Manitoba

Shared Health’s official GDAAY page describes a Winnipeg multidisciplinary clinic with a pediatric endocrinologist. If a youth is referred for puberty blockers, the clinic does pubertal staging to see whether blockers will be of benefit. An early-puberty stream is used when blockers could prevent unwanted changes. The same page describes hormone blockers as reversible medications that suppress estrogen or testosterone, and opposite-sex hormones as a later option. Top surgery is listed from 16; genital surgery from 18 through Klinic. There is no provincial medical ban.