FFS and the IRS

[Mindy More]

Can you deduct it from your gross income in the USA?  I know that hormones and SRS are now deductible in the US as of 2011/2012 if you are properly diagnosed.  FFS is arguably more important (for some) compared to SRS, which is the leading argument that it should/is exempt.
Does anyone have any experience with this?  I've read different things, but not enough to be convinced.  I'm leaning towards disclosing my current and future FFS surgery costs with my accountant to reduce my taxable income.

If someone can provide a good case for deductible status or a personal experience, I will be so STOKED!

[the bore worms]

It's a grey zone.  SRS clearly appears to be deductible whereas FFS and even breast augmentation could be considered "cosmetic."  I plan on getting letters from my psychiatrist, endo, and surgeon stating that I received these treatments as part of my ongoing treatment for "GID," or whatever they would like to call it.  I'm tempted to lump electrolysis/laser costs in there too.

I think the smartest thing to do is to document and deduct everything you can, then produce that documentation when and if they ask for it.  The worst thing that would happen is that you would be liable for the taxes you didn't pay.  The best would be that they never bother to audit you.  If they do try to make you pay, appeal and see if you can make yours the landmark case.  That's my plan.

For the record, I have no problem with paying taxes but these are legitimate medical expenses, as far as I'm concerned.

[Mindy More]

That's what I concluded also.  So nice to hear your opinion on the matter though.  I agree with your points.  We're definitely not trying to pull a fast one over on the IRS, just look out for our finances through this very expensive process of transition.  Hopefully, someone else will establish a landmark case for us in the same way that one was established for SRS.  When I have time, I'm going to compose a letter to my psychiatrist, endo and surgeon as well.  Knowing that they are willing to give you the letter is just as good as having it in hand if they are a person of their word. 

It's a grey zone.  SRS clearly appears to be deductible whereas FFS and even breast augmentation could be considered "cosmetic."  I plan on getting letters from my psychiatrist, endo, and surgeon stating that I received these treatments as part of my ongoing treatment for "GID," or whatever they would like to call it.  I'm tempted to lump electrolysis/laser costs in there too.

I think the smartest thing to do is to document and deduct everything you can, then produce that documentation when and if they ask for it.  The worst thing that would happen is that you would be liable for the taxes you didn't pay.  The best would be that they never bother to audit you.  If they do try to make you pay, appeal and see if you can make yours the landmark case.  That's my plan.

For the record, I have no problem with paying taxes but these are legitimate medical expenses, as far as I'm concerned.