Gender Affirming Services Hospitals/Community Health Centers in New England Offer the Following Services: Gender Affirming Hormones Adult Adolescent Puberty Blockers Surgical Transition Top Surgery Vaginoplasty Phalloplasty / Metoidioplasty Tracheal Shave Facial Surgery Voice Surgery Reproductive Healthcare Repro Preventative Care Pregnancy Care Assisted Reproduction Fertility Preservation STD Testing Abortion Services Behavioral Health Letter Assessments Individual Therapy Group Therapy Substance Abuse -General Substance Abuse – Medication Assisted Treatment Primary Care Pediatric Adolescent Adult Case Management Case Management Infectious Diseases HIV Treatment Other Physical Therapy Voice Therapy Hair Removal Other