Young people
How care for trans young people works, what the Health Council advised in 2026 and where to go.
How it works
Specialised centres
There are four centres for young people. At Zaans Medical Centre access is via mental health partners Youz or Check-In Genderzorg, not the GP.
Puberty blockers
From around age 11 and the start of puberty (Tanner 2), with parental consent.
Hormones
Usually from 16.
Surgery
Mastectomy from 16 after 1 year of hormones; other surgery from 18.
Health Council, 30 June 2026
The Health Council concluded that youth care is "carefully organised" and saw no reason not to offer hormones. 0–3.5% stop puberty blockers, over 90% continue with hormones. Recommendations: better documented assessment, national monitoring, more long-term research and a more active role for GPs and mental health care.
Waiting times
Under 18: Amsterdam UMC 30 months, UMCG 36, Radboudumc 48 (October 2026).