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 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. 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.

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. Identify 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

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.

Course Completion
1-Year time limit

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:

Patrick Frame

Advanced Training

As a Clinical Social Worker, who has been attending trainings specific to LGBTQ+ population and issues for 6+ years, I have been looking for an advanced training that provides me with the specific information I have not yet had access to. This tra...

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...

Luce Beagle

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 Curricu...

Carolyn O'Keefe

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 var...

Halle Ross

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 c...


The program is much more comprehensive than just the ASSET, the background and supporting information is absolutely necessary to understanding the training and ASSET.

The information was so beneficial for gaining a clearer understanding for serving this population and helping in decision making. The most beneficial is the personal investment of the presenter and the manner in which the material was presented.

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!