where do i need to get SRS recommendation from?

[Nina Podolskaya]

from therapist？i'm confused 

[Ms Grace]

Not all therapists have much of a clue about that kind of thing. A lot of it will also depend on where you live, whether you are willing to travel overseas and how much you can pay etc.

[Cindy]

The usual process is to see a therapist who clears you to take hormones. A doctor looks after the hormones. After about a year of living as your defined gender in public you get approval for surgery, if you want it. Many girls don't.
Ther are surgeons in many countries who specialise in the procedure. The reputable ones want approval from your therapist that surgery will work for you.

Surgery takes about two weeks, then you have to use dialators for many months and years to maintain your vagina.

It is quite a long process and can be very expensive if your country doesn't have health procedures in place for transgender people.

[mrs izzy]

Ditto of what Cindy and Ms Grace said.

It's a very long process and in the end a very high maintenance after care.

[AnonyMs]

A good starting place for infomation is the WPATH Standards of Care. You can download the current version, 7, for free as a pdf from their website. The actual details of what you need to do will vary depending on where you are. Its worth reading carefully.

http://www.wpath.org/

Also the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders 5th edition) has some very useful information. Not so easy to download it, but you can probably find extracts of it copied into blogs and such. Or you could buy it I suppose.

[Nina Podolskaya]

The usual process is to see a therapist who clears you to take hormones. A doctor looks after the hormones. After about a year of living as your defined gender in public you get approval for surgery, if you want it. Many girls don't.
Ther are surgeons in many countries who specialise in the procedure. The reputable ones want approval from your therapist that surgery will work for you.

Surgery takes about two weeks, then you have to use dialators for many months and years to maintain your vagina.

It is quite a long process and can be very expensive if your country doesn't have health procedures in place for transgender people.

what if i'm taking hormones by myself? i'm in nyc btw.

[Cindy]

Get medical advice ASAP, self medication can kill you quite quickly. HRT is dangerous and needs medical supervision

[Alexis2107]

what if i'm taking hormones by myself? i'm in nyc btw.

Yeah you need to get this checked by a doctor, you don't want to hurt yourself.  Secondly, generally, you'll need two letters of recommendations from two different therapist, living as a woman for a year, taking HRT for a year and of course the means to pay for it.  Good luck

[Nina Podolskaya]

Yeah you need to get this checked by a doctor, you don't want to hurt yourself.  Secondly, generally, you'll need two letters of recommendations from two different therapist, living as a woman for a year, taking HRT for a year and of course the means to pay for it.  Good luck

i'd like to but thing is i'm working 6 days a week, i can barely even meet therapist/doctor in person, i can only go for online

[Cindy]

Yeah you need to get this checked by a doctor, you don't want to hurt yourself.  Secondly, generally, you'll need two letters of recommendations from two different therapist, living as a woman for a year, taking HRT for a year and of course the means to pay for it.  Good luck

i'd like to but thing is i'm working 6 days a week, i can barely even meet therapist/doctor in person, i can only go for online

This is not an easy journey. Lets be practical, you won't get SRS without recommendations from a therapist, so you have to find a way to see one.

[Jessica Merriman]

i'd like to but thing is i'm working 6 days a week, i can barely even meet therapist/doctor in person, i can only go for online

Please don't take this as anything other than concern, but you are playing a very dangerous game. Transition is not something you can do without support and proper medical care. As a Paramedic I know first hand how dangerous hormones are. I have run calls on cis girls as young as 17 who have suffered strokes on birth control pills. A majority are disabled for life with partial or complete paralysis. Listen to my experience and do this the correct way before you injure yourself. I know you will probably not listen, but you have been warned by someone who knows.

[ImagineKate]

i'd like to but thing is i'm working 6 days a week, i can barely even meet therapist/doctor in person, i can only go for online

If you are in NYC you can do informed consent. Callen Lorde and Beth Israel LGBT center are two that I know of. It gets you monitored and with a prescription it lowers your cost since you can buy from the pharmacy instead of online sources which may be questionable or dry up at a moments notice.

Self medding may bring you instant gratification but to me it's a road to nowhere.

Also if you go to one of the above they can help you find a therapist who will give you letters for surgery.

[Nina Podolskaya]

If you are in NYC you can do informed consent. Callen Lorde and Beth Israel LGBT center are two that I know of. It gets you monitored and with a prescription it lowers your cost since you can buy from the pharmacy instead of online sources which may be questionable or dry up at a moments notice.

Self medding may bring you instant gratification but to me it's a road to nowhere.

Also if you go to one of the above they can help you find a therapist who will give you letters for surgery.

how long does it take？

[Cindy]

Once you have a therapist you need 12 months RLE before you get the letters, if you can prove you are already FT that can be adjusted