Gender Management Service (GeMS) Clinic
Who we are
The Gender Management Service (GeMS) Clinic at Boston Children's Hospital is dedicated to providing care and support to infants, children, adolescents and young adults with gender identity disorder (GID) or disorders of sexual differentiation (DSDs).
Our multi-disciplinary team includes specialists from:
Together, we provide physical and psychological evaluation and referrals for surgery and ongoing care.
The GeMS Clinic started as a program that treated disorders of sexual differentiation (DSDs) such as mixed gonadal dysgenesis, congenital adrenal hyperplasia and ambiguous genitalia. Over the years, our expertise has expanded to include gender identity disorder (GID) and transgenderism.
The GeMS Clinic became the first major program in the United States to focus on GID in children and adolescents. Our experienced clinicians are familiar with the mental and emotional aspects of each unique condition. And since we work within Children’s, we also know what questions to ask the rest of your child’s medical team. This collaborative effort allows us to develop the best possible treatment plan for each child.
Learn more about our transgender program and how we approach DSDs.
Our mission is to help children cope with the disconnect they may feel between the body and gender they were born with and the body and gender in which they identify. Therefore, we try to help them develop a body that is consistent with their identity.
Our experienced clinicians treat each child as an individual—and involve the entire family in the treatment process.
The GeMS Clinic: In the news
Nicole Maines, pictured here with her twin brother Jonas, received puberty-suppressing medication at the GeMS Clinic after being diagnosed with transgenderism.
In this Boston Globe article, the Maines family talks about their experience at Children’s and how Dr. Norman Spack helped Nicole affirm the gender she always identified with.