Guides to Medical Transition in Quebec

Created by the TPU
Last Updated: August 25, 2025

Note for Out-of-Province and International Students

If you are an international or out-of-province university student your options vary a lot from typical Quebecers. You likely have access to a university clinic or private insurance through your student union, especially if you don’t have Quebec public insurance. These are likely your best options for care in general and especially gender affirming care. Reach out to trans and queer student groups or your student union to learn more.

The List

Transitionner by TransEstrie & le Conseil québécois LGBT (FRANÇAIS)

A good introduction to the medical transition process in Quebec.

Published 2021, Updated August 2023.

  • Mentions: the process to get HRT, preliminary medical info on HRT, a interactive pdf guide explaining the effects of HRT, resources for fertility preservation, a solid intro to blockers ages 8-14 and 14-15, criteria for a gender dysphoria diagnosis, a model recommendation letter for HRT for mental health professionals, surgeries in Quebec, laser and electrolysis.

Gender-Affirming Services in Quebec by the Canadian Queer Medical Student Association

A brief introduction to the process of accessing medical and legal transition in Quebec, and lists some trans friendly clinics and their services (4 provide HRT). 

Published August 2022

  • Mentions: name and gender marker change, HRT, qualifications and steps to get surgeries, insurance coverage, list of gender inclusive clinics and services they provide, list of Montreal and other gender-affirming organizations and their services.

Self-Referred: A Quebec Trans Health Survival Tool by AsTTEQ

A comprehensive introduction and self-advocacy guide to being trans in Quebec, especially Montreal. 

Published in March 2012 (but the HRT info is still pretty relevant)

  • Mentions: the process for HRT, DIY HRT, disclaimers on gender clinics, HRT coverage, HRT medical info, injecting safely, and information about surgeries. 
  • Other information: HIV and transition, dealing with sex-segreagated spaces (bathrooms, prisons, jails, and detention centers), knowing your rights (somewhat outdated), legal name and sex marker change (outdated). 

Related Resources

Self-Referred: A Quebec Trans Health Survival Tool

This guide aims to centralize some of this community knowledge and equip you with the information and resources to stand up for yourself.

Meet a Trans Patient

The TPU connects patients interested in a procedure to patients who have gotten that procedure done at GRS and beyond. We currently have patients who can speak about their experiences with: mastectomy, vaginoplasty (including with different revisions and compilations), breast augmentation, trachea shave, hysterectomy, orchiectomy, scrotectomy, phalloplasty, and gender nullification surgery.

Complete Guide to Hormone Replacement Therapy for McGill Students

This document is principally a guide to simplify the Hub’s HRT process for patients and presents some tips for navigating the logistics of receiving HRT at the Hub. We also provide some information on alternative paths to care; the patients that have reached out to us with information about care outside of the Hub have generally had positive experiences.

Accessing HRT in Montreal

There are several strategies to increase the chance that you will be able to access HRT. This document aims to describe some of the key strategies that we have used to help  patients access HRT in Montreal. 
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Our work is based on your experiences.

Every resource we create, every change we fight for, is based on what we hear from Montreal's trans and non-binary patients. Your experience as a patient is at the heart of what we do. Here's how you can share yours with us.

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