Services and Appointments for Children, Adolescents and Young Adults

A transgender woman speaks with a doctor.

The Johns Hopkins Center for Transgender and Gender Expansive Health offers comprehensive, evidence-based and affirming care for transgender and gender diverse youth and adults that is in line with the standards of care set by the World Professional Association for Transgender Health (WPATH).

Creating an environment in which our patients and their families feel safe and confident in the care they receive is central to the mission of Johns Hopkins Medicine. The multidisciplinary care team takes careful consideration of best practices and the appropriate provision of care for transgender and nonbinary individuals.

Gender affirming surgery is only offered to patients aged 18+.


Teen places book in a school locker.

Emerge Gender Diversity Clinic

The Emerge Gender Diversity Clinic for Children, Adolescents and Young Adults offers fully integrated and interdisciplinary expertise and clinical services in pediatrics, adolescent and young adult medicine, endocrinology, nursing, social work, child and adolescent psychiatry, and mental health care designed to improve the health and well-being of gender variant, gender diverse and transgender youth and young adults.

Through a collaborative relationship with endocrinology and psychiatry, we work to provide comprehensive services for all youth. Clinical services are available for children, adolescents and young adults up to 25 years old and include education, family and individual support, pubertal blockade, cross-hormonal therapy and mental health support and treatment. The clinic additionally provides referrals for gender affirmation surgery for young adults, 18 years and older, according to the Johns Hopkins Center for Transgender and Gender Expansive Health guidelines. 

  • Puberty blockade
  • Cross sex hormones
  • Psychosocial support
  • Complex care needs (e.g., autism spectrum, complex family, etc.)
  • Menstrual suppression and management, family planning services
  • Sexual and reproductive/contraceptive health care sexually transmitted infection (STI), HIV, Pre-exposure prophylaxis (PrEP) testing and care
  • Substance use treatment

Center Collaborators

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