NHS Arden & GEM National Referral Support Service

GIDS is no longer accepting referrals onto our service.
Find information about the national referral system >>.

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  • Young people
  • Surgical procedures not routinely commissioned by NHS England

Certain medical procedures are not broadly available through the NHS, contact your local Integrated Care Board for more information.

  • Phonosurgery (Voice surgery)
  • Augmentation Mammoplasty (breast enlargement)
  • Facial Feminisation Surgery, including Thyroid Chondroplasty and Rhinoplasty
  • Lipoplasty / Contouring, Microdermabrasion and other cosmetic procedures
  • Face and body hair removal (other than donor site for surgery)
  • Hair transplantation
  • Hysterectomy, bilateral salpingo-oophorectomy, penectomy and orchidectomy when they are performed as “stand alone” procedures

Reversal of a previous surgical intervention for the treatment of gender dysphoria that is requested due to regret or other change of mind by an individual who no longer has a diagnosis of gender dysphoria

More information is available on the NHS England website

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