memes

I absolutely love the doctors and health care workers that know exactly how to get around the insurance bullshit. The LGBT center I went to for all my recommendations for top surgery (letters, minimum amount of therapy, blah blah) knew the exact guidelines to get coverage and had extreme malicious compliance.

I'm not sure if this is still the case, but at the time I got surgery you needed a minimum of 2 letters from different mental health professionals and a letter from your doctor all confirming that yes, you have the trans, and surgery is both a good idea and medically necessary for you (you can see how this can be a bitch to get done if you don't do it through an LGBT center). But the guidelines don't say that you can't see both of those mental health professionals at the same time with a bunch of other trans people, so that's what they do. At the end of the 6 or so group sessions you've spent a lot of time talking about what to expect with surgery and talking with other trans people.

And honestly the group therapy format was probably WAY more helpful than wasting time/money with two therapists on a one-on-one basis while trying to figure out if they're actually going to give a letter for surgery or not.