Understanding Gender-Affirming Surgery Letters: A Compassionate Guide
"Your identity is not a mistake. Your identity is your superpower."
Rain Dove

Why We Do This Work
In a time when gender-affirming care is under attack, we stand firmly committed to protecting fundamental human rights. Gender-affirming care is life-saving care. Research consistently shows that:
- Transgender individuals face significantly higher rates of suicide and mental health challenges when denied affirming care
- Access to gender-affirming medical interventions dramatically reduces depression, anxiety, and suicidal ideation
- Supportive medical care is a critical lifeline for transgender and gender-expansive individuals
We believe healthcare is a human right. Our work is more than medical documentation—it's an act of radical compassion and social justice.
What is a WPATH Letter?
A WPATH letter is a professional document supporting your gender-affirming surgery journey. It verifies:
- Your readiness for surgery
- Understanding of the procedure
- Mental health readiness
- Informed consent
Procedures Covered
We provide supportive documentation for top surgeries, bottom surgeries, facial feminization procedures, gender-affirming chest surgeries, genital reconstruction surgeries, facial masculinization surgeries, body contouring procedures, and other gender-affirming surgical interventions.
WPATH Guidelines
The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC 8) now require:
- One letter from a qualified mental health professional
- Reduced administrative barriers
- Focus on supporting your authentic path
- Compassionate, affirming approach
Your Gender-Affirming Surgery Path:
We walk alongside you with compassion and expertise:
Simple, compassionate steps:
1. Initial Consultation: Share your story
2. Follow Up Evaluation(s): Supportive discussions
3. WPATH Letter Preparation: Personalized documentation is submitted to your medical & insurance teams for approval of surgery/procedure(s)


"Living your truth is an act of love - not just for yourself, but for everyone who needs to see it's possible."
Chaz Bono
We're here to support you, exactly as you are!
Questions? Support? Curiosity? Reach Out to Us Here: hello@forestpathpsychiatry.com