1 files changed, 92 insertions, 0 deletions

diff --git a/site/adults.md b/site/adults.md
new file mode 100644
index 0000000..1ffcaae
--- /dev/null
+++ b/site/adults.md
@@ -0,0 +1,92 @@
+---
+title: Adults
+x-toc-enable: true
+...
+
+Table of contents
+=================
+
+-   [United Kingdom](#uk)
+-   [New Zealand](#nz)
+
+United Kingdom {#uk}
+==============
+
+Go to your GP and say that you are transgender. Some doctors are
+ignorant, so you need to make sure to explain what this means, and that
+you wish to transition your gender. Ask to be referred to a Gender
+Identify Clinic. Here is a list:
+<http://www.nhs.uk/Livewell/Transhealth/Pages/local-gender-identity-clinics.aspx>
+
+Some GPs are assholes. Report them if they are. And report the awesome ones.
+----------------------------------------------------------------------------
+
+Even with private care, you'll still use your GP for a lot of things
+probably, including blood tests and endocrinologist referrals, unless
+you get those privately too. The following external website maintains a
+register of good and bad GPs:\
+<http://transfigurations.org.uk/trans-friendly-doctors/>
+
+You should get a blood test BEFORE seeing an endocrinologist, and take
+your test results with you.
+
+A trans person in the UK who had a bad bad GP spoke to their local
+elected MP and got her to write to the government. [This letter from the
+UK Government's Department of Health outlines GP requirements and states
+that they are required by law to immediately refer you to a gender
+clinic when you request gender transitioning
+services](https://av.trans.chat/common/gp_letter.pdf).
+
+When you go to that GP, regardless of whether you think it will go well
+(most GPs are OK), take a printout of that letter with you just in case.
+
+Thanks go to Gina Denham of the
+[Transpire](http://transpiresouthend.org/) support group for sharing
+this letter.
+
+Going about the process
+-----------------------
+
+If you live in or near London, the Charing Cross clinic is very good.
+
+Be warned that the waiting lists at most clinics is about 2 years on
+average, for your first appointment. This is because attitudes have
+shifted in positive ways towards trans people, so more people these days
+are transitioning; this means that the NHS is under more strain. Funding
+hasn't increased much, and the NHS isn't equipped to handle a 500%
+increase in people transitioning over the last 5 years.
+
+[Private transitioning services](private-care.md) should also be used
+simultaneously, if you can afford it. You can pay for it with health
+insurance, or you can self-fund it. You can use private care while on
+the NHS waiting list, and then ditch the private care once you are being
+treated by the NHS.
+
+You will then later on receive a letter from that clinic. Give your
+details to that clinic, and make sure to book an appointment with them.
+Then wait for your appointment.
+
+What to expect from UK NHS trans care:
+
+-   HRT (hormone replacement therapy)
+-   voice training
+-   hair removal
+-   surgery
+-   therapy
+
+There is gatekeeping on the NHS, but it's light. However, expect *long*
+waiting times. You might be waiting 5 years from now, for surgery. And
+about 2-3 years for hormones.
+
+We recommend using private care while on the NHS waiting list. Private
+services also have (lower) waiting lists, and you can DIY a lot of your
+transition before then (or if you can't afford private care). For
+instance, refer to our [HRT self-medication guide](hrt-internet.md).
+
+New Zealand {#nz}
+===========
+
+Go to your doctor and ask for gender transition services. You can get
+HRT prescribed by your doctor in New Zealand. TODO: add more information
+about procedures.
+