Professional Gender Dysphoria Assessments for U.S. Residents. Get a simple, affirming, one-session evaluation for top surgery, bottom surgery, FFS, and more. We provide a $190 flat-fee, WPATH SOC-8 compliant letter delivered within 72 hours. Our documentation meets DSM-5 criteria so your surgery and insurance approvals move forward without delay.
Delivered within 72 hours • $190 flat fee • Accepted Nationwide
REMOVE THE BARRIERS, MOVE FORWARD
People don’t get stuck because they lack motivation. They get stuck because the process is unclear, slow, and dependent on providers who don’t understand what’s required.
This assessment is designed to remove that friction.
No waitlists. No ongoing therapy requirement. No confusion about what your surgeon or insurance needs.
One focused evaluation. One clear outcome. You move forward.
NO TRANS PATIENT SHOULD LOSE TIME ON PAPERWORK.
Over 400 clients served. 98% approval rate.
That means fewer delays, fewer resubmissions, and no back-and-forth with insurance.
Every letter is written with the urgency of an advocate and the precision of clinical documentation. We ground your letter in DSM-5 diagnoses and WPATH SOC-8 standards so surgeons and insurers can move forward without hesitation.
We tell your story, not bureaucrat speak. Each assessment clearly documents your readiness for surgery, whether you’re pursuing top surgery, vaginoplasty, phalloplasty, or FFS using language surgeons and insurers expect to see.
BUILT FOR CLIENTS ACROSS THE UNITED STATES
Clients come to this service from states where:
waitlists are months long
affirming providers are difficult to find
requirements are unclear or constantly changing
This process is designed to work regardless of where you live. Your letter is written to meet widely accepted WPATH and insurance standards, so it travels with you.
HOW THE PROCESS WORKS, START TO FINISH
Schedule and pay. Your appointment is secured immediately. No referrals. No insurance delays. Flat fee of $190.
Complete your intake and attend a brief video confirmation. This verifies identity, readiness, and your surgical goals.
Your letter is written using WPATH-aligned criteria and delivered within 72 hours. It includes DSM-5 documentation and a clear recommendation for surgery.
If anything changes, surgeon requirements, insurance language, you request an update. Covered.
WHO THIS IS FOR
This service is for you if:
You’ve been told to find a therapist locally and hit a wall.
Providers in your area have long waitlists.
You need a clear, accepted letter without months of therapy.
You want a process that is direct, structured, and actually moves you forward.
No ongoing therapy required. This is a focused clinical assessment designed for surgical readiness documentation.
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.
A Gender Dysphoria Assessment is a focused clinical evaluation used to determine readiness for gender-affirming medical care. Most commonly, it results in a formal letter required by surgeons or insurance providers. This is not ongoing therapy. It is a structured, one-time process designed to document medical necessity and support your next step.
The process is streamlined and intentional. You complete a detailed intake that captures your history, goals, and readiness. From there, we meet briefly by video to confirm identity, clarify details, and ensure everything meets current clinical and documentation standards. Your letter is then prepared and delivered securely, typically within a few business days.
Most letters are completed within 24 to 72 hours after the assessment is finalized. Timing depends on the completeness of your intake and responsiveness during the process. The goal is fast, but not rushed. The document needs to hold up clinically and administratively.
The assessment is a flat, self-pay service. Payment of $190, is required at the time of booking to secure your appointment. This service is not billed to insurance and superbills are not provided. This structure eliminates delays, third-party interference, and unnecessary gatekeeping.
Yes. Letters are written to align with current WPATH-informed standards and are widely accepted by surgeons and insurance providers. If a specific revision is requested by a surgeon or insurer, it is addressed as part of the service so your documentation meets their requirements.
Yes. This is a focused, one-time clinical assessment for surgery readiness, not ongoing therapy. Many clients use this service when local providers are unavailable, have long waitlists, or require unnecessary barriers. The goal is to document medical necessity clearly so you can move forward.
No. If you’re preparing for surgery, we’ll work with you to get the documentation you need. The process is straightforward and designed to keep things moving.
Yes. Surgeons are looking for clear, thorough documentation that follows WPATH standards and demonstrates readiness for surgery. Letters are written to meet those expectations so they can be reviewed and accepted without unnecessary back-and-forth.
Revisions are included. If your insurance provider or surgeon requests additional language or clarification, you can submit those requirements and the letter will be updated accordingly at no extra cost within the support window.
Timelines vary based on your surgeon and insurance provider, but this process removes one of the most common delays. Most letters are delivered within 72 hours, allowing you to submit documentation immediately and move forward without waiting weeks or months for an evaluation.
CONTACT
307 N. Michigan Ave
Suite 824
Chicago, IL 60601
(773) 875-0928
