Trans, non-binary, and gender nonconforming folks are often subjected to significant barriers to access equitable and safe healthcare. For gender affirming surgeries, insurance typically requires one or more letters from a licensed mental health professional. This requirement can be incredibly difficult to meet due to the financial burden, finding a gender-affirming and trans-competent therapist, and more.

I acknowledge that this gatekeeping process is unjust, and am committed to writing gender affirming surgery letters pro bono (free stuff!). I will focus on your self-determination in this process, and hope to be a supporter on your journey. I follow the GALAP harm-reduction guide through this process and have completed continuing education in order to effectively offer this service.

This includes one 50-minute online appointment and surgery readiness assessment, along with signed surgery letter that meets World Professional Association for Transgender Health (WPATH) standards of care.

You must be physically located in the state of Washington or Texas at the time of the appointment.

Please reach out for a consultation to learn more!