iiinova — where your digital self keeps evolving

Effective Transsexualism @effecttrans.com · 09/02/2026

Our public activities are now on an indefinite pause. While we continue to be on the lookout for effective ways forward, we're thankful for all the connections we've made and the opportunities to lend a helping hand we've had in the meantime 💙🩷🤍

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Effective Transsexualism @effecttrans.com · 02/01/2026

The first ET office hours of 2026 is this Saturday, from 1-4 PM - do come say hi if you'd like to meet us :) Link below

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Effective Transsexualism @effecttrans.com · 18/12/2025

The Levy review of NHS adult dysphoria services is out. While there has not been time yet for a deeper analysis, at a glance it's relieving to see that the fears at large have not come to pass www.england.nhs.uk/long-read/op...

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Effective Transsexualism @effecttrans.com · 18/12/2025

and again, fortnightly, this time Saturday 20th December, 1-4 pm – pop in any time event: luma.com/ijdjz0bh calendar: luma.com/effecttrans

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Effective Transsexualism @effecttrans.com · 29/11/2025

And again, on Saturday 6th December, 1 pm; consider visiting! Event link: luma.com/ieoxbz3e Calendar: luma.com/effecttrans

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Effective Transsexualism @effecttrans.com · 26/11/2025

wiki.effecttrans.com/index.php/N...

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Effective Transsexualism @effecttrans.com · 26/11/2025

Nearly 2 years ago someone posted an NHS surgeons list for sex-affirming surgery on r/transgenderUK. When we couldn't find an updated version anywhere, we contacted NHS Arden Gender Dysphoria National Referral Support Services directly and got the current list. Link below :)

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Effective Transsexualism @effecttrans.com · 19/11/2025

Making connections continues to be one of the most effective actions one can take for the long term and thus come to meet us, chat, discuss, find out what we're up to, at ET office hours, in Holborn, London, this Saturday 1pm! and fortnightly luma.com/lmaznc06 Calendar: luma.com/effecttrans

a zoomed-in rubber duck with a white pink-blue-tartan-patterned ribbon

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Effective Transsexualism @effecttrans.com · 19/11/2025

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Effective Transsexualism @effecttrans.com · 24/10/2025

It is unfortunate that Baroness Falkner is desperate to push her agenda before her term expires, despite multiple Labour MPs having co-signed letters to both @peterkyle and her highlighting the compliance and moral issues this move will create.

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Effective Transsexualism @effecttrans.com · 24/10/2025

Liberal Currents has featured a well-written article on how the @EHRC's recent actions regarding its guidance on accessing single-sex spaces in the UK have led to chaos for both trans people and many businesses trying to comply with the law.

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Effective Transsexualism @effecttrans.com · 22/10/2025

The fifth iteration of ET's office hours is this coming Saturday! Do come if you'd like to find out more about our longer-term mission and meet the people involved! As usual, there will be ducks!!

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Effective Transsexualism @effecttrans.com · 13/10/2025

It is hard to predict what will happen in these times, however disseminating good research can enable us to react timely and make a positive difference. We're helping trans people and allies re-frame how they talk about this issue. Drop us a mail if you'd like to help :)

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Effective Transsexualism @effecttrans.com · 13/10/2025

The draconian Online Safety Act deserves attention too. It exposes trans people to privacy risks through ID-based age verification and restricts access to vital information by forcing websites to label helpful trans content as 18+.

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Effective Transsexualism @effecttrans.com · 13/10/2025

The outcome was predictable given the EHRC submission and that @profstephenwhittle.bsky.social and Victoria McCloud couldn't submit testimonies. By not lobbying Labour ahead of time, we essentially let the court write gender recognition policy for them.

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Effective Transsexualism @effecttrans.com · 13/10/2025

Slowly building up from Forstater and Stock's cases, many GC thinktanks like MurrayBlackburnMackenzie and prominent lawyers decided to lend their support to this cause. We have seen the same thing happen with the Levy Review and other government departments engaging with GC orgs.

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Effective Transsexualism @effecttrans.com · 13/10/2025

Many people were unaware of what was going on with FWS vs Scotland and as a result, our complacency has cost us our rights. The TERFs had been growing powerful, and most activism efforts ended up polarising allies and failing the community.

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Effective Transsexualism @effecttrans.com · 11/10/2025

We're hosting the fourth iteration of ET's office hours today! Join us to discuss recent happenings affecting trans people in the UK and meet interesting people who want to do something to help the community. There will be ducks :) Luma link below ⬇️

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Effective Transsexualism @effecttrans.com · 10/10/2025

or do you have a website/something else we can contact you at?

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Effective Transsexualism @effecttrans.com · 10/10/2025

We'd love that! can you drop us a message, our contact details on our website <3

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Effective Transsexualism @effecttrans.com · 09/10/2025

TL;DR It is not right that we don't usually have trans-led electrolysis services even in big cities; there are projects to change that; we wholeheartedly support them and would like to encourage more of them.

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Effective Transsexualism @effecttrans.com · 09/10/2025

(We're not in a place to organise such a project ourselves right now, but if you do start anything like this please let us know! We would be more than happy to assist both in crowdfunding and in general)

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Effective Transsexualism @effecttrans.com · 09/10/2025

We're looking forward to finding out how the Glasgow project goes! This, Siobhan's, and other such projects around the world hopefully can form a blueprint that can be replicated to eventually cover our needs.

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Effective Transsexualism @effecttrans.com · 09/10/2025

Such projects could end up very beneficial as per the theme of taking control of our transistions. They would let us build up expertise, provide a way for the wealthier of us to sponsor initiatives benefiting the community, while creating employment for those who seek it.

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Effective Transsexualism @effecttrans.com · 09/10/2025

Even though the treatments themselves can be costly due to their length, training and equipment are surprisingly affordable in comparison. So all it takes is a determined community with people willing to pick up the electrologist role.

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Effective Transsexualism @effecttrans.com · 09/10/2025

There is precedent too: Siobhan (@electrovon) raised money for a similar project in Manchester in 2019 and has been operating ever since x.com/bbcstories/...

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Effective Transsexualism @effecttrans.com · 09/10/2025

So relying on wider society for this service comes with problems. Is it feasible for us to try to grow in-community capacity then? Fortunately, yes! We recently heard about the Glasgow Electrolysis Project; they started accepting customers from 22nd Sep! instagram.com/glasgowelec...

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Effective Transsexualism @effecttrans.com · 09/10/2025

Worse, it's mainly provided by general beauty salons that are not equipped with trans-specific expertise and can't offer us advice (and on top of that it can feel pretty awkward too). Finding a suitable place is quite often a difficult task.

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Effective Transsexualism @effecttrans.com · 09/10/2025

Electrolysis for facial hair removal/ SRS is vital to many transfeminine transitions. It is the only permanent method, and the only method suited for pale hair. It is however difficult to access, as a full course can be lengthy (100~200 sessions) and costly (£10~20k).

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Effective Transsexualism @effecttrans.com · 27/09/2025

We've been working on our wiki behind the scenes, focusing on gathering more info on gender-critical movements & more transition-related resources... If you're interested in helping us (and meeting other trans people), pop in today at Office Hours! Holborn, London, 1-4pm.

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Effective Transsexualism @effecttrans.com · 15/09/2025

not yet - we're still writing other articles (interesting stuff is in the pipeline!) but if you'd like to contribute stuff and have a look do drop us an email!!

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Effective Transsexualism @effecttrans.com · 15/09/2025

We have been collecting these papers for a long time to uncover more details about the opaque workings of gender clinics, for more information do check out our Levy Review wiki page: wiki.effecttrans.com/index.php/Le...

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Effective Transsexualism @effecttrans.com · 11/09/2025

Excellent news! Facts-based pressure can and does work

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Effective Transsexualism @effecttrans.com · 11/09/2025

We've been a bit quiet recently, but that doesn't mean we haven't been at work – you should expect more from us soon (we have something interesting to say about Sex Matters operations...) in the meantime, if you're interested in us, pop in this Sat! Holborn, London, 1-4pm link⬇️

marked up image: piece of paper with "et office hours #2" written on it, and a rubber duck

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Effective Transsexualism @effecttrans.com · 31/08/2025

People who underwent all the legal and surgical steps in the UK to change their sex were betrayed by the CPS, NHS, the Labour Govt and the Supreme Court. We lost all of our ground to mass hysteria, letting the state walk back on its promises. Do we have a plan to regain our ground?

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Effective Transsexualism @effecttrans.com · 27/08/2025

Hello! If you are interested in our project work, want to engage in discussions, or simply meet us in person, you can pop in this Saturday for our 'office hours' in Holborn, London! From 1 to 4 pm. (Repeats fortnightly)

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Maya ☁️➡️🌸 @mayaofspring.bsky.social · 24/08/2025

On that note, the NHS generally does not believe in the existence of medical transition A post-op friend had a UTI recently, and checked the NHS article for guidance (those articles are good generally!). What does it say? that male guidelines apply of course

Screenshot of NHS 'Urinary tract infections (UTIs)' page:

See a pharmacist if:

you think you have a urinary tract infection (UTI) and you are a woman or girl aged between 16 and 64 and are not pregnant or breastfeeding

[...]

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

You think you, your child or someone you care for may have a urinary tract infection (UTI) and:

[...]
you're a man, or are trans or non-binary and were assigned male at birth

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Effective Transsexualism @effecttrans.com · 23/08/2025

The NHS can't have it both ways. It can't say that we are simultaneously and unchangeably our sex at birth and then prevent us from blood donation based upon our identities. Quantum genders aren't real. It's time for the NHS to accept biological reality...

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Effective Transsexualism @effecttrans.com · 22/08/2025

For more sources, read the Levy Review page on our under-construction wiki; there will be more soon! wiki.effecttrans.com/index.php/L... We collate scattered information to stay better-informed and have a knowledge base for further activities; contact us if you'd like to get involved!

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Effective Transsexualism @effecttrans.com · 22/08/2025

In this environment we recommend that people transitioning in the UK look at sources of HRT independent of the NHS, whatever the outcome of this review, even if for contingency planning.

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Effective Transsexualism @effecttrans.com · 22/08/2025

The review is likely to recommend more gatekeeping. Formally, it will inform a new service specification for the NHS, which then may eventually impact private provision via the CQC. In practice, GP prescription refusals are already common

Screenshot The text message Emily* received from her GP practice was life-changing. Emily, who is transgender, was first prescribed hormone replacement therapy (HRT) two years ago. It had enabled her life to feel “ordinary”. Suddenly her prescription had been stopped. The message explained that the GP practice was unable to “safely support ongoing prescribing or monitoring” of the “specialist drug”. If Emily wanted a new prescription, she would have to go private – a cost she could not afford.

Screenshot But 28% (of 565 respondents) said they had lost access to their previous NHS record, 16% had experienced disrupted prescriptions, and 18% were misgendered in NHS written communications

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Effective Transsexualism @effecttrans.com · 22/08/2025

One thing to certainly expect as the result from the Levy review is a separate under-25 service: as recommended by Cass, recent NHS documents state that currently "in the process of a tender" for a pilot

Screenshot: Following the recommendations of the Cass Review, a Pilot for 18-25yr old ‘run- through’ service will be commissioned by NHSE following the publication of the ‘Levy’ Adult review. Currently in the process of tender for a Pilot Provider.Data trends indicate increase in the number of 18-20 year old young people referred to services (good proportion of ‘de-novo’ referrals to adult services)

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Effective Transsexualism @effecttrans.com · 22/08/2025

Unlike the multi-year Cass review, the Levy review is rushed. Announced August 2024 and initially expected by spring. Documents from various NHS trusts show that they expect it to be released soon, but with the timelines slipping; first mid-June, July, and still not out yet

Screenshot: The Gender Service continues to wait for the outcome of the Levy Review, which was expected in mid- June with no current update

Screenshot: The Levy Review report will be available by the end of July; assurance has been received of this date from NHSE. The Palmer Review workshop on 2nd July took place where plans were communicated and updates provided around future plans. The next IPR will cover all updates. The Palmer Review is ongoing with no known end date. The QI Practitioner is for a 12 month contract.

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