I paid the quoted price on my top surgery, minus the consult fee and the $500 discount.
I haven't had bottom surgery yet, but I don't disclose to nobody. My BC is the only thing I can't have changed; my birth state won't issue a brand new BC, so I don't see the point. But I have also been told that I would need a court order to get my name changed on the BC, and I don't have one. I don't think the request is reasonable, since my state of residence allowed for a common usage name change. I was told that my current documentation (notarized name change doc and everything else under the sun) is not good enough. FU, South Carolina. I think the woman thought I was trying to pull off an identity theft. She stopped replying to my e-mails. Very unprofessional.
I wrote off everything I could think of on my 2009 tax filing. Since the top surgery was $7500 and I was also paying huge amounts for therapy, my partner and I were able to itemize for the first time ever. We claimed top surgery, therapy, mileage, T, other prescriptions and doctor co-pays, insurance premiums, new glasses, dental work, and I think some work-related expenses. Maybe also some sales tax...can't remember.
No problems whatsoever. I didn't have to specify what kinds of medical expenses they were, either. I advise you to carefully get up to speed on every single deduction that is allowable so that you can get back as much money as you can. Some people can strategically plan other expenses to coincide with that same tax year--otherwise, if you use the standard deduction, you lose out on a good opportunity. But do be aware that you can claim only a portion of your medical expenses, and the amount is based on your income.