Most adults can get surgery with many gender-affirming surgical practices, like the GCC, using the informed-consent model. Depending on the procedure, most surgeons follow guidelines set by the World Professional Association for Transgender Health (WPATH) which may require clearance by a mental health professional and/or 1-2 years of hormone therapy. Transgender surgery for adolescents requires a multi-disciplinary approach that involves parents/guardians and gender-competent health care professionals to ensure their wellbeing.