I can't believe it but I'm finally going for my SRS in April 2015. I had a long chat with my therapist and with the surgeon and they agree, that for me, an SRS first followed some 6 months later, an FFS. The reasoning is that when April 2015 comes I will have been on HRT for just over 2 year and that while I'm ready mentally for this that the face is still changing and its best to let the HRT work as long as possible before FFS. I'm wondering if others have chosen this option.

I think it is a great way to go,
it was my plan before I found out I could not take hormones

That's my plan as well and endorsed by my therapist because of prior expression of self-harm impulses mostly driven by body dysphoria. It helps that my face isn't horrible for an older woman either so I can ride that til I can smooth over the male rough spots.

Yes Liz that was also part of the therapist's reasons, though I don't think I would go down that road. Its a technical reason so that we can get it done without hassle but the rules are so stupid and I don't mind that approach.

Forgot to mention that in Feb 2014 WPath had a complete change in their requirements and that RLE was no longer required. Its on page 9 for those interested.

Quote from: warlockmaker on November 19, 2014, 12:13:39 AM
Forgot to mention that in Feb 2014 WPath had a complete change in their requirements and that RLE was no longer required. Its on page 9 for those interested.

I'm not entirely sure what you mean by this, but I thought that perhaps it might mean SRS without RLE (hard to imagine) so I tried to investigate more. Do you have a link? The WPATH SOC doesn't have any requirements for FFS (version 7, page 27).

I found a WPATH document from May 2014 (wrong date), "License to Be Yourself"

http://www.wpath.org/uploaded_files/140/files/license-to-be-yourself-20140501.pdf

Its the wrong publication date, but on page 9 it does say something similar.
   
    Ideally, progressive laws and policies will not: Require living continuously or permanently in one's gender identity

But I'm pretty sure this is referring to legal recognition of gender rather than anything else.

I discussed this with the surgeon who was at the conference in Bangkok and with my therapist. If it applies to legal recognition then it naturally also applies to the medical profession, for the latter it is an ethics  issue. It always require the surgeon to accept and I did meet with his therapist who expressed that she does it on maturity and stable mental state. I'm 50 so I'm mature..... . Let me see if I can find an appropiate website.