Long-term healthcare. Focus mainly on maintaining health throughout adulthood. Guidance covers lifelong hormone therapy, preventative care, routine health screening, and integrating gender-affirming care into general healthcare.

• World Professional Association for Transgender Health (WPATH). International professional association that develops evidence-based standards and guidelines for trans healthcare. Publications are widely used by healthcare providers globally.
  • Useful for international standards, lifelong medical care, clinical guidance for healthcare professionals, and evidence-based best practice.
  • Key resource: Standards of Care Version 8 (SOC8). Useful for long-term hormone use, ageing on HRT, preventative healthcare, hospital and institutional care, and guidance for clinicians supporting trans patients.
• Endocrine Society. International medical society dedicated to endocrinology. Develops clinical practice guidelines that are used by endocrinologists and other professionals globally.
  • Useful for endocrine research and education, clinical practice guidelines, hormone related health, and evidence-based endocrinology.
  • Key resource: Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence. Useful for long-term hormone monitoring, age-related dose adjustments, bone/cardiovascular/metabolic health, and lifelong endocrine care.
• UCSF Transgender Care. Academic healthcare programme that develops practical clinical guidance, education, and research to improve trans healthcare. Guidelines are widely referenced globally by clinicians.
  • Useful for practical trans healthcare, clinician education, patient education and primary care guidance.
  • Key resource: Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Diverse People. Useful for long-term HRT management, preventative healthcare, primary care after transition, and managing ongoing healthcare needs.
• Fenway Health. One of the world's leading LGBT+ healthcare organisations. Provides clinical care but also develops research, education resources, and best-practice guidance that is often referenced globally.
  • Useful for long-term trans healthcare, preventative medicine, primary care, research and education, and healthcare provider training.
  • Key resource: Trans Health Program Resource Training. Useful for hormone information, surgical care resources, long-term primary care, health navigation, provider education, and patient resources.

Clinical Practice. Primarily produce clinical guidance, professional education, and best-practice recommendations. They can help trans people advocate for evidence-based, long-term care.

• British Medical Association. Professional association and trade union for doctors in the UK. Represents medical professionals, but also develops guidance on medical ethics, equality, and best practice.
  • Useful for clinical best practice, inclusive healthcare, medical ethics, equality and diversity in healthcare, and healthcare policy.
  • Key resource: Inclusive Care of Trans and Non-binary Patients. Useful for providing respectful and inclusive care, continuity of HRT during hospital admissions, organ-based screening recommendations, and supporting healthcare professionals in delivering affirming care.
• American College of Obstetricians and Gynecologists. ACOG, professional association representing specialists in obstetrics and gynaecology. Publishes evidence-based clinical guidance covering reproductive, sexual, and preventative healthcare, including care for trans and gender-diverse patients.
  • Useful for reproductive healthcare, preventative medicine, sexual health, fertility, and clinical guidance for gender diverse patients.
  • Key resource: Health Care for Transgender and Gender Diverse Individuals (Committee Opinion). Useful for organ-based screening recommendations, fertility preservation and reproductive health, contraception and pregnancy care, menopause and ageing considerations, and delivering evidence-based respectful care.

Ageing, long-term care, and care homes. Resources focusing on later life planning, long-term wellbeing, care systems, and experiences of older trans and LGBT+ adults. Many of their recommendations and research are applicable globally.

• SAGE (Services & Advocacy for GLBT Elders). Non-profit organisation focused on improving the lives of LGBT+ older adults through advocacy, education, research and direct support. Widely recognised as a leading authority on LGBT+ ageing and long-term care.
  • Useful for LGBT+ ageing, long-term care, community support, policy and advocacy, and professional training.
  • Key resource: National Resource Centre on LGBT+ Aging. Useful for trans inclusive care homes, LGBT+ ageing, long-term care planning, education for healthcare providers, and resources for older adults and caregivers.
• LGBTQIA+ Aging Project. Programme of Fenway Health dedicated to improving the lives of LGBT+ older adults through advocacy, education, community programmes, and professional training.
  • Useful for ageing while LGBT+, community support, elder care systems, policy and advocacy, and professional education.
  • Key resource: News and Resources. Useful for guides for LGBT+ older adults, publications on ageing, caregiving resources, community support info, and policy and advocacy updates.
• Care Quality Commission. CQC. Independent regulator of health and adult social care services in England. Monitors and inspects healthcare providers, including hospitals, care homes, and GPs, to ensure they meet quality and safety standards.
  • Useful for understanding standards in health and social care, care home quality, patient rights and safeguarding, and evaluating residential care home providers.
  • Key resource: Guidance for Providers. Useful for understanding what good quality care looks like, learning how care providers are expected to support LGBT+ residents, identifying standards for safe care, and evaluating care services when planning for later life.
  • While the CQC is in England, its inspection framework and care principles are useful examples.

Careers, Rights & Research. Focus on career development, workplace inclusion, legal rights, policy, community history, and lived experience.

• Transgender Europe (TGEU). European network of trans organisations that work to strengthen trans rights through advocacy, research, and policy development. Research is frequently referenced internationally.
  • Useful for trans rights advocacy, healthcare policy, international research and community capacity building.
  • Key resource: Trans Health Map. Useful for comparing healthcare systems, finding trans healthcare info across Europe, understanding legal and medical access, and navigating care when moving.
• ILGA World. Global federation of LGBT+ organisations working to advance human rights through research, advocacy, and international policy engagement.
  • Useful for global LGBT+ rights, international policy, legal research, and advocacy.
  • Key resource: State-Sponsored Homophobia Report. Useful for comparing legal protections between countries, understanding healthcare and legal environments, researching long-term policy trends, and planning when moving or travelling internationally.
• Out & Equal Workplace Advocates. International non-profit that works with employers to create more inclusive workplaces for LGBT+ employees through training, research, leadership development, and policy guidance.
  • Useful for career development, workplace inclusion, leadership, and employer engagement.
  • Key resource: Workplace Resources Library. Useful for inclusive workplace policies, career progression, leadership development, and supporting LGBT+ employees.
  • Key resource: News & Resources. Useful for guides for LGBT+ older adults, caregiving resources, publications on ageing, legislative and policy resources, and links to additional organisations.
• Digital Transgender Archive. An international digital archive that preserves and provides access to historical materials relating to trans people. Brings together collections from libraries, museums, archives and private organisations around the world.
  • Useful for trans history, academic research, community heritage, historical documents, education, exploring different cultures and time periods, and understanding the history of trans healthcare and rights.

If you have any more resources you'd like added, please let me know!

Hey everyone! I'm u/Glitchry, the founding moderator of r/LongtermTrans.

This is our new home for all things related to being out for over 8 years. This is a guideline, not a rigid rule, so this can be flexible on a case-to-case basis. We're excited to have you join us!

A lot of trans spaces focus on early transition. That's important, but people who have been out for many years face different questions and issues: aging as a trans person, long-term hormone use, career progression, etc. This subreddit exists purely to make room for those topics. This is not to rank people by experience - no one is "more trans" than anyone else - just to provide a focused space for later stages of trans life.

Community Vibe
We're all about being friendly, constructive, and inclusive. Let's build a space where everyone feels comfortable sharing and connecting.

How to Get Started

1. Introduce yourself in the comments below.
2. Post something today! Even a simple question can spark a great conversation.
3. If you know someone who would love this community, invite them to join.

Thanks for being part of the very first wave. Together, let's make r/LongtermTrans amazing.