Gender Confirmation Surgery
Male-to-Female and Female-to-Male Surgery
Notice: Adult ContentThe Gender Confirmation Surgery pages contain pictures that are not work safe and are considered 'adult' in nature. By continuing you acknowledge that you understand the pictures will be of pre and post-op genitals.
Letters for SurgeryPapillon Center follows the World Professional Association for Transgender Health (WPATH) guidelines for transgender surgery. For major transgender surgery, letters of recommendation are required by Papillon Center before the operation. These letters can be from: psychologists, therapists, psychiatrists, sexologists or counselors that have been in regular contact with you. On-going therapy and support is preferable both before and after surgery.
Papillon Center can assist you acquiring these letters, please visit our Counseling section for access to our selection of local counselers.
Please see Therapy Letter Requirements for an in-depth overview of surgery recommendation letter requirements.