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As part of the process of preparing to undergo gender affirming top surgery whether it is for FTM or FTN (also MTF) you will generally need a supportive letter from a mental health therapist.
What is Gender Affirming Surgery? Gender affirming surgery, also known as sex reassignment surgery (SRS) or confirmation surgery, is the surgical procedure(s) by which a transgender or non-binary persons physical appearance and functional abilities are changed to align with the gender they know themselves to be.
5 Things You Need to Know About Preparing for Gender Affirmation Surgery Youre not alone: talk with others. Its never too early to prepare for your recovery. Weigh the risks and benefits of surgery. Alternatives and complementary options. Transitioning doesnt end with surgery.
Before September 2022, WPATH guidelines required those seeking bottom surgery to provide two medical letters. One had to be from a mental health provider, and the other from a medical provider, like your hormone-prescribing clinician.
Dear SURGEON, I am writing on behalf of my client CLIENT NAME USED/DOB AND GENDER PRONOUNS USED(NAME AS LISTED ON INSURANCE CARD), whom I would like to refer for GENDER AFFIRMING SURGERY TYPE (EXAMPLE: METOIDIOPLASTY) surgery.
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Group 1 CodeDescription55866LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED55970INTERSEX SURGERY; MALE TO FEMALE56800PLASTIC REPAIR OF INTROITUS56805CLITOROPLASTY FOR INTERSEX STATE10 more rows
In order for a transgender person to receive gender affirming medical care in the US, a letter from a licensed therapist, psychologist, or psychiatrist is typically required.
For people to undergo top surgery, ing to WPATH, they must meet these criteria: The person has persistent gender dysphoria that has been well-documented by a qualified mental health professional. They are able to make a fully informed decision and provide their consent for the treatment.

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