The Gender ASSET Training

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The Gender Affirmative and Supportive Surgery Evaluation Tool (Gender ASSET) is an assessment tool developed by trans and genderqueer mental health professionals Becca Keo-Meier, MSW and Colt Keo-Meier, Ph.D. The Gender ASSET was designed for mental health providers to use in support of transgender clients preparing to undergo surgery as a part of their gender transition. This online course includes a Gender ASSET workbook along with on-demand training videos and sample letters. 

The World Professional Association for Transgender Health (WPATH) sets forth the Standards of Care (SOC). The 7th version of the SOC recommends transgender clients provide their surgeons with one to two letters from mental health providers before they are cleared for surgery. However, the majority of mental health providers have neither received adequate nor comprehensive training in providing this type of evaluation and are not familiar with the multiple surgical options available or the process of recovering from a major surgery.

Led by Dr. Colt Keo-Meier, this multi-part workshop is designed for mental health professionals who would like to receive training on evaluating and writing letters for transgender clients who desire to undergo gender affirming surgical procedures. The specific focus will be on assisting clients to be practically prepared for the process of surgery and recovery. This course is best suited for mental health providers who have some experience working with transgender clients.

Continuing Education (6 APA CEs)

We have partnered with the National Register to provide continuing education credits for The Gender ASSET. The National Register of Health Service Psychologists is approved by the American Psychological Association to sponsor continuing education for psychologists. The National Register maintains responsibility for this program and its content.


About Instructor​


Dr. Colt M. St. Amand

Colt Meier St. Amand, Ph.D., is a licensed psychologist who routinely provides training on gender affirmative treatment of transgender clients. He provides education on gender and sexuality as a lecturer in the Psychology Department of the University of Houston and an assistant professor in the Menninger Department of Psychiatry and Behavioral Services at Baylor College of Medicine. In his part-time private practice, Dr. St. Amand provides therapy, consultation, and evaluation services to transgender clients as young as 4. He directs the Transgender Health research lab at the University of Houston, which focuses on examining the effects of testosterone on the mental health and quality of life of transgender men as well as the experiences of parents of transgender children. He is a member of the hormone therapy committee for the WPATH Standards of Care version 8. Dr. Keo-Meier is completing his MD at the University of Texas Medical Branch in Galveston, Texas.


Learning Objectives

Gender Affirmative Supportive Surgery Evaluation Tool (ASSET)

  1. Discuss and critique the history of mental health evaluations for transgender clients seeking gender affirmative surgeries.
  2. Explain the purpose of the World Professional Association for Transgender Health (WPATH) Standards of Care criteria for surgeries related to gender transition.
  3. Identify and discuss multiple gender transition-related surgeries with clients.
  4. Use the Gender Affirmative Supportive Surgery Evaluation Tool (Gender ASSET) to conduct mental health assessments of transgender clients preparing to undergo gender-affirming surgery.
  5. Identify the application of the ethical concepts of autonomy and practice within one’s scope of competence in the development and use of the Gender ASSET with transgender clients.
  6. Use the Gender ASSET to provide education on the process of undergoing and recovering from specific surgical procedures to transgender clients.
  7. Identify and discuss multiple pre-operative preparation steps as well as post-operative recovery supplies for transgender-related surgeries.
  8. Prepare letters in support of transgender clients accessing surgery for insurance coverage and for coordination of care with surgeons.

Course curriculum

Course Completion 1-Year time limit

Instructional Level: Advanced

Course Content

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Topic Content
0% Complete 0/1 Steps

Bonus material

Gender Affirmative Supportive Surgery Evaluation Tool (ASSET)


The Gender Affirmative Supportive Surgery Evaluation Tool (Gender ASSET) to conduct mental health assessments of transgender clients preparing to undergo gender-affirming surgery.

CE Certification

Continuing Education (6 APA CEs) or Certification of Completion from Gender Education Network

Download Materials

There will be PDFs available with each section for you to keep for your references

Course Beneficiary

Point of Pride

Point of Pride is a non-profit organization that supports the international transgender community through a number of gender-affirming programs that empower them to live more authentically. A portion of proceeds from the sale of this course benefits their Annual Transgender Surgery Fund, a scholarship-like program that provides direct financial aid to trans people in need of gender-affirming procedures they cannot otherwise afford.

Ratings and Reviews

Avg. Rating
17 Ratings
What's your experience? We'd love to know!
Posted 5 days ago
Resiliency and Compassion

What did I expect? A dry, fact filled, course--lots of slides--like many online courses. What liked most is the course, every section, no matter how technical, is the delivery of information that reinforces our duty to be compassionate, to foster resilience and to humanize such an invasive process; required to access basic human rights. Thanks for the course, I look forward to live courses.

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natalie wingfield
Posted 1 month ago
Can’t get the workbook

The video content is excellent, however, I am frustrated that I can’t get the workbook, which includes the ASSET assessment. I registered over two weeks ago and it was not clear that a hard copy would be mailed, rather than a PDF. It was somehow sent to the wrong address and I can’t seem to get this resolved. Customer service is now ignoring my emails. I’m not sure what else to do.

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Posted 9 months ago
Critical for Clinicians

This course was incredible! I feel so prepared to facilitate access to care for anyone who needs it in a competent, caring, and affirming way. I feel very prepared and knowledgable after completing this course and find it truly invaluable for my clinical practice. This is critical to the care I provide and I can't wait to implement all the skills I've learned here!

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Margaret Keig
Posted 9 months ago

This training is thorough, engaging, and the best I have seen on the topic. I am grateful for the opportunity to go through the training and grateful that other clinicians are getting this information.

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Posted 10 months ago
Highly Recommended

Dr. Colt does a fantastic job covering a wide range of advanced material in a fun and engaging way. Not only will you get exposure to the content knowledge this course offers, but you also walk away with multiple great resources, examples, and guides. The Gender ASSET protocol itself provides an organized and comprehensive evaluation tool for working with transgender and gender diverse clients.

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Jessica Eldridge
Posted 1 year ago

This course is valuable and necessary for providing appropriate care. Presented in an organized way and Dr. Colt is an interesting, dynamic, and skilled speaker. I would recommend this course for every mental health professional.

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Carolyn O'Keefe
Posted 1 year ago
Invaluable tool

This course not only introduces an invaluable tool but also provides a comprehensive knowledge base and practical examples for utilizing the Gender ASSET. I highly recommend this course for any mental health professional that works with gender variant/trans clients/patients!!

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Luce Beagle
Posted 1 year ago
Mental Health and Surgery Preparedness

VERY thorough and appreciate the "real life" case experiences you bring to the material. Appreciate the strength-based lens you used throughout this training. Appreciate your conceptualization! Please make this part of the Global Education Curriculum and Training for WPATH certification. I received this so much better from a trans id clinician in the field rather than older cis men and women who m

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Adam Sauceda
Posted 1 year ago
Must-attend learning experience for all clinicians

Dr. Keo-Meier's Gender ASSET training provides mental health clinicians with the necessary knowledge required to properly assess and prepare clients for gender affirmative surgical procedures. Participants will exit the training feeling more confident with the evaluation process, various surgical procedures, and with providing letters of support/referral letters to medical professionals. This trai

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Halle Ross
Posted 1 year ago
The Gender ASSET

This course was very enjoyable and informative! Dr. Keo-Meier is a very informed, knowledgeable, and engaging speaker. The information he presented on the history of transgender mental health and medical care, the WPATH Standards, the process of conducting the Gender ASSET evaluation, and the process for writing a letter of support for different medical procedures had breadth and depth. The layout

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