Nathan MacRae
MSW, RSW
Hormone & Surgical Readiness Assessments
Trailhead is proud to offer gender-affirming Hormone and top and gonadectomy Surgical Readiness Assessments for clients in British Columbia. I am also able to provide secondary letters in support of genital surgeries in ON and hormone readiness assessments.
Hormone and Surgical Readiness Assessments are required by Provincial Health Authorities and are in place to assess the physical, mental and emotional readiness of candidates for gender-affirming care.
I am an approved assessor in the provinces and provide thorough and respectful sessions to explore gender-affirming care. In addition to my personal experience, I have completed many assessments, helping clients work around systemic barriers to get the care they need and deserve.
What to expect
My role as an assessor is to insure you are prepared, informed and as safe as possible in your journey in accessing gender-affirming care.
An overview of the client’s gender history, previous gender-affirming measures and desired outcomes
An account of relevant physical and mental health
An assessment of a client’s stability and available support as it relates to housing, employment, and social community (family and friends)
A comprehensive overview of the potential risks and outcomes of the care being considered
An assessment of maturity and ability to consent to the care being considered
Space to ask questions, share concerns and explore your options
Your journey is unique and valid
One of the joys of the queer and trans experience is the necessity of script-breaking. When you do not adhere to common expectations of gender and sexuality, you invite room to write your own story.
These assessments are not designed to force another pre-written narrative onto a client's experience. They are not opportunities to debate the validity of a client’s gender, nor are they designed to gatekeep certain medical therapies.
If barriers are preventing a recommendation from being made, my role is to work with clients to manage these challenges and help them access the care they need and deserve.