Feminising genital surgery


This service provides feminising genital surgery.

Commissioned by NHS England, our service draws expertise from specialist nurses, surgeons and our partners at gender identity clinics.


Current statistics on gender reassignment surgery at Imperial College Healthcare NHS Trust: 

As of 9 May 2018, there are 195 patients under our care for primary surgery.

  • 41 patients are waiting for their first appointment
  • 17 patients are attending outpatient clinics in advance of surgery being arranged
  • 18 patients have been given a date for surgery
  • 119 patients are under the Trust's care but not ready for surgery immediately

During April 2018, we received 10 referrals.

Service update:

Until this year, Imperial College Healthcare was the only provider of feminising genital surgery commissioned directly by NHS England. Since 2015/16 we have subcontracted some of the operations to an independent provider (Aspen Healthcare at Parkside Hospital). This increased capacity and helped to reduce the waiting time for surgery. This arrangement ceased from 1 April 2018.

From 1 April 2018 there are two providers of feminising genital surgery, both commissioned directly by NHS England. Imperial College Healthcare NHS Trust continues to be commissioned to provide feminising genital surgery. In addition, NHS England has directly commissioned Aspen Healthcare to provide this service.

Patients who are referred by a gender identity clinic to Imperial College Healthcare will continue to be seen and treated at Charing Cross Hospital as before.

Patients who are referred by a gender identity clinic to Aspen will be seen and treated at Parkside Hospital.

We understand a new national tender for the feminising genital surgery service will be launched by NHS England formally in late 2018.

Patient perspective

"Changing your body to reflect your real gender isn't quick or easy, but it is a longer, lonelier road trying to deal with it on your own." 

Chloe Oliver, a former patient of our feminising genital surgery service, shared her story in the Autumn 2016 issue of Pulse, the Trust's magazine. Read her story.

Further online resources


Outpatients appointments
020 3311 5336
Surgery 1

The staff made me very welcome. They are professional in their jobs and I was treated with respect at all times. Nothing was too much trouble for them at any time of the day or night; you are always made to feel you are important. All in all a very positive experience.

Charing Cross Hospital

I had sexual reassignment surgery at Charing Cross Hospital and am very satisfied with the results - actually, I'm over the moon. The care I received from the whole team, from the nurses on the ward, the specialist nurses and my surgeon was exemplary. The whole process was relatively painless and the little pain I did have was swiftly and efficiently dealt with. The difference this team of people has made to my life cannot be measured or put into words. I cannot thank or praise them enough.

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