The Gender ASSET

Gender Affirmative Supportive Surgery Evaluation Tool (ASSET)

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 recommend 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. 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
Eight CEUs are available from the The Texas State Board of Examiners of Professional Counselors and Texas State Board of Social Worker Examiners. Mental Health providers will need to check with their state licensing boards to determine if this qualifies for CEs for your discipline in your state.

Course Learning Objectives:
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. Name 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. Understand the application of the ethical concepts of autonomy and practicing 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. Name 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. 

Discount pricing is available for organizations and practices with multiple clinicians: 


Call 877-292-8898

Dr. Colt Keo-Meier
Dr. Colt Keo-Meier

About the instructor

Colt Keo-Meier, 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. Keo-Meier 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.

  WPATH Certified Provider

World Professional Association for Transgender Health


Course Curriculum

End of Course Evaluation

What's included?

14 Videos
11 Quizzes
1 Survey
20 PDFs

What others have been saying about this course:

Grada-Anjo Wunderl

The Gender ASSET

This course by Colt Keo-Meier, Ph.D. stands out from all other TG and LGBTQ courses I have taken. Dr. Keo-Meier is a knowledgeable and engaging speaker who provides necessary details others leave out.. Overall, an excellent course with great doc...

Ty Stafford

Invaluable and necessary resource!

With the Gender ASSET, Dr. Keo-Meier and Mx. Keo-Meier have created an invaluable and necessary resource for anyone working with the trans/gender non-conforming population. Dr. Ty Stafford Licensed Psychologist Starkville, Mississippi

Michelle Vaughn

Highly practical training, highly recommend!

This training provided me with a strong, solid foundation to begin to offer letters for gender-affirming hormones and medical procedures right away. Dr. Keo-Meier has an amazing body of knowledge and experience and made this training highly practi...

Adam Sauceda

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 confi...

Increase your gender affirmative knowledge and skills for working with transgender and gender diverse clients who ask you for a letter for surgery.

Sign up now!