In Flanders and Brussels, several gender teams are active. These teams work in a multidisciplinary way, meaning multiple specialists collaborate in one place and cases are discussed collectively. This allows the social, psychological, and medical steps in a (gender) transition to be well coordinated.

Some gender teams have a contract (convention) with the federal government. This means that sessions with a case manager, psychologist, or social worker are largely reimbursed. Contracted gender teams can also directly refer to each other for treatments or procedures they do not offer themselves. This means you only need to register with one gender team at a time. Choose a team that is practically accessible for you, for example in terms of distance or waiting time.

Below you will find an overview of the gender teams in Flanders and Brussels.

Ghent

In Ghent, you can go to the Center for Sexology and Gender (CSG) at UZ Ghent.

Who is it for

  • Children and young people (9–16 years)
  • Young adults (17–23 years)
  • Adults (24 years and older)

How to register

Via the secretariat:

Since August 2025, the CSG has introduced a new registration procedure and a system of differentiated care. You can read more about this in this news post .

Location

UZ Ghent, Corneel Heymanslaan 10, 9000 Ghent. 

Entrance 12, floor 6, route 1378.

Website

Center for Sexology and Gender (uzgent.be)

Reimbursement

Convention applies since 2017.

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), hair removal, speech therapy, fertility (preservation), voice surgery, hysterectomy (uterus removal), oophorectomy (ovary removal), orchidectomy (testicle removal), mastectomy (breast removal), breast augmentation, genital surgery (vaginoplasty, metoidioplasty, phalloplasty), facial surgery, and pelvic floor physiotherapy.
  • Nipple-areola removal or genital nullification* is currently not considered part of the care offer . This is because there is no scientific or clinically based evidence to perform these procedures from an identity perspective.

*In this procedure, parts of the genitalia are removed with the aim of achieving a 'neutral' appearance without distinct sex characteristics.

Process

After registration, you will receive a registration form that you can fill in. The form asks for some basic details, enquires about your care question, and any support you may be receiving outside of UZ Ghent. Based on that form:

  • you are placed on the waiting list for a first session with a psychologist, or
  • you can (from age 24 and with a referral letter from a Belgian psychologist or psychiater) make a direct appointment with a medical department of the CSG (for example Endocrinology or Plastic Surgery).

Your details will be processed, and you will receive a reply within a few weeks to arrange the next steps.

If you do not fill in the registration form, you will be placed on the waiting list for a first session with a psychologist. You cannot make a direct appointment with a medical department.

A psychologist guides you throughout your entire care pathway. Decisions regarding medical steps are made at the monthly multidisciplinary gender team meeting.

External referrals

The CSG accepts referrals from external clinical psychologists and psychiatrists. They can refer directly to a medical department within the CSG for the group of adults (from age 24). 

The support by the referring practitioner remains active. This means that the clinical psychologist or psychiatrist who refers remains responsible for ongoing follow-up and aftercare in the context of the medical care question.

 More information can be found on the CSG website (uzgent.be) .

Sint-Niklaas

In Sint-Niklaas, you can go to the Gender Care team at VITAZ hospital.

Who is it for

  • Young people (from 16 years)
  • Adults (from 18 years)

How to register

Via a digital registration form . After registration, you are placed on a waiting list.

Location and contact

VITAZ, Campus Moerland, Moerlandstraat 1, 9100 Sint-Niklaas

Tel.: 09 760 71 69 (every working day 9:00–17:00)

Website

Gender Care (vitaz.be)

Reimbursement

Convention applies since 1 January 2025.

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), hair removal, mastectomy (breast removal), breast augmentation, genital surgery (vaginoplasty), hysterectomy (uterus removal), oophorectomy (ovary removal), and orchidectomy (testicle removal).
  • For other genital surgery such as metoidioplasty and phalloplasty, referral to UZ Ghent.

Process

Intake is handled by the case manager. The care question and care offer are discussed multidisciplinarily, after which an internal or external referral is made for further psychosocial and/or medical care.

Antwerp: ZAS

In Antwerp, you can go to the Center for Gender Care Antwerp (CGA) at ZAS.

Who is it for

  • Children and young people (up to 16 years)
  • Parents
  • Young adults (17-22 years)
  • Adults (from 22 years)

How to register

Via a digital registration form:

After registration, you are placed on a waiting list.

Location and contact

Ziekenhuis Aan de Stroom (ZAS), Campus Cadix, Kempenstraat 100, 2030 Antwerp

Tel.: 03 217 15 08 (Monday and Friday 10:00–13:00 and Wednesday 13:00–16:00)

Email: zna.intakeCGA@zas.be (registration & intake) and zna.centrum-genderzorg-antwerpen@zas.be (general)

Website

Center for Gender Care Antwerp (zas.be)

Reimbursement

Convention applies since 1 January 2025.

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), fertility (preservation), mastectomy (breast removal), breast augmentation, and orchidectomy (testicle removal).
  • For genital surgery, referral to other genderteams.

Process

Intake is handled by the case manager or specialist gender care nurse. The care question and care offer are discussed multidisciplinarily, after which an internal or external referral is made for further psychosocial and/or medical care.

Antwerp: UZA

In Antwerp, you can also go to the UZA.

Who is it for

  • Adults (from 18 years)

How to register

Via email: gendercentrum@uza.be

Location and contact

UZA, Drie Eikenstraat 655, 2650 Edegem

Email: gendercentrum@uza.be

Website

Gender Center (uza.be)

Reimbursement

Convention does NOT apply - standard consultation fee applies.

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), speech therapy, hair removal, mastectomy (breast removal), breast augmentation, hysterectomy (uterus removal), oophorectomy (ovary removal), orchidectomy (testicle removal), and facial surgery.
  • For other genital surgery, UZA refers to another gender team.

Process

Intake is handled by the gender team. The care question and care offer are discussed, after which an internal or external referral is made for further psychosocial and/or medical care.

Genk

In Genk, you can go to the Gender Center at ZOL Genk.

Who is it for

  • Young people (16–17 years)
  • Adults (from 18 years)

How to register

Via the Endocrinology secretariat:

After registration, you are placed on a waiting list.

Location

Ziekenhuis Oost-Limburg (ZOL) Genk, Campus Sint-Jan, Synaps Park 1, 3600 Genk.

Website

Gender Center (zol.be)

Reimbursement

Convention applies since 1 January 2025.

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), fertility (preservation), speech therapy, mastectomy (breast removal), breast augmentation, and facial surgery.
  • For genital surgery, referral to other contracted centres.

Process

Intake is handled by the coordinator, psychologist-sexologist, and social worker, and takes place on Wednesday mornings. The care question and care offer are discussed, after which an internal or external referral is made for further psychosocial and/or medical care.

Ostend

In Ostend and the surrounding area, you can contact the transgender team at AZ Ostend.

Who is it for

  • Young adults (17–23 years)
  • Adults (from 24 years)

How to register

Via the Endocrinology secretariat.

Opening hours: 9.00 am to 12.30 pm and 1.30 pm to 5.00 pm.

Location

  • AZ Ostend, Damiaan Campus, Gouwelozestraat 100, 8400 Oostende
  • AZ Ostend, Serruys Campus, Kaïrostraat 84, 8400 Oostende

When you register using your identity card at the registration kiosk, you will be given a route number.

Website

AZ Oostende Transgender Team

Reimbursement

Convention does NOT apply - standard consultation fee applies

Care offer

  • Psychosocial support, endocrinological care (hormone therapy), speech and language therapy, hysterectomy (removal of the uterus), oophorectomy (removal of the ovaries), orchidectomy (removal of the testicles), mastectomy (removal of the breast), breast augmentation.
  • For other procedures, patients are referred to external specialists.

Process

  • Young adults aged 17 and over: one year of psychosocial counselling with a psychologist-sexologist. Following this counselling, an appointment with one of the endocrinologists is arranged via the multidisciplinary consultation.
  • Young adults aged 18 to 23 inclusive: in the case of an external referral with a referral letter, at least one consultation with a psychologist-sexologist is required. Following this, an appointment with one of the endocrinologists is arranged via the multidisciplinary consultation.
  • Adults aged 24 and older: Direct referral to an endocrinologist is possible with a referral letter (see below).

External referrals

The transgender clinic at AZ Ostend accepts referrals from external clinical psychologists, psychotherapists, and psychiatrists. They may refer patients directly for endocrinological care to one of the endocrinologists for the adult group (aged 24 and older), provided that a well-reasoned referral letter is emailed to the endocrinology secretariat (endocrinologie.damiaan@azoostende.be) one week prior to the consultation. The referring professional remains actively involved. This means that the clinical psychologist, psychotherapist, or psychiatrist who makes the referral also remains responsible for further follow-up and aftercare in the context of the patient’s medical needs.

Leuven

In Leuven, you can go to the Centre for Clinical Sexology and Sex Therapy (CeKSS) at UPC KU Leuven.

Who is it for

  • Adults (from 18 years) with a clear request for hormonal therapy.

How to register

Complete the digital referral letter (template) together with your referrer (psychologist/sexologist/psychiatrist/GP) and attach it to the digital registration form .

Location and contact

Address: UPC KU Leuven, Campus Gasthuisberg, Herestraat 49, 3000 Leuven

Website

Gender (upckuleuven.be)

Reimbursement

Convention does NOT apply - standard consultation fee applies

Care offer

  • Psychosocial support, endocrinological care (hormone therapy; no microdosing), and fertility (preservation).
  • For surgical options, referral to other gender teams.

Process

Intake is via the Centre for Clinical Sexology and Sex Therapy (CeKSS), which consists of sexologists and a psychiatrist-psychotherapist. Three individual sessions and one family session are then scheduled to further explore the care question. After the possible start of hormonal treatment, psychological aftercare is provided by the referrer in collaboration with the psychological team of CeKSS.

Brussels (Anderlecht)

In Brussels, and for French-language support, you can go to the Horizon Trans-Identity Centre at Erasmus Hospital.

Who is it for

  • Children
  • Young people
  • Adults

How to register

Via the secretariat:

Location

Erasmus Hospital, Route de Lennik 808, 1070 Anderlecht.

Website

Horizon Trans-Identity Centre (erasme.be)

Reimbursement

Convention applies since 1 January 2025.

Care offer

Psychosocial support, fertility (preservation), endocrinological care (hormone therapy), mastectomy (breast removal), breast augmentation, orchidectomy (testicle removal), and facial surgery.

Process

Further information to follow.

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