Can you get top surgery without HRT?

[Everyone]

I'm not really sure if I want HRT, because I am fairly happy with the way I look for the most part. Even though I have many feminine features, it doesn't seem significant enough of a problem for me to want to change my biological hormones. And I rarely get monthly internal bleeding, so that's not much of a concern either.
If I have a therapist note like I'm supposed to, but haven't had HRT can I still get top surgery in the US? If not, how long do you have to be on T to get top surgery? And if you quit because it's having very bad effects (like making you too emotionally unstable) will they make an exception?

[King Malachite]

You should be able to get top surgery without ever going on HRT.  I know Dr. Garramone will do your top surgery without it.  Some surgeons even require one to be off T for a couple of weeks before surgery.  I've heard that T can change the shape of your chest before surgery but unless one is really small-chested then that shouldn't be a problem.  I actually plan to have top surgery before I start hormones.

[androgynoid]

Yes, you can have top surgery without being on T. Requirements vary from surgeon to surgeon, though. My surgeon, Dr. Steinwald, will do it without even a therapist's letter.

[Everyone]

You should be able to get top surgery without ever going on HRT.  I know Dr. Garramone will do your top surgery without it.  Some surgeons even require one to be off T for a couple of weeks before surgery.  I've heard that T can change the shape of your chest before surgery but unless one is really small-chested then that shouldn't be a problem.  I actually plan to have top surgery before I start hormones.

This is so ironic. Before I saw this I contacted Dr. Garramone (he's one of my preferred doctors after seeing his work) and he said he would do it. lol But thanks for the answer. =D

[Everyone]

Yes, you can have top surgery without being on T. Requirements vary from surgeon to surgeon, though. My surgeon, Dr. Steinwald, will do it without even a therapist's letter.

Very good to know. Thanks.