Plastic surgeons at U-M Health are proud to provide mastectomy, chest masculinization surgery, and breast reductions.To learn more, visit our Chest Surgery page.

Plastic surgeons at U-M Health are proud to provide Facial Gender Affirmation Surgery (FGAS), also known as facial feminization surgery (FFS). To learn more, visit our Facial Gender Affirmation Surgery page.

Initiating hormone therapy can affect your fertility in the future. Gender-affirming surgeries involving the reproductive system will result in infertility. If you would like to leave open the option of having biological children in the future, you may wish to consider fertility preservation.

For more information on your options for fertility preservation at Michigan Medicine, please contact:

• Erin Ellman LMSW, Fertility Preservation Coordinator, 734-232-9710 or [email protected]
• Center for Reproductive Medicine, 734-763-6295

Dermatology at U-M Health is proud to provide laser hair removal services to transgender people. To reach Dermatology, please call 734-615-0682. 

Before scheduling a hair removal consultation that’s covered by insurance or required for a vaginoplasty or phalloplasty with dermatology, you may need a letter of support on file with CGSP. 

If you are interested in other hair removal specialists who work with the transgender community, please contact us. 

U-M Health provides hormone therapy and puberty blockers as part of our gender affirming care services for patients age 19 and older.

We refer to the following clinic locations and providers within Michigan Medicine for hormone care. Please call these clinic locations directly to schedule your first appointment. You do not need a referral from a mental health care provider in order to start hormones. Call the numbers below to schedule an appointment directly.  

• Family Medicine: 734-539-5000  

  When calling the family medicine department indicate that you are looking to initiate hormone replacement therapy. 

• Endocrinology: 734-647-5871 

• Gynecology: 734-763-6295 

  Please be advised that some gynecology locations such as the Women's Clinic located in Von Voigtlander Women's Hospital, and the Von Voigtlander Women's Hospital generally, have a particular focus on “women's health” as it relates to reproduction and childbearing. We understand that not all patients wish to be in that environment, but we assure you that our doctors welcome all patients to receive care through the Women's Clinic, regardless of their gender. 

U-M Health is proud to provide hysterectomies for transgender people. To access that surgery, please contact any of the offices below and schedule an appointment for a consultation for a hysterectomy. 

For hysterectomy and/or vaginectomy (vagina removal) we do not require letters of mental health support by policy. However, most insurance companies require one or two letters of mental health support before they will authorize insurance coverage for hysterectomies and vaginectomies for gender-affirming care. You can schedule your consultation before your letter of support is sent in.  

Contact us if you need a referral to a mental health provider for a letter of support. 

The following locations and providers are available: 

Von Voigtlander Women’s Hospital – Women's Clinic 
Providers: Halley Crissman, MD, John Randolph, MD, Daphna Stroumsa, MD 
Phone number: 734-763-6295 
Address: 1540 E Hospital Dr SPC 4276 
Von Voigtlander Women’s Hospital - Floor 9 
Ann Arbor, MI 48109 

Please be advised that the Women’s Clinic located in Von Voigtlander Women’s Hospital – and the Von Voigtlander Women’s Hospital generally – have a particular focus on “women’s health” as it relates to reproduction and childbearing. We understand that not all patients wish to be in that environment, but we assure you that Drs. Stroumsa, Randolph, and Crissman welcome all patients to receive care through the Women’s Clinic, regardless of their gender identity. 

Northville Health Center – Reproductive Endocrinology Clinic 
Provider: John Randolph, MD 
Phone number: 248-305-4400 
Address: 39901 Traditions Dr, Floor 2 
Northville, MI 4816 

CGSP clinical social workers provide counseling services for transgender, gender diverse, and nonbinary people based on their availability. In the case that we are not taking on new patients you can requested to be added to our waitlist. We can also provide resources for gender affirming therapists in the community. 

Services are also provided to people questioning their gender. CGSP clinical social workers are able to conduct evaluations and write letters of support, as appropriate, depending on each individual’s unique goals. To make an appointment, please call 734-998-2150. 

Please note that CGSP at Michigan Medicine accepts support letters for medical intervention from fully licensed providers (such as a mental health therapist, psychiatrist, endocrinologist etc.) who are experienced in working with transgender patients and can assess mental health stability. 

U-M Health is proud to provide orchiectomy to transgender people. To learn more, visit our Orchiectomy page.

U-M Health is proud to provide metoidoplasty for transgender people. To learn more, please visit our Metoidioplasty page. 

Outlined below is the process of updating your electronic health record to reflect your preferred name, gender identity, pronouns, and sexual orientation. To do this you will need to have a MyUofMHealth patient portal account set up. Also outlined is the process for updating your legal name. You cannot update your legal name through the patient portal but may contact the Registration Department to do so.

Preferred Name, Gender Identity, Pronouns, & Sexual Orientation

To update your preferred name and gender identity follow these steps:

1. Log into MyUofMHealth on either your computer or mobile device.
2. Select the Your Menu option.
3. Within Your Menu, scroll to the My Record section and select Questionnaires.
4. A new window will open called Optional Questionnaires. In that window you will have five questionnaires to pick from. They are labeled Gender Identity, Preferred Name, Sexual Orientation, Poke and Procedure Plan, and Disability Accommodations.
5. Fill out as many or as few questionnaires as you would like.

Legal Name

To update your legal name, you will first need to update your legal name with your insurance provider. Once your insurance has been updated, please call the Registration Department at 734-936-4990 or 866-452-9896.

Family Medicine providers at Michigan Medicine are proud to provide primary care services to transgender, gender diverse, and nonbinary adults. If you would like a referral to a primary care who has experience with transgender people, please fill out the Service Inquiry Form or call CGSP. 

If you are a looking for a primary care provider that also can provide hormone care, call CGSP to get information on specific providers. You can find more information at the Primary Care website. 

U-M Health is proud to provide phalloplasty for transgender people. To learn more, please visit our Phalloplasty page. 

U-M Health is proud to provide vaginoplasty for transgender people. Learn more about the process on the Vaginoplasty & Vulvoplasty page.

U-M Health is proud to provide comprehensive voice care services to the transgender, gender diverse, and nonbinary community. We offer specialized therapy and vocal cord surgery to help patients communicate in a way that is more aligned with their gender identities. To learn more, visit our Voice Therapy & Surgery page.

1. Submit a Service Inquiry Form (SIQ) to CGSP. After you submit the form, you will hear back from CGSP in the method you requested in 1 to 2 weeks. You will be provided with a list of your next steps and information packets for each of the services you requested. If you requested information be sent through email, make sure that CGSP’s email address is not being filtered into your spam email box. If you requested information to be sent back through the mail add an extra 1 to 2 weeks to the time for it to be processed by CGSP and moved through the mail system.
2. Submit your letter of support from a mental health provider. The information packet you received from CGSP will include a checklist of what must be included in that letter. Depending on your insurance provider and surgery you may need two letters of support. Letters of support must be dated within a year of your surgery date. Please make sure your letter lists all the services you're interested in. You do not need an individual letter for each service if you are requesting multiple consultations. If you need assistance finding a letter writer, you can contact CGSP for resources. If you want to call CGSP to confirm we received your letter, please wait a week to do so. That will give your letter time to move through our system to a point where we can confirm we received it.
3. CGSP reviews your letter of support to make sure it includes all of the required information being requested by surgeons and insurance providers. Once CGSP has your letter, it will go through an internal review process to prepare it for insurance prior authorization. CGSP wants to make sure your letter includes all the required information. If your letter needs revisions, CGSP will contact your letter writer directly for the revisions. This process can take up to a month depending on CGSP’s capacity and the volume of letters we receive.
4. Once your letter of support is reviewed and marked as ready, CGSP will contact you about scheduling a consultation. CGSP’s first preference for contact is through your patient portal. CGSP will send you a registration email for the patient portal during your intake. If you need a new registration email sent to you, please contact CGSP. Be sure to have notifications turned on for your portal account so you do not miss a message from CGSP. If you do not have your patient portal set up, CGSP will reach out by phone using the number listed on your Service Inquiry Form.

5. After hearing from CGSP about your letter of support, call CGSP to schedule your consultation. Your wait time for consultation will depend on the specific doctor’s schedule. 

   After your consultation, the rest of the process will be handled by departments outside of CGSP. Your main point of contact will be the department performing the surgery. If you need the contact information for that department, you can contact CGSP for the number.

6. After your consultation appointment, your support letter will be submitted to your insurance provider for prior authorization. The length of time it takes for prior authorization to be approved varies by insurance provider.
7. Once prior authorization is approved, a surgery scheduler will contact you to schedule your surgery. You can generally expect to have your surgery 3 to 6 months after your consultation.