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Adult Transgender & Non-Binary Care


To schedule an appointment,
call 216-957-4905.

For more than 15 years, MetroHealth’s Pride Network has offered expert transgender and non-binary care. We follow the latest medical guidelines set by the World Professional Association for Transgender Health (WPATH).

Each person’s journey is unique. Your treatment program will depend on your goals and needs, including your overall physical and mental health and your resources. Pride Network providers listen and can offer various choices to best help you.

Medical Transition

In the Pride Network, adult gender care is offered as part of primary care. Our physicians are experienced with various options for hormone replacement and related care. Transition related medical care is done with informed consent. That means you do not need to get letters of recommendation or mental health assessment.

Generally, on the first visit you will have a full medial history and physical exam, including discussion about your current and past mental health, current and past medication. We will also talk about your gender journey, your family and community support, and a timeline for treatment. You will usually also have blood drawn. In future appointments your provider will discuss your lab work, your overall health, and your transition plan, as well as discussing informed consent and the outcomes of hormone replacement.

Learn more about hormone replacement therapy

Surgical Transition

The Pride Network Integrated Surgical Transition Team offers a full range of surgeries for transgender patients.

  • Facial feminization
  • Chest surgery
  • Bottom surgery
  • Voice surgery

Surgeries may include preparation and health requirements, including stopping smoking and meeting BMI and blood sugar requirements. Some require clearance letters. We follow WPATH recommendations.

Learn more about gender affirmation surgeries at MetroHealth

Behavioral Health

Feeling and being healthy involves more than physical health. Mental and emotional health are just as important. We are here for you – whether you have been here before or are new to MetroHealth.  Our behavioral health team offers evaluations and treatment in both inpatient and outpatient settings.

Learn more about our behavioral health services

Please Note: If you are experiencing a psychiatric emergency, call the Mobile Crisis Team at 216-623-6888 or go to the nearest emergency room immediately.

Detransition Care

Sometimes, gender diverse people follow a winding path to their destination. The path may include detransition or retransition or other change of direction.

We know people detransition for many reasons. Occasionally, it just wasn’t the right choice. Other times, it was the right choice, but external pressures around family, employment, or society in general create a need to backtrack, either long-term or short.

Detransition may mean changes in hormone doses or stopping altogether. It may include changes in external presentation, changes in legal paperwork.

We also understand that detransition, for whatever reason, does not automatically mean you are cisgender or heterosexual. Sexual orientation and gender identity is layered and often complicated.

Regardless of your new direction, the Pride Network is here for you. Pride providers will continue to care for your general health and will work with you to make changes you need to live your best life.

Our Doctors/Medical Providers

Guoyou Chen, MD

Guoyou Chen, MD

Family Medicine

66 ratings / 6 reviews
Meghan F. Fibbi, DO, MPH, AAHIVS

Meghan F. Fibbi, DO, MPH, AAHIVS

Family Medicine

130 ratings / 17 reviews
Vikas Gampa, MD

Vikas Gampa, MD

Internal Medicine

173 ratings / 47 reviews
Mark A. McLoney, MD

Mark A. McLoney, MD

Family Medicine

251 ratings / 65 reviews