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

Adolescent Medicine Transgender Clinic

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

During a clinic visit, your teen and their family will be seen by all four of our providers. Our goals are to:

  • answer questions about your teen's transition,
  • make sure your teen stays in good 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 services for trans teens and youth at 1 location:

GEMS Clinic (Adolescent Gender Management & Support Clinic)
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, and
  • you establish a relationship with a mental health therapist.

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

Adolescent Gender Management & Support (GEMS) Clinic

The Adolescent Gender Management & Support (GEMS) Clinic helps teens affirm their gender through treatment and support.

What Can I Expect at My First Appointment in the GEMS Clinic?

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. Have you and your parents/guardians sign a consent form
  4. 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

Second Appointment: What to Expect

During your second appointment at the GEMS Clinic, 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: Do you have family and friends who will help you during your transition?

Third Appointment: What to Expect

At your third appointment, 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

Fourth Appointment: What to Expect

At your fourth appointment and the appointments after, we will:

  1. Talk about your social support network (friends and family who can help you during your transition)
  2. Talk about how hormones are affecting your mood
  3. Talk about how hormones are changing your body
  4. Give you blood tests to monitor how blockers and/or hormones are affecting your body and mood

How Often Do I Need to Come to the Clinic?

After staring hormones, we'll usually plan to see you every 3 months for 2 years 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

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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