Private Trans Health Services

This page lists information about private gender services in the UK, covering:

  • How their services are affected by COVID-19
  • What services they offer
  • What their prices are

We recommend checking for reviews of private gender clinics, where you can also find independent information on costs.

We don’t currently cover information on private services for individual aspects of trans healthcare run outside larger services, such as hair removal, voice coaching or gender-informed counselling, but we hope to in future. If you can help with this, please email us.

All information provided here is from a team of volunteers. We are not paid for this work and we are not professionals, but we are all trans people with personal experience of the healthcare system in the UK. We do our best to keep this up-to-date.  If you have corrections or questions, please email us.

This page was last revised on 28/07/2021.

On Pricing

Most private gender clinics in the UK have a price per consultation. They each have a different required frequency and purpose of consultations, which makes it hard to compare prices. The exception is GenderGP, which has a monthly subscription cost and much lower consultation prices.

The cost of diagnosis and recommendation for a hormone prescription will depend on the number of appointments required by a provider. Some providers may be willing to make a recommendation after a single appointment; others may have a policy of requiring more than one. Providers may be willing to state this if you ask in advance, but they may not.

The cost of a hormone prescription will depend on whether your GP will accept a shared care agreement with a private practice. If they do, the prescription will be at the standard NHS cost. If they don’t, the prescription will depend on the cost from the private pharmacy. We recommend asking a private service on their experience of shared care and likely prescription costs before beginning with them. From patient reports, shared care agreements for hormone prescription are unlikely with GenderGP, as they are located overseas, and more likely but not guaranteed with other services.

A price comparison between services will depend on what you need from a private gender clinic and how supportive your GP is. In general, if you are planning to be with a private provider in the short-term (i.e. while waiting for an impending GIC appointment) GenderGP’s model is likely to be cheaper; if you are likely to be with private provider in the long-term then the others’ models are likely to be cheaper, especially if you do not have a supportive NHS GP.

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  • All assessments are currently carried out remotely by video call
  • They are taking new patients, but there is a chance that some clinicians will be redeployed to help with the crisis, slowing down waiting times
  • While they can provide a diagnosis and recommend treatment, the actual treatment process (like starting hormones or surgery) depends on primary and secondary healthcare providers like GPs, so starting treatment might be delayed 
  • 2-3 months wait, likely to increase
  • We have heard from patients that while it is a 3 month wait to diagnostic appointments, it can be a further 8 months after that to then getting an endocrinologist appointment for a prescription.

Services and Prices

Services include:

  • Assessment, monitoring and treatment of gender dysphoria.
  • Advice on the physical, psychological and social elements of gender transition.
  • Counselling.
  • Hormone advice.
  • Recommendation of sex hormones.
  • Assessment of eligibility and readiness for gender related surgery, including surgical referral where appropriate.
  • Provision of Gender Recognition Certificate (GRC) reports.
  • Voice therapy.
  • Referral to other professionals, as needed.
Initial assessment fee £250-£450
Follow up assessments £140-£170
Written Reports included in assessment fee, but £50 for any additional reports
Diagnostic adult autism assessments £950
Counselling/Therapy £120-£200 per session
Gender Recognition specialist reports £150- £300
Language Therapy £100-185 per session




  • Video appointments are preferred, in person appointments in London are possible
  • This is a private practice operated by clinicians who also work with NHS GICs
  • 4-8 week waiting list

Services and Prices

Services include:

  • Assessment, for gender dysphoria diagnosis
  • Recommendations for hormone prescriptions
  • Recommendations for gender-affirming surgeries
  • Endocrinology
  • Reviews of HRT and surgeries
  • Clinical reports for Gender Recognition Certificates
Initial assessment £350-450
Endocrinology appointment £125-250
Review appointment £150
GRC report £50




  • All assessments are currently carried out remotely by video call
  • They are taking new patients, but high demand may cause a delay to response and wait times.
  • If a patient is unable to access injections during the pandemic, they are able to prescribe alternatives like nasal spray blockers and testosterone gel.
  • Similarly, they are able to arrange blood tests to be done privately through a finger prick test sent in the post for service users
  • As they are already a remote service, they are doing appointments as usual.
  • No official wait data.

Services and Prices

Services include:

  • Gender dysphoria diagnosis
  • Hormone prescription
  • Surgical referrals
  • Counselling and therapy
  • Blood tests

GenderGP are not currently licensed to practice in the UK and operate from Spain, and this can sometimes cause interruptions to services and refusal to co-operate from NHS GPs.

Discounts on the below fees are sometimes available to students and people on low incomes.

Set up fee £195
Monthly fee (must be paid in throughout treatment
in addition to other costs)
Initial assessment £65
Consultation, counselling and therapy £50-60
Blood Tests varies up to £250
Medication £10-120 per month / free if GP agrees shared care
Letters and Reports Counted within subscription for most purposes,
but some services including surgery referral
require a further fee


Harley Street Gender Clinic


  • All appointments currently by video
  • 6 week waiting time

Services and Prices

Services include:

  • Referral for hormone therapy
  • Referral for gender confirming surgery
  • Support/guidance in planning for gender transition
  • Reports for name/gender marker change in passports
  • Reports for Gender Recognition Certificate (GRC)applications
  • Supporting the Young Person (under 18s)
Initial assessment, including diagnostic assessment and referral £375
Follow up appointment £125-250
Secondary referral (e.g. for surgery) £125
GRC support letter £125-250
Passport change support letter £125-250


Kelly Psychology (under 18s)


  • Providing both in-person appointments in Hackney and video call appointments
  • Currently states that “it is difficult to make recommendations on physical treatment” due to the Bell v Tavistock Judicial Review, as of December 2020.
  • Waiting list under a month

Services and Prices

Assessment (includes reports, estimates 4-6 needed for diagnosis/prescription) £200
Psychological support appointment £150

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London Transgender Clinic


  • All appointments via video call; essential post-surgery appointments continue at 54 Wimpole Street only (central London).
  • Face-to-face appointments which have been cancelled will be rescheduled.
  • Taking new patients.
  • Offering a free injection and implant clinic for patients with a prescription who cannot access these from their GP: contact 0207 487 0910 or for further information or to arrange.
  • Waiting list for hormone therapy is 2-3 months
  • Waiting list for psychiatrist varies from 1 week to 5 months, depending on clinician

Services and Prices:

  • LTC provide services for most aspects of transition, though each is priced and arranged individually. These include:
  • Diagnosis
  • Hormone therapy
  • Genital surgery
  • Face and body feminisation and masculoinisation (both surgical and non-surgical)
  • Laser hair removal
  • Voice coaching
  • Make-up and style coaching
  • Body language and etiquette coaching

The full price list is available on their website.


Diagnosis and therapy £150 – £500
Hormone therapy £150 set-up
£50 per month for first year
£30 per month thereafter
£50 for private prescription, plus cost of meds
Surgery consultation £100-200
Surgery varies widely
Non-surgical body modification consultation £75-150
Non-surgical body modification varies widely
Hair removal consultation £75
Hair removal £65-260 per session, varies by treatment
Coaching £50-80 per hour



Northern Gender Network


  • Clinical services all continuing only by telephone or video call
  • 5 month waiting list, likely to increase


  • NGN primarily offer diagnosis, therapy, and recommendations for hormonal and surgical treatments. They do not prescribe themselves, but can refer patients to clinicians who do, with recommendations. In the case of private clinicians, this would lead to further costs.
  • The network currently includes a clinical psychologist, and endocrinologist and a speech and language therapist.
Initial assessment with clinical report £300
Follow up assessment £150
Extended assessment (4 x 1 hour sessions) £900
Recommendation for surgery £150
Therapy £195 per session
Supervision to other gender specialists £195
Letter for changing gender marker in passport free for existing service users
Report for gender recognition certificate free for existing service users



Your GP


  • Remaining open with restrictions.
  • Offering face-to-face and telephone appointments.
  • Cosmetic services are currently closed.
  • NOTE: As of 28 July 2021, we have received confirmation that YourGP’s gender clinic waiting list is currently closed. They have not provided information about when it will re-open and are working on seeing current patients on the waiting list. If you are interested in being contacted when they can start offering appointments again, you can leave your contact details with them by emailing


  • Diagnosis and treatment recommendation
  • Hormone prescription (but not at first appointment)
  • Non surgical and minor surgical cosmetic treatments
  • Blood tests


Consultation (1 hour) £280
Prescription Included with consultation
£35 for controlled substance (may include testosterone)
Can work with NHS GPs
£20 for repeat prescription outwith appointment
Blood tests £45 plus individual test costs
Cosmetics Varies:



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