- Dressing continuously for one year as the gender to which you wish to transition.
- Continuous hormone therapy for at least one year.
- 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.
- No medical or surgical contraindications to surgery.
- Evidence of a good support system for healthy preoperative, perioperative, and postoperative care.
- Minimum age of 18 years old.
- Approval by Gender Affirming Surgery Panel based on the above criteria.
Stanton C. Honig, MD
Dr. Honig is the clinical lead of the Gender Affirming Surgery Program at Yale Medicine Urology. He has been performing male to female gender affirming surgery for over 10 years. He is a urologic reconstructive microsurgeon and has expertise in male reproduction and sexual medicine. He has presented work relating to transgender care nationally and internationally. In addition to surgical care, he focuses on fertility preservation in this population. He is committed to this program’s mission statement of providing
comprehensive and compassionate care in a healthy and comfortable environment for the evaluation and treatment of individuals considering gender affirming surgery.