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Sean McNally

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Leslie Palacios-Helgeson

Credentials

MD

Pronouns

she/her

County

MU

Contact

Website

Provider Name

Blair Peters

Credentials

MD

Pronouns

they/he

County

MU

Contact

Website

Provider Name

Erica Magelky

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Erika Copperman

Credentials

DO

Pronouns

she/her

County

MU

Provider Name

Joshua Shindler

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Caitlin Magraw - Head & Neck Surgical Associates

Credentials

MD, DDS, FACS, FAAP

Pronouns

she/her

County

MU

Provider Name

Rashida Merchant

Credentials

MD

Pronouns

she/her

County

MU

Contact

Website

Provider Name

Emily Edwards

Credentials

MD

Pronouns

she/her

County

MU

Contact

Website

Provider Name

Lisa K Johnson

Credentials

MD

Pronouns

he/him

County

MU

Contact

Website

Provider Name

James Phillip Thomas

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Gabriela Lilly

Credentials

MD

Pronouns

she/her

County

MU

Contact

N/A

Website

Websiter

Provider Name

Michael Schmitt

Credentials

MD

Pronouns

he/him

County

WA

Provider Name

Hetal Fichadia

Credentials

MD, FACS

Pronouns

she/her

County

WA

Provider Name

Gary Burgoine

Credentials

MD

Pronouns

he/him

County

WA

Contact

Website

Provider Name

Monica Llado-Farrulla

Credentials

MD

Pronouns

she/her

County

WA

Please note: These surgeons are only available to Health Share/Kaiser members.

Provider Name

Rahul Kasukurthi

Credentials

MD

Pronouns

he/him

County

CL, WA

Provider Name

Alexander J. Gougoutas

Credentials

MD

Pronouns

he/him

County

CL, WA

Provider Name

Hao-Jun J. Chong

Credentials

MD

Pronouns

he/him

County

CL, WA

Provider Name

Patricia H. Sandholm

Credentials

MD

Pronouns

she/her

County

CL, WA

Provider Name

Jennifer A. Murphy

Credentials

MD

Pronouns

she/her

County

CL, WA

Provider Name

Sara Spettel

Credentials

MD

Pronouns

she/her

County

CL, MU, WA

Provider Name

Sasha Druskin

Credentials

MD

Pronouns

he/him

County

CL, MU, WA

Provider Name

Leslie Palacios-Helgeson

Credentials

MD

Pronouns

she/her

County

CL, MU, WA

Contact

Website

Provider Name

Nicholas Mills

Credentials

MD, FACOG

Pronouns

he/him

County

JA

Provider Name

Cody Toschik

Credentials

DO

Pronouns

unknown

County

JA

Provider Name

Marcie Drury Brown

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

unknown

County

CL

Provider Name

PNW Electrology

Type of care

Electrology

Credentials

LE

Pronouns

Vary

County

CL

Contact

Website

Provider Name

Michelle Cappadona

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Provider Name

Heather Onoday

Type of care

Dermatology

Credentials

RN, FNP, MN

Pronouns

she/her

County

MU

Provider Name

Radhika Purushothaman

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

David Snyder

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Kara Connelly

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Hayley Baines

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Stephanie Tarlow

Type of care

Pediatric Endocrinologist

Credentials

P.A.-C, C.D.C.E.S.

Pronouns

unknown

County

MU

Provider Name

Joshua Shindler

Type of care

Voice therapy

Credentials

MD

Pronouns

he/him

County

MU

Provider Name

Rowan Everard

Type of care

Acupuncture

Credentials

LAc

Pronouns

unknown

County

MU

Provider Name

Lin Kruxia - Rose's Thorn Electrology

Type of care

Hair removal

Credentials

LE

Pronouns

she/they

County

MU

Provider Name

Shay Witten - Wildwood Electrolysis

Type of care

Hair removal

Credentials

LE

Pronouns

they/them

County

MU

Provider Name

Robin Rosman - Bird In Hand

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Website

Website

Provider Name

Bee Noll - Maiden Hair

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Website

Website

Provider Name

Megan Bird

Type of care

OBGYN

Credentials

MD

Pronouns

she/her

County

MU

Website

Website

Provider Name

Rashida Merchant

Type of care

OBGYN

Credentials

MD

Pronouns

she/her

County

MU

Provider Name

Michelle Hinds

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Provider Name

Shay Witten

Type of care

Hair removal

Credentials

LE

Pronouns

they/them

County

MU

Provider Name

Carissa Hannigan

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Provider Name

Shoshana Farber

Type of care

WHNP, Repro & Sexual Health Care

Credentials

WHNP

Pronouns

she/her

County

WA

Provider Name

Maya Hunter

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

she/her

County

CL, MU, WA

Provider Name

Karin Selva

Type of care

Pediatric Endocrinologist

Credentials

MD

Pronouns

she/her

County

CL, MU, WA

Provider Name

Daniel Trimberger

Type of care

Orthopedist

Credentials

MD

Pronouns

he/him

County

Cl, WA

Provider Name

Molly Ballew

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

JA

Provider Name

Cody Toschik

Type of care

OBGYN

Credentials

DO

Pronouns

unknown

County

MU

Provider Name

Sophia Brechart

Type of care

Hair removal

Credentials

LE

Pronouns

she/her

County

MU

Provider Name

Monte Nido - West Linn

County

CL

Type of care

Eating disorder residential treatment

Website

Monte Nido

Provider Name

The Living Room 

County

CL

Type of care

Community center & peer support

Provider Name

Prism Health

County

MU

Type of care

primary care, hormone therapy and mental health care clinic

Provider Name

Transgender Health Program - OHSU

County

MU

Type of care

Education, case management, community support

Provider Name

The Equi Institute (previously Sacred Vessel)

County

MU

Type of care

Case management, community support, and peer support

Provider Name

Northwest Gender Pathways Clinic - Kaiser

County

MU

Type of care

primary care, hormone therapy and mental health care clinic

Provider Name

Utopia PDX

County

MU

Type of care

Advocacy, community supprt

Website

Utopia PDX

Provider Name

Portland Two Spirit Society

County

MU

Type of care

Community support

Provider Name

TransActive Gender Center

County

MU

Type of care

Community center & peer support

Provider Name

Sexual & Gender Minority Youth Resource Center (SMYRC) - New Avenues for Youth

County

MU

Type of care

Community center & peer support

Provider Name

The Q Center

County

MU

Type of care

Community center & peer support

Provider Name

Me Cuido, Te Cuido Trainings - Familias en Accion

County

MU

Type of care

Education

Provider Name

Black and Beyond the Binary Collective

County

MU

Type of care

Education, community support, mutual aid

Provider Name

The Queer Resource Center - Portland State University

County

MU

Type of care

Community center

Provider Name

Outside In

County

MU

Type of care

primary care and hormone therapy clinic

Website

Outside In

Provider Name

Quest Center for Integrative Health

County

MU

Type of care

primary care, hormone therapy and mental health care clinic

Provider Name

Gender Communication Lab

County

MU

Type of care

gender-affirming voice and communication techniques

Provider Name

Portland Mental Health & Wellness - The Affirm 2STNB Program

County

MU

Type of care

Community support for 2STNB, mental health care

Provider Name

Spectrum Counseling - A Spectrum of Strength Group Therapy

County

MU

Type of care

Psychotherapy

Contact

Website

Provider Name

Trans Youth Care Collective

County

MU

Type of care

Trans youth support

Contact

Website

Website

Website

Provider Name

Portland Healing House

County

MU

Type of care

Surgery recovery

Website

Website

Provider Name

Drunk Punks Meeting (The Equi Institute)

County

MU

Type of care

Peer support group for alcohol and substance use

Contact

Website

Website

Website

Provider Name

True Colors Recovery

County

CL, MU, WA

Type of care

Community center & peer support, substance use recovery

Provider Name

Mental Health & Addiction Association of Oregon

County

CL, MU, WA

Type of care

Peer support

Provider Name

PDX Trans Housing Coalition

County

CL, MU, WA

Type of care

Mutual aid

Provider Name

STRIDE (LifeWorks NW)

County

CL, MU, WA

Type of care

Peer support & case management

Provider Name

Doernbecher Gender Clinic (Pediatric) - OHSU

County

CL, MU, WA

Type of care

primary care, hormone therapy and mental health for gender diverse youth and families

Provider Name

Legacy's T-Clinic (Pediatric)

County

CL, MU, WA

Type of care

primary care, hormone therapy and mental health for gender diverse youth and families

Provider Name

Rahab's Sisters

County

CL, MU, WA

Type of care

community gatherings, mental health support, street outreach

Provider Name

Northwest Gender Alliance

County

CL, MU, WA, Clark Co

Type of care

Community support & peer support

Contact

e-mail

Provider Name

As You Like It - Love Revolution

County

JA

Type of care

Gender-affirming products

Provider Name

Rogue Action Center

County

JA

Type of care

Community support for LGBTQ+

Provider Name

La Clinica

County

JA

Type of care

Primary care, BH, dental, hormone therapy

Provider Name

Options for Southern Oregon

County

JA

Type of care

Mental health, community resources

Provider Name

Options for Southern Oregon - Adult Transgender, Non-Binary, and Gender-Expansive Group

County

JA

Type of care

Community support for trans/non-binary/gender expansive

Provider Name

Options for Southern Oregon - Adult LGBTQ+ Group

County

JA

Type of care

Community support for LGBTQ+

Provider Name

Rogue Action Center LGBTQ+ Groups & Penpal Projects

County

JA

Type of care

Community support, events for LGBTQ+

Provider Name

Gender and Sexuality Justice - Social Justice and Equity Center - Southern Oregon University

County

JA

Type of care

Gender and sexuality justice

Provider Name

AFFIRM Groups

County

Statewide

Type of care

mental health support for youth

Provider Name

Planned Parenthood Southwestern Oregon

County

Statewide

Type of care

primary care and hormone therapy clinic

Provider Name

Basic Rights Oregon

County

Statewide

Type of care

Advocacy organization

Provider Name

Out Dance Project - Boom and Bust

County

Statewide

Type of care

Community support

Contact

N/A

Provider Name

Haymarket Pole Collective (HMPC)

County

Statewide

Type of care

BIPOC Mental health, community resources

Contact

N/A

Provider Name

TransPonder Legal ID Change Program

County

Statewide

Type of care

ID changes

Website

Website

Provider Name

Planned Parenthood Columbia Willamette

County

Statewide & Clark Co

Type of care

primary care and hormone therapy clinic

Provider Name

Beyond These Walls

County

PNW

Type of care

Advocacy organization

Contact

N/A

Provider Name

Project HEAL

County

National

Type of care

Eating disorder support

Provider Name

FEDUP Collective

County

National

Type of care

Eating disorder support

Contact

email

Provider Name

Dem Bois Inc.

County

National

Type of care

financial assistance to person(s) of color for gender affirming surgeries

Provider Name

Autistic Self Advocacy Network

County

National

Type of care

Autism self advocacy

Contact

N/A

Provider Name

Autistic Women & Nonbinary Network

County

National

Type of care

Empowerment, solidarity aid, community resources

Contact

N/A

Provider Name

T4T Caregiving

County

National

Type of care

Trans caregiving

Contact

N/A

Provider Name

TBuddy

County

National

Type of care

Transmasculine peer support

Contact

N/A

Provider Name

TransTech Social

County

National

Type of care

Education, empowerment, career building

Contact

Website

Provider Name

Transgender American Veterans Association (TAVA)

County

National

Type of care

Assistance and advocacy for trans veterans

Provider Name

Trans Justice Funding Project (TJFP)

County

National

Type of care

Trans-led grassroots organization funding

Contact

Website

Website

Website

What are the steps to getting services?

1. Start with your primary care and mental health providers

They can help you get a gender dysphoria diagnosis, hormone therapy, surgery and other medical care. You might need a referral from them before seeing a surgeon.

You can search for providers from the lists above, or by calling Customer Service.

2. Learn about your treatment options

There are different kinds of hormones and surgeries. Surgeons may use different methods. Call the surgeon’s office to ask questions about surgery types, recovery times, considerations and risks. Also, check that any surgeon you talk to is licensed with the Oregon Health Authority to serve Medicaid patients.

Please note: If you are under 18, there may be extra steps or screenings before getting hormones or surgery.

3. Get a written gender dysphoria diagnosis if needed

For some treatments, like surgeries or electrolysis, you may need a written assessment and a letter of support from a provider who has experience with gender-affirming care. These letters are sometimes called "assessment letters" or "letters of support."

The World Professional Association for Transgender Health (WPATH) has updated guidelines called the Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 (SOC8). These guidelines are used by Oregon's Health Evidence Review Commission and the Oregon Health Authority. SOC8 now says that only one letter is needed for surgery, instead of multiple letters.

Some clinics still use older rules that ask for more letters, so it’s good to ask what’s needed for your care. For more information on letters of support and assessment criteria, please reference WPATH SOC8

If you need help getting services, or if you want to talk to someone about the services CareOregon provides, call Customer Service.

More CareOregon resources

CareOregon can also help with non-medical needs that support your transition. These can include certain items or services that aren’t covered under the Oregon Health Plan. 

These items and services must be consistent with your treatment plan, as developed by your primary care team or other treatment providers.

Some examples of items you can request are:

  • Gender-affirming clothing
  • Binders
  • Prosthetics
  • Costs related to name changes
  • Gender marker changes
  • Identity documentation
  • And more

For more information and to make a request, please visit our Other social needs supports page.

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