Manx Care says the Island hasn't spent any money on gender reassignment surgery in the past 12 months.
A Freedom of Information request asked how much money had been spent on operations in the last year.
But Manx Care says it doesn't hold the information.
In its response, it says there are no Gender Incongruence clinics in the UK accepting new patients from the Isle of Man.
Ballakilpheric Road shuts tomorrow
Peel Carnival needs you!
Commissioners looking for new clerk
Nobody charged for paper Manx Utilities bills, says chair
Should cohabiting couples get married tax breaks?
Repairs on Peel Power Station to get underway
Manx Care doctor survey to be discussed by Tynwald
Weather warning for snow tonight