Gender Reassignment Surgery Coverage in Canada

If you are a Canadian who feels strongly about having gender reassignment surgery you may be interested to learn that coverage varies from province to province. 

There are 3 areas of surgery:

• Removal of the internal and external organs associated with the current sex
• Reconstruction of the external characteristics of the desired sex
• Procedures to enhance the appearance and more closely match the desired sex

There is a wait list to consider when getting referred for surgery. Unfortunately your family doctor can’t provide this type of referral it must come from a special assessment centre. You may have to travel out of province for this appointment in order to be referred.

When it comes to funding the surgery you will have to look at whether your province offers any type of coverage. Eight provinces, all but New Brunswick and PEI, fund some combination of gender-confirming surgeries. 

The CanadianProfessional Association for Transgender Health (CPATH) can provide you with the information you require. British Columbia, Alberta, Ontario, Quebec and Nova Scotia fund all seven of the following procedures:

• hysterectomy (uterus removal)
• oophorectomy (ovary removal)
• metaoidioplasty and phalloplasty (bottom surgery for female-to-male trans people)
• penectomy (penis removal)
• orchiectomy (testes removal)
• vaginoplasty (the creation of a vagina)

Mastectomies are funded by some of the provinces but there is no chest contouring coverage. Nipple grafting can cost on average an extra $1,500.

Provinces such as Newfoundland and Saskatchewan require trans people seeking surgery to get a referral from the Centre for Addiction and Mental Health’s (CAMH) Gender Identity Clinic in Toronto.

Trans people often don’t have the time to wait the sometimes five-plus years to begin the surgical process to change their gender, they can suffer from gender dysphoria, a mental health disorder caused by having to live in a body they feel doesn’t belong to them. 

Private Health Insurance
If you have private health insurance you might be covered for hormones and certain surgeries. Some insurance companies have exclusions for gender identity related procedures, claiming SRS is "cosmetic," "elective" or "experimental." However, some insurance does cover gender reassignment surgery. Check your insurance manual to see if gender identity procedures and medications are excluded. 

List of Businesses with Transgender-Inclusive Health Insurance Benefits