Table 2.

Patient and clinician-proposed trans-inclusive policies.

Policy	Example
Make gender-neutral bathrooms accessible	All bathrooms could be gender-neutral or all single-stall bathrooms could be converted to gender-neutral bathrooms.
Provide gender-neutral garments	Gowns, wigs, and surgical binders could be provided in various colors and styles or in gender-neutral colors and styles.
Ensure inpatients have enough clothing or gowns to maintain privacy.	Provide two gowns to inpatients for additional privacy.
Ensure patients’ correct names and pronouns are used throughout the medical setting.	Ensure hospital bracelets contain correct name and gender or consider removing gender marker from hospital identification bracelets.
Provide staff education regarding inclusive language use of patients’ correct name, pronouns, and preferred words for anatomy.	New staff should have mandatory training regarding inclusive practices.
Ensure forms and questions are inclusive and do not force transgender people to come out.	Medical forms could include gender options such as man, woman, non-binary, agender, and another gender.
	Questions regarding particular body parts or functions should be asked only if relevant. If asked, these questions should be directed to people of all genders.
Decouple aspects of care from gender.	“Women’s Health Clinic” could be renamed “Health Clinic.”
Create respectful and inclusive rooming policies	People will be roomed either with a roommate with the same gender (transgender and cisgender women roomed together) or based on the preference of the particular patients. Ideally, policies would be created in collaboration with local transgender community members.
Encourage staff to display their pronouns	Provide optional pronoun badges for clinic or hospital staff to wear.
Ensure transphobia is not tolerated in the hospital or clinic.	Non-discrimination policies should be in place along with processes to enforce them.
Share medical decisions with patients.	Practice explicit informed consent for all medical decisions related to cancer care. This could include exploring patient priorities in regard to potential surgical interventions, for example lumpectomy versus mastectomy in the setting of breast cancer. This could also include discussing what aspects of identity are recorded in the medical record.
Support patient autonomy	Ensure medical decisions are made by patients rather than family members or others.