Hey all,

I have been on hrt for about 6 months now and really getting tired of being male lol. I've found a doctor who is willing to do my breast augmentation and face feminization. They've said all I need for that is a letter from ky primary doc saying I'm healthy for it and from a shrink saying im sane. I'm just trying to find out if this is all I need.

I've found out how to change my name and gender. (Oklahoma wont give a new birth certificate) but I've found nothing leagally about face and breast work.  I know these are legal questions but I posted this here because of the second part.

What can you ladies tell me about breast work? Do you prefer saline or silicone? Do they measure you in cup sizes or CCs?

I cant wait to get these procedures done and be one step closer to being how I want.

Here is the Standards Of Care: https://www.susans.org/wiki/Standards_of_Care_for_Gender_Identity_Disorders

Here is what I believe you need:

Referral for surgery
Surgical treatments for gender dysphoria can be initiated with a referral (one or two, depending on the type of surgery) from a qualified mental health professional. The mental health professional provides documentation – in the chart and/or referral letter – of the patient's personal and treatment history, progress, and eligibility. Mental health professionals who recommend surgery share the ethical and legal responsibility for that decision with the surgeon.

    One referral from a qualified mental health professional is needed for breast/chest surgery (e.g., mastectomy, chest reconstruction, or augmentation mammoplasty).
    Two referrals – from qualified mental health professionals who have independently assessed the patient – are needed for genital surgery (i.e., hysterectomy/salpingo-oophorectomy, orchi-ectomy, genital reconstructive surgeries). If the first referral is from the patient's psychothera-pist, the second referral should be from a person who has only had an evaluative role with the patient. Two separate letters, or one letter signed by both (e.g., if practicing within the same clinic) may be sent. Each referral letter, however, is expected to cover the same topics in the areas outlined below.

The recommended content of the referral letters for surgery is as follows:

    The client's general identifying characteristics;
    Results of the client's psychosocial assessment, including any diagnoses;
    The duration of the mental health professional's relationship with the client, including the type of evaluation and therapy or counseling to date;
    An explanation that the criteria for surgery have been met, and a brief description of the clinical rationale for supporting the patient's request for surgery;
    A statement about the fact that informed consent has been obtained from the patient;
    A statement that the mental health professional is available for coordination of care and welcomes a phone call to establish this.

For providers working within a multidisciplinary specialty team, a letter may not be necessary, rather, the assessment and recommendation can be documented in the patient's chart.

Hope this helps, hugs, Devlyn

That definitely does help on the legal part of my question. Oklahomas laws are worded so....oddly its hard to understand thrm. For example you cant get a name/gender change unless you've had srs, BUT you can't get srs unless you have a name and gender change. Lol.

We have document changes covered, too: https://www.susans.org/wiki/Category:Documentation_changes

Big thanks to the Wiki Staff for gathering all this information for us! Hugs, Devlyn

Yes a big thanks to this site and its wiki. I've been om and off her for a while now and itz always a great place to learn, get advice, just socialize, or get help. Thanks for linking me to this im going to show them to my doc