The longest waiting time for patients at Northern Ireland's gender identity clinic is five years and three months
Some people with gender dysphoria may eventually decide to change their gender through the use of hormones or surgery.
"There is one gender identity clinic which is located in Belfast and for which there are long waiting times to access the service," it said. "They've been waiting all this time and then all of a sudden they're back to square one again, back to waiting many years even just for an appointment to be seen.
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