Abstract
The informed consent approach to gender-affirming care evolved as an alternative to the gatekeeping or assessment model, which necessitated assessment and/or treatment by a mental health professional prior to the initiation of gender-affirming hormones, seeking to address the ethical concerns raised about the assessment model. Regrettably, as mental health clinicians have played the uneasy role of gatekeeper to gender-affirming care, there is an understandable degree of wariness from patients about involvement of mental health clinicians.
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