ABSTRACT
Speech and language therapists (SLTs) working in the field of gender dysphoria work in a highly specialist, challenging and relatively small field within the remit of speech and language therapy as a whole. In the United Kingdom, with the exception of the speech and language therapy post at Charing Cross Hospital, SLTs treat gender-dysphoric individuals as part of their general voice caseload. Within the gender identity clinic at Charing Cross Hospital, the SLT forms part of the multidisciplinary team. In addition to an understanding of the transsexual condition, the SLT needs to be conversant with the medical model of treatment for transgender clients, for both male and female individuals. The chapter includes assessment, treatment and management approaches as well as describing the SLT's role with ear, nose and throat vocal surgery interventions. Acceptance to a speech and language therapy programme requires a medical referral.
