Overview

• HAS delayed recommendations on transgender care for minors until early 2026, citing an absence of consensus and robust data among experts.
• HAS removed mandatory psychiatric evaluations for adults seeking hormone therapy or surgery, framing transidentity as sexual health instead of a psychiatric condition.
• HAS recommends responding to all surgery requests and facilitating hormone treatments for transgender adults to ensure timely access to care.
• HAS mandates clear and tailored preoperative information on surgical modalities and risks to secure informed consent from patients before irreversible procedures.
• HAS highlights that access to quality transition services remains highly variable across France and urges general practitioners to coordinate care within multidisciplinary teams to reduce disparities and support patient-centred pathways.