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Bottom Surgery: Two Letters from two different licensed mental health specialists. It is highly recommended that at least one of the letters be from a provider with a doctorate-level degree (Ph. D., Psy. D., etc.).
One of the main functions of WPATH is to promote the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. The SOC are based on the best available science and expert professional consensus.
As per the World Professional Association for Transgender Healths Standards of Care, 7th Ed, referral letters - for hormone therapy, puberty blockers and/or gender affirming surgical procedures - can be written by masters-level, mental health professionals.
Often times, people seeking Top Surgery are required to get a letter from a mental health professional stating that they have been deemed psychologically ready for surgery before a surgeon will perform Top Surgery.
Gender Affirming Surgery wait times vary greatly. Typically these surgeries are done either in Toronto or Montreal. It is best to speak with someone at a clinic that does referrals in order to get a sense of wait times, but usually it is from 1-3 years.
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Often times, people seeking Top Surgery are required to get a letter from a mental health professional stating that they have been deemed psychologically ready for surgery before a surgeon will perform Top Surgery.
The one letter that must be obtained in all circumstances is that from a behavioral healthcare professional. Many (insurance companies, plastic surgeons, surgical facilities) further stipulate that it must be written by someone with a doctoral degree such as an M.D., Ph. D., Ed. D., D.Sc.,D.S.W. or Psy.
Speak to a GP if youre interested in starting HRT. You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. A GP can explain the different types of HRT available and help you choose one thats suitable for you.
Bottom Surgery: 1 letter can be from a provider who has only had an evaluative. It is highly recommended that at least one of the letters be from a provider with a doctorate-level degree (Ph. D., Psy. D., etc.).
Gender Affirming Surgery wait times vary greatly. Typically these surgeries are done either in Toronto or Montreal. It is best to speak with someone at a clinic that does referrals in order to get a sense of wait times, but usually it is from 1-3 years.

wpath letter for top surgery template