Gender reassignment surgery (FAQ) therapy letters

Dr. Reed, What should a therapy letter for gender reassignment surgery state?  Mattie

Dear Mattie,

You will need 2 letters of therapy clearance, and at least one of
the therapists must have a doctoral degree.

If need be, we can arrange for therapy evaluation in the
greater Miami area.  Some of our therapists can evaluate you over the phone using

1. The letter should be written on a professional letterhead.

2. In the first paragraph, the therapist should
introduce himself/herself and provide some
background about his/her training, etc.

3. That the likelihood of patient remorse or
regret having had surgery is extremely low or remote.

4. That the patient is mentally/emotionally stable

5. Towards the end of the letter the therapist
has to say (words to this effect) I recommend, I
endorse, I approve, “Katelyn” would be
an excellent candidate for feminzing vaginoplasty
or orchiectomy. (not intersex surgery) . Not
“Katelyn” has a good head on her shoulders, she knows
what to do. That the procedure is medically necessary.

6. At least one letter has to be written by a therapist with a doctoral degree.

7. One letter is a comprehensive letter which
details your psychological background, pertinent
medical history , any adjustment problems, etc.

8. The second letter is a letter of concurrence (more simple).

9. Lastly, the therapist or psychiatrist has to
say, I would welcome a call from Dr. Reed, if
there are any questions or concerns.

If you have difficulty obtaining such letters we
have a list of therapists in Florida all with
doctoral degrees, and you can confer with them
and check out fees, etc. They do the evaluation
and write such letters routinely.

Hoping this is of help. Please feel free to call
me at any time if I may be of more service.

We have availabilities for orchiectomy almost every week.

After reading the attached, if you believe I am the doctor for you, please
initiate a consultation over the phone with our office by sending us your name,
address, and telephone number in an envelope along with a check for 250.    We’ll get started ASAP.  We’ll have a lot to talk about.

With best wishes for a
complete fulfillment of your goals,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine, full member
World Professional Association for Transgender Health


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