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VA to offer gender surgery to transgender vets for the first time

VA officials estimate that around 4,000 veterans nationwide will be interested in the surgeries. Total cost of the program is not yet known.
U.S. Secretary of Veterans Affairs Denis McDonough announced Saturday in Orlando that the agency will allow “transgender vets to go through the full gender confirmation process with VA by their side.”
U.S. Secretary of Veterans Affairs Denis McDonough announced Saturday in Orlando that the agency will allow “transgender vets to go through the full gender confirmation process with VA by their side.” [ SILBIGER SARAH | Abaca Press ]
Published Jun. 20
Updated Jun. 20

Military Times

The Department of Veterans Affairs for the first time will offer gender confirmation surgery to transgender veterans, Secretary Denis McDonough announced Saturday.

The move follows repeated promises by VA officials to make the department “more welcoming” to all veterans and was accompanied by an announcement that the Veterans Health Administration will rename its LGBT health program to the LGBTQ+ program to “reflect new community standards of inclusiveness and anticipate future changes in terms.”

The decision will allow “transgender vets to go through the full gender confirmation process with VA by their side,” McDonough said in prepared remarks for an event at the Orlando VA Healthcare System. “We’re making these changes not only because they are the right thing to do, but because they can save lives.”

The National Center for Transgender Equality estimates there are more than 134,000 transgender veterans in America today, and another 15,000 transgender individuals serving in the armed forces.

The new department regulations allow transgender people who meet military standards to enlist and serve openly in their self-identified gender, and they will be able to get medically necessary transition-related care authorized by law, said the officials.

VA officials estimate that around 4,000 veterans nationwide will be interested in the surgeries. Total cost of the program is not yet known. The department also could not say when surgeries will be available; officials must first go through a formal rule change process.

McDonough said making the change “will require changing VA’s regulations and establishing policy that will ensure the equitable treatment and safety” of transgender veterans.

“There are several steps to take, which will take time. But we are moving ahead, methodically, because we want this important change in policy to be implemented in a manner that has been thoroughly considered to ensure that the services made available to veterans meet VA’s rigorous standards for quality health care.”

The announcement on gender confirmation surgeries, also known as gender reassignment surgeries, is a dramatic shift from moves by the previous White House and President Donald Trump to ban transgender individuals from joining the military and limit surgery options for those already in the ranks. Trump cited cost and morale concerns for that opposition.

McDonough, in his remarks, called it a matter of finding the best ways to serve veterans’ needs.

“LGBTQ+ veterans experience mental illness and suicidal thoughts at far higher rates than those outside their community,” he said. “But they are significantly less likely to seek routine care, largely because they fear discrimination.

“At VA, we’re doing everything in our power to show veterans of all sexual orientations and gender identities that they can talk openly, honestly and comfortably with their health care providers about any issues they may be experiencing.”

A Palm Center study found that the policy negatively affected recruiting, retention and morale.

Since 2016, all VA facilities have had a local LGBT Veteran Care Coordinator responsible for helping those veterans connect to available services.

In a statement, House Veterans’ Affairs Committee Chairman Mark Takano, D-Calif. and the first openly gay minority individual elected to Congress, hailed the move.

“Veterans in need of gender confirmation surgery should not have to seek healthcare outside of the VA health system or navigate complicated processes to get the care they need,” Takano said. “VA must be inclusive of all veterans who have served, regardless of their identity.”

Senate Veterans’ Affairs Committee Chairman Jon Tester, D-Mont., similarly praised the expansion of health care offerings for transgender veterans.

“Every service member and veteran deserves equal access to quality care from VA, and this includes our LGBTQ+ veterans,” he said in a statement. “We must reaffirm our commitment to making VA a more welcoming place for everyone who fought to protect our freedoms.”

But House Veterans’ Affairs Committee ranking member Mike Bost, R-Ill., blasted the announcement as the White House trying to win “the culture wars.”

“This announcement clearly has more to do with advancing a radical liberal agenda than serving veterans,” he said. “It is a disgrace. This administration should rethink their priorities immediately.”

In a statement, GLAAD President Sarah Kate Ellis praised the news as “not only an overdue victory for transgender veterans, but the latest move from Secretary McDonough and the VA in affirming LGBTQ veterans.”

- Leo Shane III