Guideline
Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa
Submitted: 13 August 2021 | Published: 28 September 2021
About the author(s)
Anastacia Tomson, My Family GP, Cape Town; Shemah Koleinu, Cape Town, South AfricaChristine McLachlan, KwaZulu-Natal Department of Health, Pietermaritzburg; Department of Psychology, College of Human Sciences, University of South Africa, Pretoria; Professional Association for Transgender Health South Africa, Cape Town; Psychological Society of South Africa, Johannesburg, South Africa
Camilla Wattrus, Southern African HIV Clinicians Society, Johannesburg, South Africa
Kevin Adams, Professional Association for Transgender Health South Africa, Cape Town; Department of Plastic Surgery, Faculty of Health Science, University of Cape Town, Cape Town, South Africa
Ronald Addinall, Professional Association for Transgender Health South Africa, Cape Town; Department of Social Development, Faculty of Humanities, University of Cape Town, Cape Town; Southern African Sexual Health Association, Cape Town, South Africa
Rutendo Bothma, Wits Reproductive Health Institute, Johannesburg, South Africa
Lauren Jankelowitz, Southern African HIV Clinicians Society, Johannesburg, South Africa
Elliott Kotze, Psychologist, Independent Practice, Cape Town, South Africa
Zamasomi Luvuno, School of Nursing and Public Health, Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa
Nkanyiso Madlala, Department of Psychology, College of Human Sciences, University of South Africa, Pretoria; Professional Association for Transgender Health South Africa, Cape Town; Psychological Society of South Africa, Johannesburg, South Africa
Savuka Matyila, Gender Dynamix, Cape Town, South Africa
Anil Padavatan, Gender Dynamix, Cape Town, South Africa
Mershen Pillay, Professional Association for Transgender Health South Africa, Cape Town, South Africa; Department of Speech-Language Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; Department of Speech-Language Therapy, Faculty of Health Sciences, Massey University, Auckland, New Zealand
Mmamontsheng D. Rakumakoe, Professional Association for Transgender Health South Africa, Cape Town; Quadcare, Johannesburg, South Africa
Mathilde Tomson-Myburgh, Shemah Koleinu, Cape Town, South Africa
Willem D.F. Venter, Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Elma de Vries, Professional Association for Transgender Health South Africa, Cape Town; Cape Town Metro Health Services, Cape Town; School of Public Health and Family Medicine, Faculty of Health Science, University of Cape Town, Cape Town, South Africa
Abstract
Keywords
Metrics
Total abstract views: 12764Total article views: 21178
Crossref Citations
1. The SAHCS gender-affirming healthcare guideline and the Southern African Journal of HIV Medicine: Scientific, ethical and editorial concerns
Mark E. Patrick
Southern African Journal of HIV Medicine vol: 27 issue: 1 year: 2026
doi: 10.4102/SAJHIVMED.v27i1.1830
2. Rapid review of gender-affirming healthcare for children and adolescents: Evidence synthesis (2021–2025) and recommendations for South Africa
Ingrid Lynch, KL Dunkle, Chris McLachlan, Pierre Brouard, Landa Mabenge, Sakhile Msweli, Liberty Matthyse, Marion Stevens, Robin Dyers, Jenna-Lee de Beer-Procter, Kevin Adams, W.D. Francois Venter, Elma de Vries
Southern African Journal of HIV Medicine vol: 27 issue: 1 year: 2026
doi: 10.4102/SAJHIVMED.v27i1.1800
3. SAHCS 2021 Conference Summary
David C. Spencer
Southern African Journal of HIV Medicine vol: 23 issue: 1 year: 2022
doi: 10.4102/sajhivmed.v23i1.1371
4. A brief historic overview of sexual and gender diversity in neuroscience: past, present, and future
Jhon Alexander Moreno, Riccardo Manca, Lucas Albrechet-Souza, Juan A. Nel, Ioannis Spantidakis, Zindi Venter, Robert-Paul Juster
Frontiers in Human Neuroscience vol: 18 year: 2024
doi: 10.3389/fnhum.2024.1414396
5. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8
E. Coleman, A. E. Radix, W. P. Bouman, G. R. Brown, A. L. C. de Vries, M. B. Deutsch, R. Ettner, L. Fraser, M. Goodman, J. Green, A. B. Hancock, T. W. Johnson, D. H. Karasic, G. A. Knudson, S. F. Leibowitz, H. F. L. Meyer-Bahlburg, S. J. Monstrey, J. Motmans, L. Nahata, T. O. Nieder, S. L. Reisner, C. Richards, L. S. Schechter, V. Tangpricha, A. C. Tishelman, M. A. A. Van Trotsenburg, S. Winter, K. Ducheny, N. J. Adams, T. M. Adrián, L. R. Allen, D. Azul, H. Bagga, K. Başar, D. S. Bathory, J. J. Belinky, D. R. Berg, J. U. Berli, R. O. Bluebond-Langner, M.-B. Bouman, M. L. Bowers, P. J. Brassard, J. Byrne, L. Capitán, C. J. Cargill, J. M. Carswell, S. C. Chang, G. Chelvakumar, T. Corneil, K. B. Dalke, G. De Cuypere, E. de Vries, M. Den Heijer, A. H. Devor, C. Dhejne, A. D’Marco, E. K. Edmiston, L. Edwards-Leeper, R. Ehrbar, D. Ehrensaft, J. Eisfeld, E. Elaut, L. Erickson-Schroth, J. L. Feldman, A. D. Fisher, M. M. Garcia, L. Gijs, S. E. Green, B. P. Hall, T. L. D. Hardy, M. S. Irwig, L. A. Jacobs, A. C. Janssen, K. Johnson, D. T. Klink, B. P. C. Kreukels, L. E. Kuper, E. J. Kvach, M. A. Malouf, R. Massey, T. Mazur, C. McLachlan, S. D. Morrison, S. W. Mosser, P. M. Neira, U. Nygren, J. M. Oates, J. Obedin-Maliver, G. Pagkalos, J. Patton, N. Phanuphak, K. Rachlin, T. Reed, G. N. Rider, J. Ristori, S. Robbins-Cherry, S. A. Roberts, K. A. Rodriguez-Wallberg, S. M. Rosenthal, K. Sabir, J. D. Safer, A. I. Scheim, L. J. Seal, T. J. Sehoole, K. Spencer, C. St. Amand, T. D. Steensma, J. F. Strang, G. B. Taylor, K. Tilleman, G. G. T’Sjoen, L. N. Vala, N. M. Van Mello, J. F. Veale, J. A. Vencill, B. Vincent, L. M. Wesp, M. A. West, J. Arcelus
International Journal of Transgender Health vol: 23 issue: sup1 first page: S1 year: 2022
doi: 10.1080/26895269.2022.2100644
6. A call for SASOP to review their position on the care of ‘transgender and non-binary youth’
Allan Donkin, Reitze Rodseth, Janet Giddy
South African Journal of Psychiatry vol: 31 year: 2025
doi: 10.4102/sajpsychiatry.v31i0.2381
7. ‘Gender affirming healthcare’ is not what the family physician needs to know
Janet Giddy, Allan Donkin, Reitze Rodseth
South African Family Practice vol: 67 issue: 1 year: 2025
doi: 10.4102/safp.v67i1.6061
8. Individualized and innovative gender healthcare for transgender and nonbinary youth
Drew B. A. Clark, Daniel L. Metzger, Ken C. Pang, Colton St. Amand, Karine Khatchadourian
Nature Reviews Endocrinology vol: 21 issue: 7 first page: 441 year: 2025
doi: 10.1038/s41574-025-01113-z
9. Clinical guidelines for children and adolescents experiencing gender dysphoria or incongruence: a systematic review of recommendations (part 2)
Jo Taylor, Ruth Hall, Claire Heathcote, Catherine Elizabeth Hewitt, Trilby Langton, Lorna Fraser
Archives of Disease in Childhood first page: archdischild-2023-326500 year: 2024
doi: 10.1136/archdischild-2023-326500
10. South African mental health workers’ knowledge and attitudes to trans and gender-diverse people
Maya Jaffer, Laila Paruk, Belinda Marais
South African Journal of Psychiatry vol: 32 year: 2026
doi: 10.4102/SAJPSYCHIATRY.v32i0.2513
11. An introduction to gender affirming healthcare: What the family physician needs to know
Madeleine Muller, Elma de Vries, Anastacia Tomson, Christine McLachlan
South African Family Practice vol: 65 issue: 1 year: 2023
doi: 10.4102/safp.v65i1.5770
12. How HIV advocacy can be used to ensure quality transgender health care: lessons from South Africa
L Leigh-Ann van der Merwe, Allanise Cloete, Donald Skinner
The Lancet vol: 399 issue: 10330 first page: 1099 year: 2022
doi: 10.1016/S0140-6736(22)00177-5
13. Mental Health Outcomes Among Transgender People in South Africa During the COVID-19 Pandemic: A Cross-Sectional Analysis of Service Disruptions and Social, Structural, and Relational Correlates
Craig J. Heck, Erik Lamontagne, Lara Lewis, Tian Johnson, Ntombenhle Mkhize, Danai Nyagani, Delivette Castor, Quarraisha Abdool Karim
LGBT Health year: 2026
doi: 10.1177/23258292261495119
14. Locally relevant, ethically urgent: Defending SASOP’s stance on transgender and non-binary youth
KL Dunkle, Ingrid Lynch, Sakhile Msweli, Ronald Addinall-van Straaten, Pierre Brouard, Jenna-Lee de Beer-Procter, Nkanyiso Madlala, Chris McLachlan, Madeleine Muller, Simon Pickstone-Taylor, Mershen Pillay, Ariane Spitaels, Anastacia Tomson, Elma de Vries
South African Journal of Psychiatry vol: 32 year: 2026
doi: 10.4102/SAJPSYCHIATRY.v32i0.2543
15. When we know better, we must do better: Gender affirming healthcare as a test of justice
Tracey Naledi, Marion Stevens, Elma de Vries
International Journal of Transgender Health vol: 27 issue: 3 first page: 1173 year: 2026
doi: 10.1080/26895269.2025.2549122
16. A call to action: the second Lancet Commission on adolescent health and wellbeing
Sarah Baird, Shakira Choonara, Peter S Azzopardi, Prerna Banati, Judith Bessant, Olivia Biermann, Anthony Capon, Mariam Claeson, Pamela Y Collins, Nicole De Wet-Billings, Surabhi Dogra, Yanhui Dong, Kate L Francis, Luwam T Gebrekristos, Allison K Groves, Simon I Hay, David Imbago-Jácome, Aaron P Jenkins, Caroline W Kabiru, Elissa C Kennedy, Luo Li, Chunling Lu, Jun Ma, Terry McGovern, Augustina Mensa-Kwao, Sanyu A Mojola, Jason M Nagata, Adesola O Olumide, Olayinka Omigbodun, Molly O'Sullivan, Audrey Prost, Jennifer H Requejo, Yusra R Shawar, Jeremy Shiffman, Avi Silverman, Yi Song, Sharlene Swartz, Rita Tamambang, Henrik Urdal, Joseph L Ward, George C Patton, Susan M Sawyer, Alex Ezeh, Russell M Viner
The Lancet vol: 405 issue: 10493 first page: 1945 year: 2025
doi: 10.1016/S0140-6736(25)00503-3
17. Editorial Expression of Concern for the Guideline ‘Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa’
Gary Maartens
Southern African Journal of HIV Medicine vol: 27 issue: 1 year: 2026
doi: 10.4102/SAJHIVMED.v27i1.1813
18. Rebuttal to: ‘Gender affirming healthcare’ is not what the family physician needs to know
Elma de Vries, Madeleine Muller, Anastacia Tomson, Chris McLachlan
South African Family Practice vol: 67 issue: 1 year: 2025
doi: 10.4102/safp.v67i1.6185
19. Clinical guidelines for children and adolescents experiencing gender dysphoria or incongruence: a systematic review of guideline quality (part 1)
Jo Taylor, Ruth Hall, Claire Heathcote, Catherine Elizabeth Hewitt, Trilby Langton, Lorna Fraser
Archives of Disease in Childhood first page: archdischild-2023-326499 year: 2024
doi: 10.1136/archdischild-2023-326499
20. Cultural adaptation and validation of a Spanish-Language measure of therapist competency working with transgender clients in Colombia
Sharon G. Horne, Reynel A. Chaparro, Nedim Yel
International Journal of Transgender Health vol: 27 issue: 1 first page: 459 year: 2026
doi: 10.1080/26895269.2024.2447782
21. Updated LGBTQIA+ Affirmative Practice Guidelines for (South) African Psychology and Mental Health Care Professionals: An Intervention Tool in Hate Studies
Suntosh R. Pillay, Jenna-Lee De Beer-Procter, Thembisile Dlamini, Nkanyiso L. Madlala, Cornelius J. Victor, Chris McLachlan, Sakhile Msweli, Juan A. Nel
South African Journal of Psychology vol: 56 issue: 3 first page: 401 year: 2026
doi: 10.1177/00812463261481323
22. Erratum: ‘Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa’
Gary Maartens
Southern African Journal of HIV Medicine vol: 27 issue: 1 year: 2026
doi: 10.4102/SAJHIVMED.v27i1.1812

