Get a simple, affirming evaluation from a licensed clinician for top surgery, bottom surgery, facial feminization (FFS), and other gender-affirming surgeries. Every WPATH-compliant letter we provide meets the latest Standards of Care (SOC-8) and DSM-5 criteria, so surgeons and insurers nationwide take it seriously.
No referrals or insurance required.
Delivered within 48 hours • $185 flat • Accepted by surgeons and insurers.
NO TRANS PATIENT SHOULD LOSE TIME ON PAPERWORK.
Every letter is written with the urgency of an advocate and the precision of clinical science. We ground your letter in DSM-5 diagnoses and WPATH SOC-8 standards, citing standardized measures (PHQ-9, WHODAS) so insurance companies nod “approved” instead of piling on red tape.
In fact, over 400 clients have sailed through surgery approvals without a hiccup, with an approval rate above 98%. This means faster sign-offs, fewer delays, and you moving forward with the care you deserve.
We tell your story, not bureaucrat speak. Each assessment spotlights your goals and identity (“top surgery”, “bottom surgery”, “facial surgery/FFS”, etc.) and validates your needs.
YOUR STEP BY STEP ROADMAP
N o gatekeeping. No pre-qualifications required. If you need a WPATH letter, you can use the secure portal to schedule your online visit. No referrals or insurance needed. Flat fee of $190 paid at booking.
In one easy video chat, you’ll talk with a queer-affirming clinician about your journey and goals. We keep it relaxed and confidential.
You’ll receive your completed letter by email (and faxed to your surgeon if needed). It covers whatever you need – e.g. DSM-5 diagnosis of gender dysphoria, mention of past gender-affirming therapy if any, and clear recommendation for your surgery.
Life changes, insurance rules change, surgeons change their minds – and we’ve got you. For 12 months after your session, you can request surgery related updates or corrections. No extra fee. We want your paperwork to age as smoothly as you.
Fast Turnaround: Most letters are finalized within a few business days, often on the same day as your appointment. We move fast so you don’t stall your transition.
Ongoing Support: You’re not alone after your letter lands. For 180 days, get free revisions or even a second-letter if needed. If insurers raise an eyebrow, we’ll help smooth things out.
Confidence & Credibility: Feel secure knowing your evaluation follows WPATH SOC-8 and DSM-5 criteria. Surgeons trust letters from licensed LCSWs, and we make sure yours hits every checkbox. When you hand it over, they see a thorough, no-nonsense assessment.
We believe gender-affirming care should be accessible, not an obstacle course. That’s why each letter is crafted to fight gatekeepers and elevate you to the front of the line.
Years of Experience
Happy Clients
Letter Acceptance Rating
NEED MORE INFORMATION?
One Session, One Outcome: If you meet basic WPATH criteria (persistent gender dysphoria, living in your identified gender, etc.), you’ll usually walk away with a letter in one visit. No endless “therapy prerequisite,” no time-wasting. This is a focused assessment, not multi-month therapy.
Therapy vs. Assessment: This appointment isn’t therapy. It is a highly focused and evidence-based assessment and documentation of your readiness for gender-affirming surgery.
Payment & Insurance: Simple flat fee of $190 at booking, done. No insurance claims, no hidden charges, no superbills. (Why? Because billing insurance slows everything down and your letter is the tool to get them on board anyway.)
Revisions & Support: Surgery plans change, or insurances add extra hoops? No sweat. For 365 days after your session, you get free updates. If a surgeon or insurer asks for more info, just send it our way and we’ll revise the letter at no extra cost.
Inclusivity: All trans and queer folks belong here. Whether you identify as transgender, non-binary, genderqueer or otherwise, if you’re seeking a gender-affirming procedure we will write you the same thorough WPATH letter. It doesn’t matter which surgeries you pursue, top surgery, bottom surgery, facial surgery (FFS), or all of the above, we’ve got your back.
Eligibility: If you’re 18 or older and preparing for gender-affirming surgery, you qualify. One focused session, one letter, no gatekeeping.
Transgender Surgery & WPATH: Remember, all insurers and providers do require a WPATH letter to sign off on gender-affirming surgery. Think of this letter as your VIP pass to procedures that align your body with your identity.
