Mental Health Evaluations and Surgery Letters for Gender-Affirming Care

If you need a mental health evaluation or support letter for gender-affirming surgery, I provide affirming, respectful pre-surgical evaluations for adults across Kansas via telehealth. I believe gender-affirming care should be approached with dignity, autonomy, and respect… not unnecessary gatekeeping. My goal is to provide a supportive evaluation process that helps meet your surgical program’s requirements while honoring your lived experience and identity. Whether you are early in your transition journey or have been pursuing gender-affirming care for years, I strive to make this process clear, collaborative, and as low-stress as possible.

Gender-Affirming Surgeries

I provide psychological evaluations and surgery readiness letters for many types of gender-affirming procedures, including:

Chest / Top Surgery

  • Bilateral mastectomy (“top surgery”)

  • Chest masculinization surgery

  • Breast augmentation / feminizing chest surgery

Genital / Bottom Surgery

  • Vaginoplasty

  • Vulvoplasty

  • Metoidioplasty

  • Phalloplasty

  • Orchiectomy

  • Hysterectomy / oophorectomy when required as part of gender-affirming care

Facial and Body Procedures

  • Facial feminization surgery (FFS)

  • Facial masculinization surgery

  • Tracheal shave

  • Body contouring procedures

  • Voice-related surgical procedures

If your surgeon requires documentation for a procedure not listed here, feel free to reach out.

My Approach to Gender-Affirming Evaluations

I aim to provide evaluations that are:

  • LGBTQIA+ affirming

  • Compliant with WPATH standards of care

  • Trans-affirming and nonjudgmental

  • Collaborative rather than adversarial

  • Trauma-informed

  • Neurodiversity-affirming

  • Respectful of your autonomy and self-knowledge

I recognize that many transgender, nonbinary, and gender-diverse individuals have experienced discrimination, pathologization, or harmful gatekeeping in healthcare settings. My goal is to offer a process that feels safer, more respectful, and clinically competent.

Gender-Affirming Surgery Evaluations in Kansas

  • Many surgeons and insurance companies require a mental health evaluation or readiness letter before approving gender-affirming surgery. These evaluations are often used to document:

    • Gender dysphoria or clinically relevant distress, when required

    • Capacity for informed consent

    • Emotional readiness for surgery

    • Understanding of surgical risks, benefits, and recovery

    • Mental health stability and support systems

    • Ability to participate in post-operative care

    These evaluations are not intended to judge whether your identity is “valid” or whether you are “trans enough.” Instead, the evaluation helps document information that many medical systems still require prior to surgery.

  • The evaluation typically includes a structured clinical interview and may include screening tools when clinically appropriate.

    During the appointment, we may discuss:

    • Your gender identity and transition history

    • Goals for surgery

    • Mental health history

    • Current coping and support systems

    • Surgical expectations and recovery planning

    After the evaluation, I prepare your letter or clinical documentation based on your surgical program’s requirements.

  • The fee for a gender-affirming surgery evaluation is $300 and includes a 100-minute (1 hour 40 minute) evaluation appointment, clinical documentation, and preparation of your surgery readiness letter.

    Because this is a specialized evaluation service rather than ongoing psychotherapy, gender-affirming surgery evaluations are not covered by insurance and are private pay only.

    Payment is due at the time of service unless other arrangements are discussed in advance.

Schedule a Gender-Affirming Surgery Psychological Evaluation

If you need a mental health evaluation or support letter for gender-affirming surgery, I would be honored to be a part of your journey.

When contacting me, please include:

  • The surgery you are pursuing

  • Your surgeon or surgical program

  • Any required forms or letter templates

  • Your timeline for surgery approval

I am happy to discuss whether this service is a good fit for your needs.

Contact Morgan Piercy, LPC