Which point is included in the World Professional Association for Transgender Health (WPATH) core principles for care?

• A. Denying patient choice of terminology in documentation
• B. Requiring parental consent for all treatments
• C. Seeking informed consent before providing treatment
• D. Not involving patients in decision-making

Answer: (C)

The point being tested is how care should be guided by the patient’s rights to understand and choose their own treatment. In World Professional Association for Transgender Health (WPATH) standards, respecting autonomy means obtaining informed consent before starting any treatment. This involves clearly explaining what the treatment involves, the expected benefits and risks, available alternatives, and ensuring the patient (and, for minors, their guardians as appropriate) truly understands and agrees. Consent should be voluntary, ongoing, and revisable at any time.

This approach contrasts with denying the patient’s chosen terminology in documentation, which undermines self-identification and respect for the person. It also doesn’t require parental consent for all treatments in all situations, since decisions should align with the patient’s age, capacity, and best interests. And it rejects leaving patients out of decisions, since shared decision-making and informed consent are foundational to ethical, patient-centered care.