Nathan MacRae
MSW, RSW
Hormone & Surgical Readiness Assessments
Trailhead is proud to provide compassionate, affirming, and WPATH-compliant gender-affirming hormone and surgical readiness assessments for adults (19+) in British Columbia and Ontario.
Assessments are available for:
-Gender-affirming hormone therapy
-Top surgery
-Gonadectomy
Please note that in British Columbia, assessments for genital ("bottom") surgery must be completed by a qualified medical provider and are therefore not offered through this practice. For more information about genital surgery assessments, please contact Trans Care BC at transcareteam@phsa.ca.
Readiness assessments are required by provincial health authorities to help ensure individuals are physically, mentally, and emotionally prepared for gender-affirming medical care. My goal is to provide a respectful, collaborative, and supportive assessment process that honours your identity and helps you access the care you need.
As an approved assessor in both British Columbia and Ontario, I have supported many clients through this process. Asessments are completed within one week, and expedited appointments may be available if you require documentation sooner.
Book your assessment here: https://thcounselling.janeapp.com/
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.