Chest Surgery

Chest Masculinizing Surgery

Plastic surgeons at Michigan Medicine are proud to provide mastectomy and chest reconstruction surgery. To access this service, refer to the process below:

  • Fill out and return the Service Inquiry Form for CGSP
  • Meet with a fully licensed mental health clinician who is knowledgeable about gender identity, and who is able and willing to write a letter of support for this surgery. Contact us if you need a referral to such a clinician. Please note that it is the policy of CGSP at Michigan Medicine that people meet with a therapist face-to-face, live, in person. Phone and/or Skype visits are insufficient. If this poses a problem for you, please contact us to discuss.
  • Ensure that your therapist sends a letter of support for mastectomy and chest reconstruction to: CGSP, 2025 Traverwood Dr., Ann Arbor, MI 48105. The letter may also be faxed to 734-998-2152. The letter must come directly from the therapist to CGSP via mail or fax. If your therapist does not have experience writing letters of support for medical intervention for transgender people, please encourage your therapist to contact us before writing the letter.
  • What to Expect: Mastectomy and Chest Reconstruction at Michigan Medicine.

The following insurance providers have a policy that requires people with these insurance plans to obtain a 2nd referral letter from a licensed mental health clinician before they will grant insurance coverage for mastectomy. If your insurance plan is one of the insurance providers listed below, you must obtain a 2nd referral letter for mastectomy before CGSP can refer you to Plastic Surgery.

  • Molina
  • Blue Care Network
  • Blue Cross Complete (BCN Medicaid)
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Alabama
  • Blue Cross Blue Shield of Florida
  • Blue Cross Blue Shield of North Carolina
  • Blue Cross Blue Shield Federal Employees Program
  • and potentially other providers

Breast Augmentation Surgery

Plastic surgeons at Michigan Medicine are proud to provide breast augmentation surgery. To access this surgery, refer to the process below:

  • Fill out and return the Service Inquiry Form for CGSP
  • Meet with a fully licensed mental health clinician who is knowledgeable about gender identity, and who is able and willing to write a letter of support for breast augmentation surgery. Contact us if you need a referral to such a clinician. Please note that it is the policy of CGSP at Michigan Medicine that patients meet with a therapist face-to-face, live, in person. Phone and/or Skype visits are insufficient. If this poses a problem for you, please contact us to discuss.
  • Ensure that your therapist sends a letter of support for breast augmentation to: CGSP, 2025 Traverwood Dr., Ann Arbor, MI 48105. The letter may also be faxed to 734-998-2152. The letter must come directly from the therapist to CGSP via mail or fax. If your therapist does not have experience writing letters of support for medical intervention for transgender people, please encourage your therapist to contact us before writing the letter.

Please note that breast augmentation surgery is not currently covered by insurance. Both the consultation with a plastic surgeon and the surgery are self-pay.

Please note that before you can schedule your consultation appointment with Plastic Surgery, you will need to be completely smoke-free and nicotine-free for at least 2 months. We cannot schedule your consultation appointment if you smoke or vape any substance or use/consume any nicotine-containing products.