Sandro Niederer, responsable du projet Santé sexuelle pour les personnes trans de l'Aide Suisse contre le Sida

The increased visibility of trans people in the public eye is not only accompanied by social and political progress. But also backlash and a lot of half-knowledge among medical professionals when it comes to trans issues. 

Yet it is precisely now that an inclusive and broad-based approach is needed when it comes to the health of trans people and the health risk. 

Access to the healthcare system was a key issue. Many trans people continue to experience structural barriers, a lack of expertise among medical staff and discrimination. The path to appropriate healthcare is often difficult, especially for groups within the trans community that are marginalized in multiple ways - such as black people or trans people affected by poverty. 

The exchange about community-led structures was particularly diverse. Projects initiated by and for trans people not only create low-threshold services, but also strengthen trust in care and can facilitate initial contact with health services. Such approaches range from peer counselling to self-organized clinics and are often successful where the official healthcare system fails. 

Gatekeeping for trans people was a recurring theme. In many countries, trans people are still dependent on lengthy psychological assessments in order to gain access to hormones or surgery. These paternalistic structures were frequently criticized - with a clear call for informed decisions, autonomy and a depathologizing approach to transition. 

Last but not least, the lack of resources and visibility was discussed. Despite growing recognition, trans issues often remain underrepresented in international health promotion. Targeted investment, research and political support are needed to achieve sustainable improvements - and to consistently include the voices of the community. 

The conference has shown once again: Health is political. And without the consistent inclusion of trans people in decisions, structures and services, true equality remains unattainable. This makes it all the more important that we continue to network internationally, learn from each other and fight together for trans-inclusive healthcare.