A surgical referral assessment (SRS) letter is a document that most insurance companies and surgeons require from a licensed therapist to confirm medical necessity for gender-affirming surgical procedures. Further, the letter confirms the patient understands the risks, benefits, and irreversible nature of the procedure. It fulfills a practical requirement while reflecting the collaborative care between you and your therapist. In addition to providing a therapist letter for gender-affirming surgery, your therapist offers valuable support throughout your transition, helping you work through the emotional and psychological aspects both before and after surgery.
Process of the Therapist Letter for Gender-Affirming Surgery
- Find an Experienced Therapist: Seek a licensed therapist who offers gender-affirming care, such as Aly Giermann, LCSW.
- Schedule an Initial Appointment: Meet with your therapist to discuss your goals, medical history, and transition journey so far.
- Participate in an Assessment: Your therapist will conduct a psychosocial evaluation to assess your readiness for surgery and ensure you can provide informed consent.
- Understand the Criteria: Your therapist will help you understand the risks, benefits, and irreversible nature of surgery.
- Collaborate on the Letter: Once the assessment is complete, your therapist will draft the letter. They may share it with you to ensure it meets your needs and any specific requirements from your surgeon or insurance.
- Submit the Letter: Provide the finalized letter to your surgeon and/or insurance company as part of the pre-surgical approval process.
- Maintain Ongoing Support: Your therapist is there to guide you before and after surgery, offering emotional and psychological support throughout your journey.
Taylor’s Journey Through Gender-Affirming Care
When Taylor reached their mid-twenties, they knew it was time to take the next step in their transition and began the process of obtaining a surgical referral assessment (SRS) letter. During their initial appointment, Taylor shared their journey with their therapist, talking about how they’d navigated their identity and what surgery would mean to them.
Taylor’s therapist explained the process and began an assessment. Together, they explored Taylor’s readiness for surgery over several sessions, and the therapist was able to ensure that Taylor had a clear understanding of the risks, benefits, and permanent nature of the procedure. The therapist also provided space for Taylor to process the emotional aspects of this life-changing step.
After the assessment, the therapist drafted the letter in accordance with the requirements Taylor’s insurance company and surgeon outlined. Taylor felt relieved knowing they had a clear path ahead and professional support for every step. They continued to work with their therapist leading up to the surgery and for a year after to help navigate a significant life change. Taylor moved forward as their authentic self with a renewed sense of purpose and well-being.
Meet Aly Giermann, Your Gender-Affirming Therapist
Specializing in LGBTQ+ affirming care, Aly Giermann, LCSW, assists clients in navigating living as their true selves. Aly provides letters for gender-affirming surgery, supporting clients with a strengths-based approach to feel empowered and prepared. Whether exploring identity, addressing fears, or undergoing life transitions, Aly creates a safe space to help you navigate it all.
To learn more about working together, please call our Intake Coordinator at 949-236-1990 or at intakes@lisaeatontherapy.com, or learn more at our Get Started Page.