The assessment process includes a structured interview, a review of records, and a clinical questionnaire. Assessments for gender-affirming surgeries typically last between 1 and 1.5 hours, depending on your individual history (any previous evaluations, reports, medical and mental health concerns, etc.). Neurodiverse Counseling follows the World Professional Association for Transgender Health (WPATH) standards which state:

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• Persistent, well-documented gender dysphoria

• Capacity to make a fully informed decision and to consent to treatment

• Be of the age of majority in the country of surgery (and follow SOC rules for children and adolescents*)

• Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery

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You will have the opportunity to meet with a therapist and discuss any concerns or questions you may have. Upon meeting all WPATH criteria, the therapist will send a letter detailing the medical necessity of gender-affirming surgery directly to your provider and/or insurance company (with a signed release of information). The letter will also be provided to you by the therapist. If your application for gender-affirming surgery is denied or rejected, the therapist will assist in writing an appeal letter.