In working with transgender and gender-diverse patients, I have written hundreds of letters in support of gender-affirming care such as hormone therapy or surgery. In my evaluation I will want to learn about your gender history and identity, mental and physical health history, and relevant aspects of your background and social life. I may request to speak with your other healthcare providers to ensure a thorough assessment. 

I have seen firsthand how beneficial this care can be, and I know that a strong letter in support of gender-affirming treatment and documenting its medical necessity is instrumental to receiving it.