Question to the Department of Health and Social Care:

To ask Her Majesty's Government what was the cost to the NHS of surgical interventions intended to reduce gender dysphoria, and improve health, quality of life and social functioning in people who have gender dysphoria, in each year since 2019.

Surgical interventions intended to reduce gender dysphoria commissioned by the National Health Service are recorded in three categories: masculinising genital surgery; feminising genital surgery; and masculinising chest surgery. The following table shows the number of surgical interventions in each category and the associated costs in 2019/20.

Surgical interventions Cost

Masculinising genital surgery 573 £4,892,000

Feminising genital surgery 528 c. £8,944,381*

Masculinising chest surgery Not known*

Note:

*The cost of feminising genital and masculinising chest surgery is combined as some surgical providers offer both interventions therefore the costs are not recorded separately in data held by NHS England. The combined cost does not include the full cost of masculinising chest surgery, as this was partially funded by clinical commissioning groups in 2019/20.

Information on the number of surgical interventions for feminising genital surgery and masculinising chest surgery in 2020/21 is not currently held centrally. However, this data is expected to be available within the first quarter of 2022/23. While the allocated budget for specialist surgical procedures on the gender dysphoria pathway in 2020/21 was £19 million, actual spend can only be determined once the data on surgical numbers is available. The information requested on revision surgery is not available in the format requested this procedure was not recorded via a separate pathway until October 2020.