Depending on how insurance
Depending on how insurance, health care, and policy work in your country, you will likely need "clearance" for gender confirmation surgery. Typically that involves consultations with a therapist who specializes in transgender issues, in which you'll discuss the risks and benefits of surgery and talk about your relationship with gender. Some insurance companies or national health plans require a diagnosis of "gender dysphoria" or "gender identity disorder" before they will cover your surgery..
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