Gender Affirming Medical Care for Youth and Young Adults

At Transformation Clinic, a board-certified pediatrician provides gender-affirming care for youth and young adults via telehealth, with additional in-person services coming soon at our new brick-and-mortar Seattle location.

There is no specific age cut-off; the decision to treat at our clinic is based on your specific clinical situation. In the future, we hope to expand our practice to offer services to adults of all ages.

Puberty blockers can be considered after the earliest signs of puberty. Puberty blockers put a “pause button” on puberty and are completely reversible. We are also happy to meet with families of younger children to provide education, guidance, and discuss a plan for the future, so that families feel prepared.

We believe care works best when it is thoughtful, proactive, and centered on each young person’s unique needs and timeline, neither rushed nor unnecessarily delayed.

To get started scheduling an appointment with our gender affirming care physician or get in touch with our office, contact us.

  • medical gender affirming care including hormone therapy

  • puberty blockers for trans and gender expansive youth

  • prescriptions for numbing ointment before electrolysis, shots, or other painful minor procedures

  • consultations with families of younger children for planning purposes

  • surgery referrals and medical letters of support

  • fertility preservation referrals (as indicated)

  • voice coaching referrals

  • prenatal consultations with gender queer parents who are expecting in order to prepare a hospital-ready family infographic together to minimize misgendering and prepare families for delivery

  • evidence-based poetry workshop for improving mental health and building community — led by the lead author of a peer-reviewed study published out of Stanford

  • coming fall 2026: mental health letters of support for surgery

Care for Minors

In the State of Washington, minors can consent to some types of medical care independently including mental health care (ages 13+) and reproductive health care such as birth control, menstrual suppression, and STI testing (ages 14+).

For gender affirming care, family support and consent is required by law. Research shows that gender diverse young people who feel supported and accepted by their families have better mental health outcomes than youth who are unsupported. In fact, parental support makes an even bigger impact on improving mental health for LGBTQ+ children compared to their LGBTQ+ counterparts.

Our goal is to partner with your family and provide a calm, sane sounding board when youth and caregivers aren’t yet aligned on their goals of care. Schedule an appointment.

Our Pediatrician

Jane Thomas-Tran, MD (“Dr. Thomas”) (she/her)

Dr. Thomas (she/her) is a board-certified pediatrician who completed her medical degree at the Stanford School of Medicine and pediatrics residency at the University of Washington and Seattle Children’s Hospital. She has a special interest in gender affirming medical care, IV hydration therapy, supporting new queer parents, mental health, evaluation and treatment of anemia, and headache management. She has pursued additional training in Interpersonal Therapy through the University of Toronto. She has an interest in the medical humanities and developed a poetry workshop group therapy protocol aimed at improving mental health and was the lead author on a peer-reviewed paper demonstrating its effectiveness. In addition to working at Transformation Clinic, she also works as a pediatric hospitalist providing medical care for hospitalized children and newborns.