# Chest and breast screening for trans and non-binary people

> Who is invited, and how to ask

Category: Conditions · 3 min read · Written by the Splash team · Sources checked October 2026
URL: https://splash.care/learn/conditions/chest-health-trans-non-binary

## Quick answer

- Invitations follow the gender on your GP record, so make sure it is up to date.
- You can ask your GP for a referral if you have breast tissue and are not invited.
- Report new chest changes to a GP any time.

Breast screening invitations depend on the gender [your GP](https://splash.care/learn/conditions/talk-to-your-doctor) has on your record, which may not match your body. In England, people registered as female are invited from 50 up to their 71st birthday, every 3 years. GOV.UK's guidance for trans and non-binary people explains what to do for everyone else.

- Assigned female and registered as female, with breast tissue: you are invited routinely, and encouraged to consider screening if you have not had chest reconstruction.
- Assigned female and registered as male, and have not had top surgery: you will not be invited. From 50, talk to your GP about a mammogram referral.
- After top surgery: have a conversation with your surgeon about any remaining breast tissue. If tissue remains, you can ask your GP for a referral.
- Assigned male and registered as female: you are invited from 50 up to 71. GOV.UK notes that long-term [hormone](https://splash.care/learn/cycle-basics/hormones-explained) therapy can increase your risk of breast cancer, so consider going.
- Assigned male and registered as male, on long-term hormone therapy: you will not be invited, but your GP can arrange a referral to have mammograms at hospital.

## If you go

- If you wear a binder and have not had top surgery, you will need to take it off for the mammogram. Private changing facilities are available.
- You can ring ahead to ask for an appointment at the beginning or end of a clinic, or at your local centre rather than a mobile unit.
- The test is done by a female mammographer. Some people find it uncomfortable, but it should pass quickly.

Whatever your record says, it helps to know what is normal for your chest, so you can spot anything new. Screening is your choice, and it will not find every cancer.

### When to see a doctor

See a GP about a lump or swelling in your breast, chest or armpit, or any other change that is new for you, whatever your age or screening status. Do not wait for a screening invitation.

## Sources

1. [GOV.UK: NHS population screening, information for trans and non-binary people (England)](https://www.gov.uk/government/publications/nhs-population-screening-information-for-transgender-people/nhs-population-screening-information-for-trans-people)
2. [NHS: Breast cancer, symptoms](https://www.nhs.uk/conditions/breast-cancer-in-women/symptoms-of-breast-cancer-in-women/)

This is general information, not medical advice. Splash can’t diagnose. If you’re worried, talk to a GP, pharmacist or sexual health clinic. In an emergency call 999 (UK) or 911 (US).