* South africa has a very open constitution dont ask me how but i was examined by some of the head gender therapists in my country and took countless tests. i have the letter its just not valid till i go full time but i still have it and yip been on puberty blockers since feb and e since june. *
1) The "open constitution" has nothing at all to do with any of that, sorry. Recall, WAPTH is internationally recognised by surgeons.
2) * by some of the head gender therapists * ? Really, please don't tell that was Dr. Franco Colin, psychiatrist in Pretoria!
Then you do use the plural... there is only that one!
He the ONLY gatekeeper for Steve Biko Academic Hospital gender-clinic.
There was Dr. Levinson, now long retired who was gatekeeper for Dr. Ladas who has not done any SRS for over 10 years. He decided to stop. Had too may problems. What you relate sounds not right to me at all.
Also, Colin INSISTS on 1 year with him on RLE, R450-00 for 15min. First consultation R 980 for 50min. Must see at least every month, and he does NOT prescribe HRT at all.
Have no idea who you where seeing... to call some of the head gender therapists...
3) You may have gotten AA but not really E.
Dr. Colin is not usurped by ANY psychiatrists! They all scared to touch that "hot iron" GRS. There were plenty issues with come backs not so long ago.
4) Lastly there is Prof. Lindeque, head of gynaecology at Steve Biko. AND I KNOW FIRST HAND HE DOES NOT ACCEPT ANY OTHER "LETTERS" FROM ANY OTHER THEN DR. COLIN.
So.... I don't know what your "letter" has cost you, but even if you take it to Thailand they will not very likely except it under the current given circumstances. My best guess.
If that sounds like a "dumper" for you right now, you BETTER do your full time 1 year RLE and HRT lest you be disappointed later on. Just my take, there are REASONS.
I know we are all impatient (include me) but I accept there are good reasons to follow WAPTH "rules/guidelines".
And BTW, SA follows very closely what is done in the UK, it has nothing to do with our constitution.
So don't mess with your health all I shall say.
Axelle