The procedures for Gender dysphoria (or more accurately Gender Incongruence) are as follows:
• Referral to a specialist Gender Dysphoria Clinic from primary,
secondary or tertiary care or by self-referral
• Assessment for gender dysphoria, and diagnosis
• Individuals who meet the criteria for gender dysphoria related to
gender incongruence are accepted on to the NHS care pathway and
an individualised treatment plan is agreed
• Therapeutic interventions delivered by the specialist Gender
Dysphoria Clinic; and / or referral for interventions led by other
providers, including for surgery
• Ongoing review and monitoring during and after interventions
• Conclusion of contact: discharge to primary care.
https://www.england.nhs.uk/wp-content/uploads/2019/07/NHS-England-Service-Specification-for-Specialised-Gender-Dysphoria-Services-Surgical-v4.pdf