Jessica Yaniv, a transgender woman from Canada, has filed a formal complaint after a gynecologist refused to provide her care solely because of her transgender status. This latest incident follows Yanivâs previous high-profile complaints against beauty salons that declined to wax her, reigniting urgent conversations about healthcare access, medical ethics, and the rights of transgender patients.
The case quickly gained traction online, stirring intense debate around transgender rights and ethical responsibilities in healthcare. Yaniv revealed that the gynecologistâs office bluntly told her, âWe donât serve transgender patients.â She has not disclosed the specific medical treatment she was seeking.
âSorry, Not For Youâ
Reacting publicly on social media, Yaniv described feeling âshocked⊠confused⊠and hurtâ by the rejection. She questioned the legality of such a refusal, tagging the College of Physicians and Surgeons of British Columbia in her post.
âAre they allowed to do that, legally? Isnât that against the collegeâs policies?â she asked on Twitter. Yaniv later claimed that the College confirmed refusing care to transgender patients constitutes discrimination. However, the College quickly clarified that its staff do not offer legal opinions on individual cases but instead direct callers to existing practice standards for guidance on filing complaints.
A History of Controversy
This is not Yanivâs first discrimination claim. In 2019, she filed complaints against multiple Vancouver beauty technicians who refused to provide Brazilian waxing services on her male genitalia. Those cases had significant repercussions, including the closure of two small businesses. Yaniv sought damages up to $15,000 from each establishment. Ultimately, a human rights tribunal dismissed those complaints, noting that Yanivâs âpredominant motive in filing her waxing complaints is not to prevent or remedy alleged discrimination, but to target small businesses for personal financial gain.â
White Coats, Closed Doors: The Ongoing Struggle for Transgender Healthcare Access
The gynecologist involved in Yanivâs current complaint has not publicly responded. Yet, cases like these underscore critical questions about medical training, provider preparedness, and the ethical obligations of healthcare professionals when treating transgender patients.
As this debate unfolds, it highlights the broader challenges transgender individuals face navigating a healthcare system often unprepared or unwilling to provide inclusive, respectful care.

In a comparable situation in France, a doctor refused to treat a transgender woman, explaining to the media, âI told her that Iâm not competent, but I can guide you. I can refer you to services that can take better care of you.â While the doctor initially cited professional limitations, he later made controversial remarks about treating âreal women,â for which he later issued an apology.
Medical experts emphasize that the physical differences involved require specialized knowledge. âJust because itâs a cavity doesnât mean itâs a classic vagina,â said one doctor who had refused care to a trans woman, candidly admitting his own lack of understanding about transgender patients. Neo-vaginasâcreated through gender-affirming surgeryâdiffer significantly from natal female anatomy and often call for tailored medical approaches.
A gynecology specialist explained, âThere is no recommendation for a transgender woman to have regular gynecological check-ups, unless she has a surgical problem related to the operation, because she doesnât have a uterus or a cervix.â Transgender healthcare training is still a relatively new field, with many medical schools only recently integrating it into their curricula. In response, several universities have started offering specialized programs to better equip healthcare providers to meet the needs of transgender patients.
Drawing Lines in the Waiting Room: When Trans Women Are Denied Care
Cases like Jessica Yanivâs highlight the delicate balance between ensuring transgender patients receive respectful, competent care and respecting medical professionalsâ scope of practice. In Canada, protections against discrimination based on gender identity vary by province, adding complexity to the debate.

Laws often draw a critical line between refusing service based on someoneâs identity and declining a procedure due to lack of training. But in practice, that line is rarely so clear. âLGBTQ people seek medical care. The care they seek is no different just because theyâre LGBTQ,â said one patient advocate, underscoring the essential truth that respect and access should not depend on identity. While many medical organizations acknowledge that some aspects of transgender care require specialized knowledge, systemic gaps persist.
Beyond the Clipboard: The Real-World Impact of Being Turned Away
For transgender individuals, being denied care isnât just emotionally painfulâit can be life-threatening. Healthcare barriers often result in critical delays. One transgender man recounted being turned away by multiple gynecologists over the course of a year before finally being seen. By then, he was diagnosed with ovarian cancer.
âI find it incredibly alarming that I have all the tools to navigate healthcare, and I still almost died because of discrimination,â he said. His case illustrates a dangerous flaw: when doctors refuse to treat without offering appropriate referrals, they place patients at real risk.
This isnât an isolated issue. A recent study revealed that nearly 25% of transgender people avoid seeking necessary medical care out of fear of mistreatment. Among those who do seek help, nearly half report negative experiences with healthcare providersâranging from insensitive language to outright refusal.
Healing the System: Training, Not Triage
Experts argue that the solution doesnât lie in demanding all doctors perform every procedure, but in improving how care is delivered and coordinated. âProviders need clear guidance on when a referral is appropriate and when a refusal becomes discrimination,â said the medical director of a leading transgender health center. The aim is not to eliminate specialization but to strengthen pathways so patients aren’t left in limbo.
A healthcare educator added: âItâs not an excuse to say, âI donât know about trans people, so I canât care for a trans person.â But we also have to recognize that some parts of transgender care do require unique expertise.â
Ultimately, real progress depends on more than policy. It requires a cultural shift within healthcareâone that combines medical training with empathy, and protocol with basic human respect.

Creating healthcare spaces that honor individual dignity while upholding clinical standards remains a vital, ongoing challenge. As the needs of transgender patients become more visibleâone European nation reported a tenfold increase in individuals diagnosed with gender dysphoria in 2020 compared to 2013âthe pressure to find this balance continues to mount.
Jessica Yanivâs complaint is still under review, with the College of Physicians and Surgeons declining to comment on ongoing investigations. Yet as more clinics turn away trans women seeking care, this case highlights a deeper, systemic dilemma: how can healthcare systems ensure inclusive access without compromising the need for appropriate, specialized expertise?
The urgency is clear. Transgender people are no longer invisible in medicine, and their care is not optional. The question is no longer if the system should changeâbut how fast it can catch up.