Glad ya got it in writing... I was pretty sure you didn't HAVE to be on HRT, let alone a year, before you could get top surgery.  There are still too many in the medical world who, for whatever reasons, feel the need to put their own [biased] spin on when and how a person can transition.

-Mike

Well now I have proof, and these are from the worldwide transgender surgery guide pages. There's no way they can say they dont apply in my state. It's WORLD WIDE. So....they can bite me XD although I'd still have to have a letter from a Gender therapist before I can do it, which is reasonable I guess. So I'm waiting to hear from the insurance people to see if I was accepted for insurance, then I'll contact a Gender Therapist and start talking to them about transition. If they approve it, all I'll have left to do is earn the money.

Still have the whole gofundme thing running but I dont see it going too too far. The little bit in it does help like crazy, but I still have a good 8k to earn lol. We'll get there!

Warren

Yaaay! Congratulations! I still pull out my letter and read it from time to time x)

I wonder about some of the therapist out there who are similar to the one giving you a hard time. Common sense dictates what you have already learned, no need to be on hormones. Seems the only reason someone could possibly find a reason would be similar to male to female which would be crazy to even think this in the first place.

I looked at a surgeon's requirements, nothing on hormones, looked at an insurance company requirements, nothing about hormones. 

The general requirements in a nutshell

• Single letter of referral from a qualified mental health professional
• Persistent, well-documented gender dysphoria
• Capacity to make a fully informed decision and to consent for treatment
• Age of majority (18 years of age or older)
• If significant medical or mental health concerns are present, they must be reasonably well controlled.

Congratulations on getting your letter, Warren!

(And that's great that the dog is feeling better, too!)