Updates from the Gender affirming (genital) surgery service
Quarterly updates on current referrals and the waiting list.
Pātiki and Waharua Kōpito patterns
On this page
Quarter 4 (April to June 2025) update
Current status
As at 30 June March 2025, there were 375 people on the active wait list for their first specialist assessment (FSA) as part of the Gender Affirming (genital) Surgery Service (the Service/GAgSS). In the three months January to March 2025 four patients attended an FSA.
17 surgeries have been performed in total in the 2024/2025 financial year. Three surgeries were performed in April and two in May. FSA will resume in the next quarter following a recent review of the process.
The Service continues to review the wait list to ensure patients meet the current service referral criteria for acceptance onto the waitlist and to give us a better and more informed picture of everyone’s overall current health status.
Patients who do not meet the service’s referral acceptance criteria, do not respond to communication or who do not provide the GP completed information within required timeframes when requested will not be considered and will be removed from the wait list as part of the review process, with patients and their GPs or referrers being advised of these outcomes.
This is consistent with the regional hospitals’ current pathways of accessing elective reconstructive surgeries, including top (chest reconstruction/breast removal) surgeries, breast reconstructions and breast reductions.
It is important that you contact us immediately if you decide you no longer want to be considered for an FSA/no longer want surgery, or if any of your contact details, including home address, telephone, email or general practitioner (GP) have changed. Email us at gender.surgery@tewhatuora.govt.nz to let us know about any changes.
Wrap around health and wellbeing support for the Service
Health New Zealand | Te Whatu Ora is working to improve and increase wrap around services.
The wrap around services will include the establishment of several new roles to provide more intensive health and wellbeing support for patients on the waiting list for an FSA and/or preparing for surgery.
One of the current support roles is Pathways Health. Pathways is a leading national provider of community based mental health and addiction services operating across Aotearoa New Zealand. Pathways was formed in 1989 and is currently operating in fifteen regions across the country contracted to Health New Zealand and Oranga Tamariki-Ministry for Children.
Pathways provides via the GAgSS Gender Affirming Package of Care a number of individualised patient centred services to patients receiving surgery to help meet their needs. This includes providing patients with some mental health and wellbeing support during the immediate post operative recovery phase, use of sensory modulation kits specially developed to assist patients, transportation assistance for post-surgical appointments and at times assisting with collection of essential medications and food.
New referrals to the service
We have updated our referral form, and this is included on our webpage. Any new referrals for gender affirming genital surgery from April 2025 should be made using this form. New referrals should be made by the person’s public hospital transgender health specialist (this is normally an endocrinologist or a sexual health physician) or, for those in Wellington and Christchurch districts only, this may be done by their GP.
People who have been referred for gender affirming genital surgery are on a waiting list for an FSA to see a surgeon and discuss their surgery options. Please note: it is not a waiting list for surgery.
To be considered for an FSA, patients need to meet the Service eligibility criteria as listed on our webpage.
The chart below sets out the number of new referrals received each quarter since January 2013. Of those 77.6 percent of the referrals are for feminising surgery and 22.4 percent are for masculinising surgery.
New referrals to the Service
Previous updates
2024/25 - Quarterly updates
2024/25 - Quarterly updates
2023/24 - Quarterly updates
2023/24 - Quarterly updates
2023 - Monthly updates
2023 - Monthly updates
- December 2023 update (external link)
- November 2023 update (external link)
- October 2023 update (external link)
- September 2023 update (external link)
- August 2023 update (external link)
- July 2023 update (external link)
- June 2023 update (external link)
- May 2023 update (external link)
- April 2023 update (external link)
- March 2023 update (external link)
- February 2023 update (external link)
- January 2023 update (external link)
2022 - Monthly updates
2022 - Monthly updates
- December 2022 update (external link)
- November 2022 update (external link)
- October 2022 update (external link)
- September 2022 update (external link)
- August 2022 update (external link)
- July 2022 update (external link)
- June 2022 update (external link)
- May 2022 update (external link)
- April 2022 update (external link)
- March 2022 update (external link)
- February 2022 update (external link)
- January 2022 update (external link)