Gender-Affirming Surgery Letters in Philadelphia
If you're preparing for gender affirming surgery, obtaining a mental health support letter can feel like one more barrier in an already complex process. This service is designed to make that step clear, respectful, and affirming, without unnecessary gatekeeping. I provide gender affirming surgery letters that meet the standards outlined by the World Professional Association for Transgender Health (WPATH), with a focus on accessibility, collaboration, and clinical integrity. We can meet by telehealth anywhere in Pennsylvania or in person in Bala Cynwyd, just outside Philadelphia.
Who This Is For
This service is for:
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Transgender, nonbinary, and gender-expansive individuals
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People seeking top surgery, bottom surgery, or other gender affirming procedures
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Individuals needing documentation for surgeons or insurance approval
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Clients looking for a straightforward, affirming, and efficient process
What to Expect
1. Initial Consultation
We will meet (typically via telehealth) to discuss your goals, history, and surgical plans.
2. Assessment
This is a structured but conversational evaluation to ensure your letter meets WPATH standards.
3. Letter Completion
Your letter is typically completed within a short timeframe after our session(s), depending on complexity and requirements.
What Is a Gender Affirming Surgery Letter?
A gender affirming surgery letter (sometimes called a WPATH letter) is a clinical document written by a licensed mental health professional. It confirms that:
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You meet criteria for gender dysphoria (if required by your surgeon or insurance)
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You have the capacity to provide informed consent
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Any mental health concerns are reasonably well-managed
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Surgery is an appropriate and supported step in your care
Under the WPATH Standards of Care, Version 8, most surgeries need one letter, but some surgeons and insurers still ask for two. I can help you check what yours requires.
Surgery Letter FAQ
How many letters do I need?
Under the WPATH Standards of Care, Version 8, most surgeries need one letter from a qualified mental health professional. Some surgeons and insurers still ask for two, so it's worth checking their requirements.
Do I need to be in ongoing therapy to get a letter?
No. Ongoing therapy isn't required. We'll meet for an assessment, and you're welcome to continue therapy if it would help, but it isn't a condition of getting your letter.
Can we do this by telehealth?
Yes. Most letter assessments happen by telehealth for clients anywhere in Pennsylvania, and in-person sessions are available in Bala Cynwyd.
How long does it take to get my letter?
Most letters are completed shortly after the assessment. If you already have a surgery date, let me know so we can plan around it.
What should I bring?
Any requirements from your surgeon or insurer, and the name of the procedure you're planning. That helps me make sure your letter includes what they need.
Is there a fee for the assessment or letter?
No. The assessment and your letter are free of charge, including any updated letter your surgeon or insurer asks for.
How do I get started?
Book a free consultation using the form below. We'll talk about your surgery plans and the next steps.
