Orchiectomy, Metoidioplasty

Michigan Medicine is proud to provide orchiectomy and metoidioplasty to transgender people. To access any of those surgeries, please refer to the process below:

  • Fill out and return the Service Inquiry Form for CGSP
  • For these surgeries, two letters of support are required. Meet with two fully licensed mental health clinicians who are knowledgeable about gender identity, and who are able and willing to write a letter of support for surgery. Contact us if you need a referral to such a clinician.
  • Ensure that each mental health clinician sends a letter of support for the surgery 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 them to contact us before writing the letter. 

CGSP must receive both letters within a few months of each other, as they must both be dated within six months of the date you see the surgeon for your consultation appointment. If CGSP receives one letter but not a second letter for several months, your case will be considered “inactive.”