Caring For Trans Teens' Physical, Mental, & Emotional Health

We offer a comprehensive clinic for transgender, non-binary, intersex, and gender diverse youth, as well as for youth questioning their gender—care for physical, mental, and emotional health.

During a clinic visit, you and your family will be seen by one or more of our four providers. Our goals are to:

  • answer questions about your gender journey,
  • monitor your physical and mental health, and
  • manage hormone suppression or hormone therapy.


  • Puberty blockers
  • Gender-affirming hormones
  • Behavioral health
  • Nutrition wellness
  • Family planning
  • Coordinated care

Where is the Clinic?

We offer all of the above services for adolescents and young adults at one location:

Adolescent Medicine Clinic with GeMS (Gender Management & Support)
Eccles Primary Children’s Outpatient Services
81 North Mario Capecchi Drive
Salt Lake City, UT 84113

801-213-3599, option 1

Our Team

Our team includes an adolescent medicine physician, pediatric endocrinology physician, psychologist, and dietitian.

Please note that you may not meet everyone on your team at each appointment.

Hormones & Surgery

When Can I Start Hormones?

Your overall health is important to us. Before prescribing puberty blockers or hormones, we want to make sure that any physical or mental health conditions you have are being treated and well-managed.

When Can I Have Surgery?

Before performing gender-affirming surgery (top or bottom), most surgeons prefer that you:

  • take hormones for at least 12 months,
  • establish a relationship with a mental health therapist, and
  • are 18 years old.

This helps surgeons make sure you're ready and healthy enough for surgery.

What to Expect at Each Phase of Your Journey

What Can I Expect at My First Appointment in GeMS?

Each person has a unique gender journey. Our team of experts will guide you through each phase along your journey. During your first appointment at our clinic, our team will get to know you and your parents/guardians. We'll also ask you questions about your medical history.

We'll also:

  1. Review the transition process with you and answer any questions
  2. Give you blood tests and a physical exam (if there's enough time)
  3. Get your permission to contact your mental health therapist. If you don't have a therapist, we'll help you find one.

What to Bring

  • names and phone numbers of your health care providers
  • a list of any questions you have about your treatment or transition
  • insurance information

Phase 2: What to Expect

In GeMS, we will:

  1. Continue to get to know you
  2. Give you a physical exam
  3. Talk about the benefits & risks of hormone therapy and how it may affect your fertility (whether you can have children in the future)
  4. Talk about your social support network: Who are the people who will help you and support you along your gender journey?

Phase 3: What to Expect

During the third phase of your gender journey, we will:

  1. Review the treatment & consent forms with you and have you sign them
  2. Create a plan for the rest of your transition process
  3. Start puberty blockers or hormone therapy

Phase 4: What to Expect

After you start puberty blockers and/or hormones, we will:

  1. Talk about your social support network (friends and family who can help you along your gender journey)
  2. Talk about how hormones are affecting your mood
  3. Talk about how hormones are changing your body
  4. Ask to have blood drawn to monitor how blockers and/or hormones are affecting your body and mood

How Often Do I Need to Come to the Clinic?

After starting hormones, we'll usually plan to see you every three months for one year, then every three to six months for one year until you've finished your gender affirming puberty.

After 2 years, we'll plan to see you every 6—12 months, depending on your needs.

Find a Transgender Health Doctor

Schedule an Appointment

To schedule an appointment, call:

  • 801-213-3599, option 1

You can also email us:


Eccles Outpatient Building
81 N Mario Capecchi Drive
Salt Lake City, UT 84113

Insurance Coverage

It is important that you talk to your insurance provider and ask them if transgender/gender dysphoria is an exclusion or benefit under your plan. We will need prior authorization from your insurance company before we begin any services or treatments for your gender transition. Insurance companies use the prior authorization process to ensure that your surgery is covered. This process can take up to six months depending on your insurance provider. Our team will keep you in the loop as we receive status updates. However, you can always call your insurance for updates too.

For any questions about the prior authorization process, please call us at 801-213-2195, option 1. If you reach our voicemail, please leave your:

  • name,
  • phone number, and
  • date of birth.

If our providers are not in-network, ask your insurance company if you would qualify for a gap exception. A gap exception can sometimes be granted as a covered service if there are no other in-network providers in the area who offer that service. Check our insurance information to verify whether University of Utah Health is in your network of coverage.

Please note that we are actively working with all of the payers in Utah to advocate for medically necessary care as a covered benefit. 

We Want Your Feedback

We are constantly evolving as a program and welcome any feedback from the community that will help us meet our mission to provide safe, gender-affirmative care at University of Utah Health. Please email us at