Criteria for Male to Female Gender Affirming Surgery at Yale Urology

  1. Dressing continuously for one year as the gender to which you wish to transition.
  2. Continuous hormone therapy for at least one year.
  3. One letter from a mental health professional with experience in transgender care. The letter must include details of your transition such as your understanding of the irreversibility of the procedure, a good support system, and a comprehension of the consequences of the procedure. (See “What’s in a Letter” packet from our office.) For Medicaid patients, two mental health letters, including one from a psychiatrist or psychologist, are required per their protocol.
  4. No medical or surgical contraindications to surgery.
  5. Evidence of a good support system for healthy preoperative, perioperative, and postoperative care.
  6. Minimum age of 18 years old.
  7. Approval by Gender Affirming Surgery Panel based on the above criteria.