Wales NHS gender surgeries paused for review into referral numbers

The Welsh Gender Service has temporarily halted new and scheduled gender-affirming surgery referrals, following concerns raised by Cardiff and Vale University Health Board over the number of referrals being made. In 2025-26, the data revealed notably higher rates of referral for gender affirming surgery compared to English gender services, as reported by the health board.

Cardiff and Vale University Health Board requested an independent clinical review after identifying issues through routine assurance processes. Patients are encouraged to attend scheduled appointments and other services, such as hormone therapy support, will continue to operate. The Welsh Gender Service, an NHS gender identity clinic established in 2019, refers patients to England for surgery.

Concerns arose from referral data indicating significantly higher rates of referral for gender affirming surgery from the Welsh Gender Service compared to English services. Additionally, concerns were raised regarding aspects of referral and assessment processes. New referrals for gender affirming surgery, surgical assessments, and scheduled surgeries have been paused, with an independent clinical review being undertaken to ensure assurance about assessment, referral, and governance arrangements.

The health board acknowledged that the announcement may cause concern for patients, families, staff, and the wider community, but reassured that other aspects of the service, including hormone therapy support, psychological support, and speech and language therapy, would continue to operate. Patients with scheduled appointments should continue to attend for discussions on next steps and psychological support.