Can trans and non-binary children and adolescents access health care?
Yes, trans and non-binary children and adolescents are subjects of special protection. In health, jurisprudence has recognised the protection of gender identity rights of minors in scenarios of legal recognition, which reinforces the standard of dignified treatment and non-discrimination in health, so they can access [...].
Can I be denied a procedure because it is "aesthetic" in the process of gender reassertion?
Not automatically. The system must differentiate between purely aesthetic interventions and procedures which, by their purpose and effects, relate to overall health and quality of life. In practical terms, interventions aimed at improving physical appearance according to subjective or social standards are considered to be "purely aesthetic", and as a rule [...].
Can I be forced to undergo psychiatry or psychology as a requirement for hormone treatment or procedures?
Health care may include assessments to ensure clinical safety and appropriateness of informed consent, but these assessments should not operate as automatic barriers or pathologisation mechanisms. The rule should be accompaniment when it contributes to care, not "filters" that indefinitely delay access.
Can the EPS require a change in the "gender", "name" or other "proof" box in order to recognise my identity and be able to access the gender reassignment process?
No. The HPS cannot make any additional requirements except at the explicit request of the patient. In other words, it cannot rely on a change of documentation, previous diagnoses or any kind of humiliating physical "verification". Any clinical assessment should serve to care for health, not to delegitimise identity [...].
How do you access gender-affirming care in the health system?
Currently there is no "route" defined by the health authorities, but in practice, one must request a general medicine appointment with the EPS and explain the patient's needs. It can be initiated by mental health or by the speciality that is most needed, and from there ask for referrals [...].
What services can be part of a gender-affirming process?
Health services for gender reaffirmation processes depend on each person and the corresponding medical follow-up; it will depend on the health need, the medical evidence and all with dignified treatment. In practice, it may include, among others, psychosocial and mental health accompaniment, hormone therapy with controls and follow-ups by [...]
What is meant by gender-affirming health care in Colombia?
It is comprehensive health care that recognises the gender identity of each person and seeks to guarantee their physical and mental wellbeing, with dignified treatment, bodily autonomy, confidentiality and absence of discrimination. It includes the care that a person may require, according to their situation and decision, in order to live their gender with greater well-being, without discrimination.












