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Old 10-07-2014, 03:46 AM   #1
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  • Ahh, I have an out dated therapist letter, that would make it legally Without. Meaning I have to go through all the e-vals again huh? dang..feels like just yesterday, yet is been almost a decade. . Wow how time Flys... smh
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Old 10-07-2014, 05:12 AM   #2
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  • Ahh, I have an out dated therapist letter, that would make it legally Without. Meaning I have to go through all the e-vals again huh? dang..feels like just yesterday, yet is been almost a decade. . Wow how time Flys... smh
No, you don't. I just wanted to point you in the right direction.


Surgeons who don't require letters from mental health professionals is as follows:
1. Dr. Steinwald of Illinois
2. Dr. Lawton of Texas
3. Dr. Mangubat of Washington
4. Dr. Garramone of Florida (will accept letter from your Primary Care Physician)

I got my surgery done from Dr. Garramone, so I am biased in thinking he is the bomb. If you want to see some of his work, on youtube you can type in "FTM top surgery reveal with Garramone" and a crapload of videos will come up. His "letter" is now only a check off list. You only need to get your primary care physician to check off a box that says that your top surgery would be "the next step in the transition process". Meaning, he is open to working on genderqueer individuals.

Check out transbucket.com and sign up to see pictures of other people's work.

You mentioned San Francisco. Brownstein is no longer in business. Curtis Crane took over his practice. I am not in love with Crane's work, but it is ok.

I can't remember ever seeing a picture of Lawton's work, but if you want I can ask around about it. His name is familiar and I have never heard anything bad about him.

If you find a surgeon that you like that needs a "letter", let me know and I can give you the number of a guy who will Skype (or maybe it is just online), with you for 3 sessions and give you a letter at the end. Not really the way things should be done, but if you want a for sure letter in 3 sessions and are clear in wanting this surgery, that is one way to go.

Good luck and let me know if I can be of any help.
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Old 10-07-2014, 05:32 AM   #3
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Thank you very much Dapper, I appreciate your time, information and knowledge.
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Old 10-11-2014, 07:53 PM   #4
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Dapper.......I know you used Dr. Garramone but did you ever consider Dr. Melissa Johnson for your top surgery? Any thoughts about her?
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Old 10-11-2014, 08:13 PM   #5
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Koop, Linus, Sincitychains (from the old site) and myself all went to Dr. Voloshin in Newport Beach, CA. He didn't require a letter to perform my top surgery, and to my knowledge, he didn't for Koop, Linus or SCC, either.

~Theo~
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Old 10-12-2014, 07:44 AM   #6
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Dapper.......I know you used Dr. Garramone but did you ever consider Dr. Melissa Johnson for your top surgery? Any thoughts about her?
Hi, nhplowboi.

I didn't consider Melissa Johnson because I knew that I wanted Garramone.

This youtube video is from a guy who went to Melissa Johnson. He is the only person I know that has had surgery with her. He is a very known youtube FTM and is very friendly. I am confident that he would be open to a dialogue about this experience. Additionally, he knows a lot of people as he does speaking and such. He would certainly know of others who have used her and could give you their thoughts. [nomedia="http://www.youtube.com/watch?v=lD6wgua2lR8"]FTM Top Surgery - 3.5 Years post-op showing! - YouTube[/nomedia]

I can tell you that I haven't heard anything bad about her, but I don't think that she is used very often. I believe that Skylar (the guy in the video), went to her because she was close to his home. He was in college at the time and parents helped him with his transition (he got it done when he was on a school break).
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Old 10-12-2014, 08:53 PM   #7
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Wow, y'all just got me started wondering just how long my SRS letter is going to be good for. I got it back in the first part of 2013. Right now, I don't have the funds to be able to pay for any surgeries, but still, this sort of thing is nice to know, ahead of time.
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Old 10-13-2014, 07:13 AM   #8
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Dapper.....thanks for the quick response. I agree Dr. Garramone seems to have the best reputation for top surgery on the East Coast. I like how informational and up front he is about pricing on his web site. I was just thinking if I could easily commute for the surgery, it would save on the additional expenses of flight, time away from home, rooms, meals, etc.. I'll reach out to Skylar for his thoughts. Thanks again for the info. KC
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Old 10-13-2014, 07:41 AM   #9
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Wow, y'all just got me started wondering just how long my SRS letter is going to be good for. I got it back in the first part of 2013. Right now, I don't have the funds to be able to pay for any surgeries, but still, this sort of thing is nice to know, ahead of time.
I can't imagine that if you have continued with HRT treatment that a surgeon would have an issue with any length of time, really. If so, perhaps when the time comes you could contact the therapist who wrote the letter and have a quick "re-evaluation", where they would "resign" their first letter?

Just a thought.
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