Reply To: Moving Beyond Psychiatric Gatekeeping for Gender-Affirming Surgery


Oof, my journey? It’s been a crazy ride 😆

I began transition in 2008. That was before Informed Consent, and gatekeeping was the norm. We had to jump through quite a few hoops to get a doctor to prescribe hormone therapy, which is why so many of my friends back then used black market meds (mostly from Mexico).

When it came to surgery, options here in the US were extremely limited. Today there are hundreds, maybe thousands of doctors performing GAS in this country. Back then, it was less than ten. (Six, I believe.) All of them followed WPATH guidelines religiously, as they were under a microscope themselves.
Eventually, I was able to get the treatments I needed, and today I’m doing much better. I haven’t fully eliminated dysphoria, but it’s become manageable.

I’m really glad you decided to share your thoughts. Thanks 🙂

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