Requirements for genital reconstructive surgery i. Gender-specific services may be medically necessary for transgender persons appropriate to their anatomy. Examples include:. This condition may cause clinically significant distress or impairment in social, occupational or other important areas of functioning.
Gender Reassignment Surgery - Medical Clinical Policy Bulletins | Aetna
By Trans Health Editors. The program is unique in that it is only one of two in the United States, and is the only fellowship training offered at an academic medical center in Philadelphia. Under the direction of Kathy L. Fellows will be trained on the practice and principles of transgender surgery and will be involved in all major reconstructive cases, including pre- and post-operative care management of patients.
Do you have any questions? Check our F. In the first approach, a therapist works with the patient and through this process concludes with the patient that surgery is the next reasonable step for transition. While the most recent standards of care from WPATH does not require a letter for top surgery, the standards do require letters for certain type of surgery such as genital reassignment surgery. The second approach views top surgery as similar to other types of reconstructive surgery.
Sex reassignment therapy is the medical aspect of gender transitioning , that is, modifying one's characteristics to better suit one's gender identity. It can consist of hormone therapy to modify secondary sex characteristics , sex reassignment surgery to alter primary sex characteristics , and other procedures altering appearance, including permanent hair removal for trans women. In appropriately evaluated cases of severe gender dysphoria , sex reassignment therapy is often the best when standards of care are followed.