SRS Male to Female Promotion

Dear Dr. Reed,  Need a reasonable fee for vaginoplasty surgery.  I have heard good things about your office from my therapist in Texas.  Who should I speak  with, and what should my therapist say?


Dear Marilyn,

Anne our amiable office manager, is the maker of deals and the brains behind pa.

As important as her giving you a great professional discount (that’s the easy part), and we do this all the time, is to be sure you are a well qualified candidate and that you meet safe surgical standards and are cleared by 2 therapists.  One has to have a doctoral degree.  A lot of patients ask what is needed in the letter.  Answer, the letter has to be written on a professional letterhead (one of the 2 therapists needs to have a doctoral degree (could be a PhD, but has to be a licensed therapist or psychiatrist), needs to sketch in your psycho-dynamic history.  For example you have had ideation about being a woman sine age 5, and living 100% work and play as a lady for the past 4 years.  Ideally assimilate well. That you are emotionally stable, that the likelihood of remorse is very low, that you will be a happy and more productive person as a result of surgery, that the therapist recommends surgery is appropriate for you (not Marilyn has good head on her shoulders… she knows what to do), the operation is medically necessary (to be sure your insurance company is satisfied this is not just a cosmetic procedure), and lastly that I am invited to confer with your therapist as needed.

Most therapists with little prompting are starting to write this kind of a letter.  Although the wording is personal and unique to the therapist, the spirit is the same.

Please visit our web-site for before and after photos


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami

Example #1: Male to Female Transsexual SurgeryExample #2: Male to Female Transsexual Surgery

Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.3/2

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