---
title: "Gender-Affirming Care: The Role of Letters of Readiness in Gender Affirmation Surgery"
description: "Gender-Affirming Care: The Role of Letters of Readiness in Gender Affirmation Surgery   By Micah Hoffman, MD, DABPN, FAPA, AllMed Behavioral Health Medical Director   Treating members with gender dysphoria calls for a carefully considered, multi-step process. Through such an approach, many transsexual, transgender, and gender non-conforming individuals find comfort with their gender identity without…"
---

[Blog | AllMed Healthcare Management ](https://allmedmd.com/blog)

# [Gender-Affirming Care: The Role of Letters of Readiness in Gender Affirmation Surgery](https://allmedmd.com/blog/thought-leadership/gender-affirming-care-letters-of-readiness)

 Written by [Admin](https://allmedmd.com/blog/author/admin) | Jun 18, 2022 9:54:01 AM

## Gender-Affirming Care: The Role of Letters of Readiness in Gender Affirmation Surgery

 

### By Micah Hoffman, MD, DABPN, FAPA,

### AllMed Behavioral Health Medical Director

 

Treating members with gender dysphoria calls for a carefully considered, multi-step process. Through such an approach, many transsexual, transgender, and gender non-conforming individuals find comfort with their gender identity without surgery. In recent decades, however, growing evidence has made it increasingly clear that for some individuals, relief from gender dysphoria cannot be achieved without modification of their primary and/or secondary sex characteristics to establish greater congruence with their gender identity.1 For these members…

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