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MTF Bottom Surgery (Vaginoplasty) Surgery Requirements

Dr. Sidhbh Gallagher

Please see the summary below for general requirements pertaining to each procedure you may be interested in. These requirements are based on WPATH Standards of Care 7th Version and are not generated by our office, though as members we do follow these guidelines to move forward with consultations and surgery.

FTM Bottom Surgery Required Letters (3 TOTAL)

(2) Letters from qualified mental health professionals. These may come from the same office, but not the same person.

(1) Letter from your hormone prescriber

12 months RLE – or real life experience. Twelve months of living in a gender role that is congruent with gender identity.

All letters must be signed by the provider and printed on letterhead. The letters can be faxed, emailed, or mailed to our office.

Guidelines for Letters

The mental health letters must include:

  • Patient’s legal and preferred name
  • Patient date of birth
  • Age of majority in a given country (18 years of age in US)
  • Date provider/patient relationship began and frequency of contact
  • That patient has the capacity to make fully informed decisions and consent to treatment.
  • 12 months continuous real life experience.
  • That patient has been diagnosed with Gender Identity Disorder/Gender Dysphoria and exhibits all of the following:
    • The desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment; and
    • The transsexual identity has been present persistently for at least two years; and
    • The disorder is not a symptom of another mental disorder; and
    • The disorder causes clinically significant distress or impairment in social, occupational, or other important areas of functioning;
  • If the patient has significant medical or mental health issues present, they must be reasonably well controlled.

The HRT or hormone prescribing doctors letter must include:

  • Patient’s legal and preferred name
  • Patient date of birth
  • Date provider/patient relationship began and frequency of contact
  • Date hormone therapy began
  • That the patient has been undergone a minimum of 12 continuous months of hormone replacement therapy
  • That hormone therapy is specifically for the treatment of GID/Gender Dysphoria
  • If the patient has a contraindication to hormone therapy please have the provide note this.

***Please note all letters must be signed by the provider and printed on letterhead. The letters can be faxed, emailed, or mailed to our office.