• Fill out and return the Service Inquiry Form for CGSP

• You will need 1 or 2 referral letters from licensed mental health care providers that address the WPATH Standards of Care guidelines. The number of referral letters you need to get depends on the requirements of your insurance provider. Contact us if you need a referral to such a clinician. 

• With some insurers, you are more likely to get surgery approval if you've been using HRT for at least 12 consecutive months before surgery. Your referral letters need to include the approximate month and year that you started HRT. If you cannot or don’t wish to take HRT, your referral letter will need to provide information on why HRT is not appropriate for you. 

• Ensure that your therapist sends a letter of support for this surgery to CGSP. Your therapist can email, fax, or mail your letter. 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 before your consultation appointment with Plastic Surgery, you will need to be completely smoke-free and nicotine-free for at least one month. A nicotine test will be given before scheduling surgery. We cannot schedule your surgery if you smoke or vape any substance or use/consume any nicotine-containing products.