A short film about why no one should determine your identity except you by Open Society Foundations who support the movement for progressive, rights-based processes for legal gender recognition.
name change

MtF timeline
For those who are still questioning their gender, take some time to read this site, to surf the Internet and watch video clips uploaded by transwomen, to read some of the excellent personal accounts of transitioning available as books from Amazon, and to feel comfortable with the idea that you are trans*. This is an important step and not one that should be hurried. It can take years to reach a point of ease with who you are.
However, it is worth reaching that point before you more forward with your transition, especially in Jersey. We all know how quickly news travels in small communities, more so than in a big city. You are unlikely to be able to keep your transition a secret in the island. You need to be prepared to ‘out’ yourself to all sorts of people in order to get their help and you can only do that if you are proud and confident about who you are.
Having reached a place where you know that you are transgender, your first point of contact is your doctor/GP in Jersey. Explain to them that you are unhappy with the gender assigned to you at birth and that you would like to start the process of transitioning. Ask your GP to write a letter of referral to a gender therapist (if going the privately funded route) or to a psychiatrist within the health services in Jersey (if going the publicly funded route).
There are no gender therapists in Jersey so you will have to go to the UK for counselling. Your GP can either refer you privately to a gender clinic of your choice or your Jersey psychiatrist can refer you through the NHS to the Charing Cross Gender Identity Clinic. The advantages of going private are that you control the timetable and can get things moving as quickly as you need to. The disadvantage is that you pay for private consultations (see the finance page). The NHS route is free but you are stuck with their timescale.
Remember that your therapist is not there to ‘judge’ you. They are there to help you make sure that transitioning is what you want to do. Therapy is a time for you to ask questions about transitioning, to be honest with yourself and answer the therapist’s questions as openly as you can, to think about alternatives to transitioning and to understand why they are not an option for you, and to double-check your feelings with an impartial and skilled observer.
Depending on how you and your therapist feel about your readiness to transition, the next step is either to change your name by deed poll to the name by which you want to be known going forward or to commence hormone therapy.
For more information about changing your name and all your documents, see the change of name page.
Jersey has the necessary skills on the island to administer your hormone therapy, which will be a lifelong commitment to taking estrogen, progestogen and antiandrogen in some form. Your therapist will need to provide a letter to your GP or psychiatrist recommending that you commence hormone therapy, the appropriate delivery method of the hormones and the doses that you require. Your GP or psychiatrist can then refer you to the island’s endocrinologist. This can be done privately, for which you will pay, or you can be referred through the States system, which is free.
For more information about hormone therapy, see the hormones page.
This may be as far as you wish to go in your transition. You may consider the changes made by the hormone therapy sufficient to allow you to pass as a woman. However, you may elect to undergo one or more surgical procedures to further feminise your body. If so, you will need to leave the island again for your operation(s). Jersey has no surgeons who can perform this specialist surgery. You will need to decide whether you wish to pay for surgery privately or whether you are prepared to wait for surgery in the UK through the NHS.
If you elect to have surgery through the NHS, you need to ask your NHS therapist to place you on the NHS waiting list.
If you elect to have private surgery there are two advantages: you can choose your surgeon, so you can choose to see anyone in the world who takes private patients, and the timing of your surgery is your choice. You should research your surgeon carefully, taking time to read testimonials from transwomen who have had surgery with them. If you are unsure about your choice, ask your GP for their opinion.
Once you have selected your surgeon, contact them directly. You do not need to go back to your GP for a referral. However, the surgeon will undoubtedly want a letter from your therapist or GP referring you after you have made the initial contact.
For more information about surgery, see the surgery page.
Finally, take ownership of your transition. If you are not getting the answers you require from your health professional, keep asking until you do. Research as much as you can and prepare the questions you want answered before every consultation. Your Jersey GP may never have taken a patient through a transition process so you may need to guide them on what they need to do next for you.

MtF change of name
The order in which you sort out your documents is important as you do not want to be left without photographic ID or in the position of having conflicting IDs. The order we deal with the documents below is the order in which we would suggest that you arrange to have them changed.
Deed Poll
Once you have decided on your new name, you can either visit an advocate or the Samedi Section of the Judicial Greffe. Ask them to prepare a deed poll changing your name. They may ask you for the usual photographic ID and proof of address. They may also ask you for your birth certificate or, if you have changed your name before, your marriage certificate or previous deed poll.
They will then prepare the deed poll, which does not specify your gender. It will say something similar to: “Know all men by these present (which are intended to be enrolled in the Rolls of the Royal Court of Jersey) that I, the undersigned XXX, a British subject, having been born in XXX, on XXX, and being ordinarily resident in the Island of Jersey at XXX, do hereby absolutely renounce and abandon the use of the said forenames of XXX and in lieu thereof adopt the forenames of XXX.
“For the purposes of evidencing such a change of name, I hereby declare that at all times hereafter in all records, deeds, documents and other writings and in all actions, suits and proceedings as well as in all devises and transactions, matters and things whatsoever and upon all occasions, I, the said XXX shall use and subscribe the said forenames of XXX, in lieu of the said forenames of XXX and I hereby authorise and request all persons whomsoever at all times to designate, describe and address me by such adopted forenames of XXX in lieu of the said forenames of XXX.”
The deed poll is then signed by you with your old and new signature and witnessed by your advocate or someone at the Greffe. At the next available sitting, the deed will be registered by your advocate with the Royal Court. You are not required to attend court.
Once your deed poll has been registered, you will be given an original copy of it. You must keep this document safe, just as you would a birth certificate. Because it is not a good idea to let anyone have the original of your deed poll, ask your advocate/the Greffe if they will provide you with certified copies of it. You will need at least 5 copies to give to various authorities.
Social Security
The easiest way to alter your record at social security is to visit the department in La Motte Street with a copy of your deed poll and your current social security card. This may mean asking your employer for your current card (if you are still on the old style card that had to be held by your employer). The new registration cards do not have to be held by your employer – employers take a copy and you keep the card. The social security helpdesk staff will change your record while you wait and provide you with a new registration card and health card. You will then need to show this to your employer for their records.
Income Tax
Writing to the Income Tax Department is the best way to ensure that your name is changed on their records. Make sure that you include your tax ref somewhere in the letter. Enclose one of the copies of your deed poll, ask the department to change your name on all their records and ask them to send you a replacement ITIS effective rate notice in your new name. It should take about 1 week and you will then need to give this to your employer for their records.
Driving Licence
Your parish hall will issue a new driving licence in your new name. You will need to complete the application form, provide one of your deed poll copies, provide two passport photos and surrender your old licence. The application form asks for your sex but this information does not appear on the face of the driving licence as your title or your sex. It appears to be used internally for the parish to be able to address letters to you so select F and your correspondence will come addressed to Ms.
It will take about 2 weeks for you to get your new driving licence during which time you cannot do anything further about your change of name. You need to wait until you get your driving licence back before doing the next document change.
Other
Now you have photo ID and correspondence from the income tax dept, you can set about changing your details with your bank, your credit card providers, the utility companies, your insurers, etc. Some of these may want to also see your deed poll.
Passport
The Customs and Immigration Department will issue a new passport in your new name. You will need to complete the application form, provide one of your deed poll copies, provide two passport photos, a letter from your GP or gender therapist and surrender your old passport. The application form asks for your title but not your sex, strangely, as your sex does appear on the face of your passport. Make it clear that your title is now Miss or Ms. For those who are Dr or Rev, you may need to write a covering letter of explanation.
It will take about 6 weeks for you to get your new passport during which time you will not be able to travel abroad so make sure that you time your application carefully.

FtM change of name
The order in which you sort out your documents is important as you do not want to be left without photographic ID or in the position of having conflicting IDs. The order we deal with the documents below is the order in which we would suggest that you arrange to have them changed.
Deed Poll
Once you have decided on your new name, you can either visit an advocate or the Samedi Section of the Judicial Greffe. Ask them to prepare a deed poll changing your name. They may ask you for the usual photographic ID and proof of address. They may also ask you for your birth certificate or, if you have changed your name before, your marriage certificate or previous deed poll.
They will then prepare the deed poll, which does not specify your gender. It will say something similar to: “Know all men by these present (which are intended to be enrolled in the Rolls of the Royal Court of Jersey) that I, the undersigned XXX, a British subject, having been born in XXX, on XXX, and being ordinarily resident in the Island of Jersey at XXX, do hereby absolutely renounce and abandon the use of the said forenames of XXX and in lieu thereof adopt the forenames of XXX.
“For the purposes of evidencing such a change of name, I hereby declare that at all times hereafter in all records, deeds, documents and other writings and in all actions, suits and proceedings as well as in all devises and transactions, matters and things whatsoever and upon all occasions, I, the said XXX shall use and subscribe the said forenames of XXX, in lieu of the said forenames of XXX and I hereby authorise and request all persons whomsoever at all times to designate, describe and address me by such adopted forenames of XXX in lieu of the said forenames of XXX.”
The deed poll is then signed by you with your old and new signature and witnessed by your advocate or someone at the Greffe. At the next available sitting, the deed will be registered by your advocate with the Royal Court. You are not required to attend court.
Once your deed poll has been registered, you will be given an original copy of it. You must keep this document safe, just as you would a birth certificate. Because it is not a good idea to let anyone have the original of your deed poll, ask your advocate/the Greffe if they will provide you with certified copies of it. You will need at least 5 copies to give to various authorities.
Social Security
The easiest way to alter your record at social security is to visit the department in La Motte Street with a copy of your deed poll and your current social security card. This may mean asking your employer for your current card (if you are still on the old style card that had to be held by your employer). The new registration cards do not have to be held by your employer – employers take a copy and you keep the card. The social security helpdesk staff will change your record while you wait and provide you with a new registration card and health card. You will then need to show this to your employer for their records.
Income Tax
Writing to the Income Tax Department is the best way to ensure that your name is changed on their records. Make sure that you include your tax ref somewhere in the letter. Enclose one of the copies of your deed poll, ask the department to change your name on all their records and ask them to send you a replacement ITIS effective rate notice in your new name. It should take about 1 week and you will then need to give this to your employer for their records.
Driving Licence
Your parish hall will issue a new driving licence in your new name. You will need to complete the application form, provide one of your deed poll copies, provide two passport photos and surrender your old licence. The application form asks for your sex but this information does not appear on the face of the driving licence as your title or your sex. It appears to be used internally for the parish to be able to address letters to you so select M and your correspondence will come addressed to Mr.
It will take about 2 weeks for you to get your new driving licence during which time you cannot do anything further about your change of name. You need to wait until you get your driving licence back before doing the next document change.
Other
Now you have photo ID and correspondence from the income tax dept, you can set about changing your details with your bank, your credit card providers, the utility companies, your insurers, etc. Some of these may want to also see your deed poll.
Passport
The Customs and Immigration Department will issue a new passport in your new name. You will need to complete the application form, provide one of your deed poll copies, provide two passport photos, a letter from your GP or gender therapist and surrender your old passport. The application form asks for your title but not your sex, strangely, as your sex does appear on the face of your passport. Make it clear that your title is now Mr. For those who are Dr or Rev, you may
need to write a covering letter of explanation.
It will take about 6 weeks for you to get your new passport during which time you will not be able to travel abroad so make sure that you time your application carefully.

FtM timeline
For those who are still questioning their gender, take some time to read this site, to surf the Internet and watch video clips uploaded by transmen, to read some of the excellent personal accounts of transitioning available as books from Amazon, and to feel comfortable with the idea that you are trans*. This is an important step and not one that should be hurried. It can take years to reach a point of ease with who you are.
However, it is worth reaching that point before you more forward with your transition, especially in Jersey. We all know how quickly news travels in small communities, more so than in a big city. You are unlikely to be able to keep your transition a secret in the island. You need to be prepared to ‘out’ yourself to all sorts of people in order to get their help and you can only do that if you are proud and confident about who you are.
Having reached a place where you know that you are transgender, your first point of contact is your doctor/GP in Jersey. Explain to them that you are unhappy with the gender assigned to you at birth and that you would like to start the process of transitioning. Ask your GP to write a letter of referral to a gender therapist (if going the privately funded route) or to a psychiatrist within the health services in Jersey (if going the publicly funded route).
There are no gender therapists in Jersey so you will have to go to the UK for counselling. Your GP can either refer you privately to a gender clinic of your choice or your Jersey psychiatrist can refer you through the NHS to the Charing Cross Gender Identity Clinic. The advantages of going private are that you control the timetable and can get things moving as quickly as you need to. The disadvantage is that you pay for private consultations (see the finance page). The NHS route is free but you are stuck with their timescale.
Remember that your therapist is not there to ‘judge’ you. They are there to help you make sure that transitioning is what you want to do. Therapy is a time for you to ask questions about transitioning, to be honest with yourself and answer the therapist’s questions as openly as you can, to think about alternatives to transitioning and to understand why they are not an option for you, and to double-check your feelings with an impartial and skilled observer.
Depending on how you and your therapist feel about your readiness to transition, the next step is either to change your name by deed poll to the name by which you want to be known going forward or to commence hormone therapy.
For more information about changing your name and all your documents, see the change of name page.
Jersey has the necessary skills on the island to administer your hormone therapy, which will be a lifelong commitment to taking testosterone. Your therapist will need to provide a letter to your GP or psychiatrist recommending that you commence hormone therapy, the appropriate delivery method of the testosterone and the dose that you require. Your GP or psychiatrist can then refer you to the island’s endocrinologist. This can be done privately, for which you will pay, or you can be referred through the States system, which is free.
For more information about hormone therapy, see the hormones page.
This may be as far as you wish to go in your transition. You may consider the changes made by the hormone therapy sufficient to allow you to pass as a man. However, you may elect to undergo one or more surgical procedures to further masculinise your body. If so, you will need to leave the island again for your operation(s). Jersey has no surgeons who can perform this specialist surgery. You will need to decide whether you wish to pay for surgery privately or whether you are prepared to wait for surgery in the UK through the NHS.
If you elect to have surgery through the NHS, you need to ask your NHS therapist to place you on the NHS waiting list.
If you elect to have private surgery there are two advantages: you can choose your surgeon, so you can choose to see anyone in the world who takes private patients, and the timing of your surgery is your choice. You should research your surgeon carefully, taking time to read testimonials from transmen who have had surgery with them. If you are unsure about your choice, ask your GP for their opinion.
Once you have selected your surgeon, contact them directly. You do not need to go back to your GP for a referral. However, the surgeon will undoubtedly want a letter from your therapist or GP referring you after you have made the initial contact.
For more information about surgery, see the surgery page.
Finally, take ownership of your transition. If you are not getting the answers you require from your health professional, keep asking until you do. Research as much as you can and prepare the questions you want answered before every consultation. Your Jersey GP may never have taken a patient through a transition process so you may need to guide them on what they need to do next for you.