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Transgender Services

Providing a full spectrum of services to the full spectrum of our patients

Baystate Health's transgender service provides multidisciplinary primary medical care and supportive services to patients seeking hormonal and/or surgical reassignment of gender. We offer a holistic approach to individual health, working closely with local and regional therapists and specialists as needed.

We strive to provide care that is sensitive to each individual's needs, regardless of where they see themselves on the transgender spectrum. Baystate Health provides supportive and sensitive care regardless of gender identity, gender expression, sexual orientation, race/ethnicity, religion, or socio-economic status.

Baystate Health has developed services based on the Informed Consent model of care, meaning that we work with our patients to ensure that the risks and benefits of gender-related services are fully understood at all times. Gender-related therapy is an encouraged--but not required--part of treatment for most patients. 

Our Services Include

Medical care

  • Primary care for transgender patients, including referrals and preparation for gender confirming surgeries
  • Hormone therapy--initiation and maintenance-- in coordination with other supporting medical professionals
  • Routine GYN care
  • Sexually Transmitted Infection (STI) screening

Behavioral Health referrals

  • Therapy: individual and couples
  • Family and parenting services
  • Support groups

Peer listening line and GLBT helpline


You help make us better. Please remember to let us know about experiences at Baystate that exceed or fall short of your expectations. If you want, your feedback can remain anonymous, though it is most helpful to have as much information as possible so we best respond.

About J. Aleah Nesteby, NP

Aleah has had a continuous healing relationship with her transgender patients for almost a decade.   

She is the co-chair of Baystate's LBG/Transgender Leadership Team and leads a Transgender provider consultation lecture series for Baystate Health.   

She is nationally recognized and has lead workshops and lectures for a variety of professions.  

Aleah is a Tufts University of Medicine educational research grant recipient for transgender student curriculum.  She is member of the World Professional Association of Transgender Health (WPATH).