Center for Gender Surgery | For Health Care Professionals

Sample letter for top surgery (chest reconstruction, breast augmentation)
Sample letter for bottom surgery (phalloplasty, metoidioplasty) 
Sample letter for bottom surgery (vaginoplasty) 
Sample second letter for surgery referral

External Resources:

WPATH Standards of Care
The LGBT Health Education Center
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People

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