Letter of Recommendation for the FTM Top Surgery® Procedure

Form Template

When undergoing gender reassignment surgery, it must be a top priority that the patient feels comfortable with the surgeon who will be performing the procedure.

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That is why a letter of recommendation or referral is required for the FTM Top Surgery® Procedure (Female to Male Gender Reassignment Chest Surgery).

You may also have the Letter of Recommendation for the FTM Top Surgery® Procedure app completed by your Physician or Therapist, to serve as a letter of recommendation for your chest surgery. This letter follows WPATH and Informed Consent guidelines. The organization and completeness of these letters provide an important degree of assurance that the mental health professional or primary care physician is knowledgeable and competent concerning gender identity disorders.

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