Do It-Yourself (DIY) use of hormones in the transgender population is increasing due to waiting lists of 2-3 years to the first
appointment in a transgender healthcare center (THC). A “gate keeping” model, psychological assessment procedures and supposed
highly specialized endocrinological treatments all contribute to these long waiting lists However, there is no reason why trained
competent primary care physicians would not be able to support and accompany transgender people in hormonal replacement
therapy. Online treatment by trained primary care physicians offers a solution for the growing waiting lists. In addition THCs should
leave their personal kingdoms and go the same way in favor of the safety of transgender people.