The Washington University Transgender Center at St. Louis Children’s Hospital offers the only multidisciplinary care available to children and adolescents in the St. Louis region who identify as a gender different from the sex they were assigned at birth. The Center’s physicians, nurses, therapists and support staff are dedicated to providing a safe, supportive and welcoming environment in which transgender people may receive the education, medical assistance and mental-health counseling they need to make decisions that will impact their well-being throughout their lives.

We are committed to:

  • Providing personalized, multidisciplinary care that addresses each individual’s unique needs, and ensuring that care is confidential
  • Promoting an accepting and respectful environment, including using preferred names and pronouns

Our Services

Washington University School of Medicine and St. Louis Children’s Hospital—both ranked nationally as leaders in their fields—offer the most advanced treatment and therapy based on current research and practice. Our services include:

  • Mental health counseling to assess for gender dysphoria and to determine if any other issues exist, such as depression, low self-esteem, anxiety or substance abuse.
  • Education regarding gender dysphoria and its possible treatments. Gender dysphoria refers to the distress that may accompany the incongruence between one’s gender identity and one’s assigned sex at birth.
  • Administering pubertal blockers, which delay puberty and suppress unwanted and irreversible secondary sexual characteristics; for example, deepening of the voice and facial hair for transgender females and breast development for transgender males.
  • Administering gender-affirming (cross sex) hormones that make a person’s physical body match their gender identity. These may begin between the ages of 14 and 16 after patients meet readiness and eligibility criteria.
  • Voice therapy to achieve gender-consistent speech, including pitch, intonation and quality.
  • Counseling to determine the best transitional plan for each person. For some, adjustments in gender expression—preferred name and pronouns, makeup, hair, voice, clothing and/or behavior—are enough. Some may want only hormonal therapy, while others want both hormonal and surgical interventions.
  • Psychiatric services including evaluation and management of mental health issues (such as depression, anxiety and self-harming behaviors) that commonly affect children, adolescents and young adults exploring their gender identities.
  • Referral for parents to community resources and support groups that enable them to support their children.
  • Referral to surgeons with particular expertise in gender affirmation surgery for patients 18+.
  • Support letters for gender marker and name change and referral to appropriate legal advisors.

Request an Appointment or Make a Referral

The Transgender Center accepts self-referrals or referrals from physicians and mental health providers. Patients are seen Tuesday afternoons at the Children’s Specialty Care Center in west St. Louis County at Mason Road and Interstate 64 and Wednesday mornings at St. Louis Children’s Hospital.

Why Choose Us?

St. Louis Children’s Hospital is consistently ranked among the nation’s best pediatric hospitals by U.S. News & World Report, the most comprehensive source of quality-related information on U.S. pediatric hospitals. We follow one simple mission – to do what’s right for kids. That mission comes to life through medical discovery, innovative therapies and compassionate care.

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We offer world-class care to children thanks in part to generous gifts from hundreds of people who have joined us as Guardians of Childhood. This philanthropic support enables us to fulfill our mission to do what's right for kids. Join us in making health care better for all children.

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