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“I kind of hate making the distinction between chest contouring, and not because it’s not really top surgery if you don’t do [contouring],” Shewan says.Female-to-male (FTM) trans Nova Scotians had previously been self-funding mastectomies with chest contouring and flying to Montreal or Mississauga for the procedure.The wide spectrum of trans identities means that not every trans person wants gender-confirming surgeries; for those who do, the surgeries are considered essential.Eight provinces, all but New Brunswick and PEI, fund some combination of gender-confirming surgeries.Community members were shocked to learn that mastectomies with chest contouring did not make the list; only plain mastectomies done in-province would be funded.This meant that trans men would have surgery similar to that obtained by women with breast cancer, but with nipples.“Everybody was kind of in a position of ‘I’ll believe it when I see it.’ I had been in those meetings with the Department of Health, and I was feeling great and feeling very confident that this would happen.” *** Gender-confirming surgeries are just one component of a social and medical transition aimed at alleviating gender dysphoria, the stress people feel when their gender expression doesn’t match how others see them.Transition can also include name and pronoun changes, changing the sex marker on government-issued identity documents (which often requires proof of surgery), wearing clothes that align with a person’s gender identity, and taking hormones.

The meeting did not happen until mid-January, after Rahr’s documentary aired on CBC, but it was a game changer, with Glavine committing to release a list of funded surgeries by April 1.Jamie Harnum-Davidson, a member of Memorial University’s trans needs committee and a vice-president of St John’s Pride in Newfoundland, says the wait time for surgery there is ridiculous.Long waits are not unique to Newfoundland and Labrador.Whetter became involved in trans healthcare after a good friend transitioned.He soon met other trans friends in Montreal who thought he could play an important role in helping people with their transitions.The very next day, after a hastily called meeting with NSRAP, the government completely reversed its stance and committed to funding GCS.“I think [the government was] a little shocked at how big the reaction was when they said no,” says Kate Shewan, who has sat on NSRAP’s board for years and was recently elected chair.Many people were still skeptical that the commitment would turn into actual surgeries, Shewan says.“We’re a marginalized community, and people have pretty low expectations when they’re told that good things are going to happen,” she says.Though NSRAP wrote Health Minister Leo Glavine in November, it received no update on the file until just two weeks before Christmas, and even then, it came from freelance reporter Maggie Rahr.Rahr was producing a CBC radio documentary about the challenges faced by trans people waiting for GCS.


  1. Objectives. We examined factors associated with having ever had sex, having more than 1 lifetime sexual partner, and condom nonuse at last incident of sexual intercourse among Canadian Aboriginal young people. Methods. We conducted a secondary analysis of data from the 2003 British Columbia Adolescent Health.

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  5. Jul 24, 2014. It was a series of government blunders that led to the funding of gender-confirming surgeries GCS, also referred to as sex-reassignment surgery in Nova. According to unreleased data from the Canadian Professional Association for Transgender Health's CPATH 2013 provincial survey, the seven.

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