I'm a transwoman and I was wondering if I need a doctor's letter to get vaginoplasty for reassignment surgery?

Doctor Answers 2

Therapist letters are required before vaginoplasty for reassignment surgery

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The international standard is two letters from mental health providers.  THis is mostly to protect the patient from the potential of making a decisin they regret.  I hope this helps!


All the best,


Rian A. Maercks M.D.

Letter of recommendation for vaginoplasty

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In order to have a vaginoplasty, you would need two separate letters of recommendation from your therapists prior to surgery.  One of these should be from a therapist who has a doctorate degree.  You may also need a letter of medical clearance from your primary care physician.  Best wishes. 

Josef Hadeed, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 11 reviews

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