I first spoke to my GP about it and he referred me to a urologist surgeon that a couple of his clients went to for other things.
After speaking to the surgeon he told me I need a psych referral letter so I made a appointment with my psych and talked about why I wanted the orchi and the pros & cons and she gave me a referral letter,
I also spoke to my endo about it as well, he went thought the pros & cons of the surgery and why I wanted it and he gave me a letter saying he doesnt have a problem with me having to done and them gave me a letter stating how long Ive been on hrt and other info,
I then made another referral for the urologist surgeon with the two letters in hand and he them put booked me in for the surgery .
Cheers Tracy