STEPS FOR MEDICAL TRANSITION

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These resources offer information about different steps in medical transition someone may consider, including hormone therapy and surgery.

Steps for pursuing hormone therapy (sometimes referred to as hormone replacement therapy) as a person under the age of 18.

Steps for pursuing hormone therapy (sometimes referred to as hormone replacement therapy) as a person age 18 or older.

Steps for pursuing chest reconstruction (sometimes referred to as top surgery) to remove tissue in the chest.

Steps for pursuing chest reconstruction (sometimes referred to as top surgery) to increase tissue or implants in the chest.

Steps for pursuing orchiectomy (sometimes referred to as bottom surgery) to remove testicles.

Steps for pursuing hysterectomy and/or oophorectomy to remove the uterus, cervix, ovaries, and/or fallopian tubes.

Steps for pursuing vaginoplasty (sometimes referred to as bottom surgery) to create/reconstruct a vagina.

Detailed information about the vaginoplasty procedure through OHSU can be found here.

Steps for pursuing metoidioplasty ("meta") and/or phalloplasty (sometimes referred to as bottom surgery) to create/reconstruct a penis.

For people seeking support letters for gender-affirming surgeries and can't access letters using insurance or other means: Providers who have signed up for the GALAP project have pledged to provide these letters completely free of costs; check the website for more details and to find local providers who have signed up for the project.

Great guide for self-injecting hormones through the subcutaneous technique.

CREATED BY STANFORD VADEN HEALTH CENTER.

Great guide for self-injecting hormones through the intramuscular technique.

CREATED BY STANFORD VADEN HEALTH CENTER.

A comprehensive planning guide for clients pursuing gender affirming surgeries!  

All rights reserved.  All distributions must retain original formatting and author credits.  

A list of recommended surgeons in or around Portland who offer gender-affirming surgeries (also commonly known as gender confirmation surgery [GCS], sex reassignment surgery [SRS], and others). Providers are organized by type of surgery provided. 

Are Facial Feminization and Facial Electrolysis covered by OHP? No, AND - OHP has a process for addressing denials and appeals. This means that if you want to try getting FFS covered by OHP, you have to do the following:

1. Get a primary care doctor's referral to an FFS plastic surgeon or electrologist

2. The surgeon submits a request for an authorization from the insurer

3. Insurance denies it and sends you a notification.

4. Get your two letters from mental health providers that state the information in the above handout.

5. Appeal the denial first at the CCO (like CareOregon), and if that doesn't work, then you appeal at Oregon Health Authority.

 

This will NOT guarantee that your FFS will be covered; it is the only way to possibly get it covered.

If you want to know what their criteria are for considering an appeal, download the form above. Some of this information should be written in the 2 mental health letters required for this care.  Brave Space can write these letters for you.

Maximizing Healing: Supporting Surgery with Alternative Medicine is an e-book by Terry Ycasas, D.C., a chiropractor & alternative medicine provider who got top surgery in early 2020. This book offers information about Terry's pre- and post-op healing process with alternative medicine.