I help you with gender dysphoria assessments and surgery letters, written to get you to surgery, not stuck in paperwork.
-Troy Johnson, LCSW
$190 · 72 HOURS · ACCEPTED NATIONWIDE
I help you with gender dysphoria assessments and surgery letters, written to get you to surgery, not stuck in paperwork.
-Troy Johnson, LCSW
$190 · 72 Hour Turnaround · Accepted Nationwide
“Troy, you are a lifesaver. Thanks to your letter, my top surgery was approved on the first try. Your words felt like mine, and I finally feel seen. I’m beyond grateful for how easy you made this process.”
“Troy, thank you so much for giving me the courage to move forward. Your letter for my bottom surgery captured every part of my story. The doctor said it was one of the best-written recommendations they’d seen. I got my date and I can’t thank you enough!”
“Hey Troy, you crushed it. I was super nervous about getting my facial surgery, but you captured my journey perfectly. My surgeon even commented on how thorough the letter was. Honestly, I’m just in awe and so thankful.”
A few quick questions to get you started. No barriers, no red tape — just a clear path to the letter you're here for.
The process differs slightly for minors.
For minors, guardian consent and participation are required.
You're a fit. Here's how simple this is.
You're a fit
Your letter is waiting on you.
A few good places to go from here:
Either way, we'll be right here when you're ready.
For folks under 18, we'll need a parent or guardian involved — they'll join you on the video call. If that's something you can work out, we'd love to meet with you both. Otherwise, we'll be ready to help you on your 18th birthday.
In the meantime, if you need someone to talk to — The Trevor Project is there 24/7 with trans and queer-affirming support.
We're structured as streamlined private pay because of volume — we write a lot of these letters, and insurance verification, claims, and denials just can't move at our speed. But you have options.
So, if you want more time to explore options, just know that our door is always open if you need us.
Surgical teams rarely send letters back for revisions.
Letter delivered within 3 business days of video call.
Clear, defensible documentation that gets you where you're already headed.
Book and pay. Secured immediately. No referrals.
Detailed online intake, brief video confirmation.
Within 72 hours. Often same day.
365 days of included revisions.
THE QUEER TALK WAY
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.
START HERE
WPATH-ALIGNED | CLINICIAN -AUTHORED
CONTACT
307 N. Michigan Ave
Suite 824
Chicago, IL 60601
(773) 875-0928
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