"Diving into contexts"
Brownstein & Crane Surgical Services
|
Curtis Crane, M.D.
208 Pennsylvania Avenue
Suite 207
San Francisco, Ca 94107
Office: 415.625.3230
Fax: 415.625.3233
|
To Whom It
May Concern:
Mr. Guy has
been living in the male gender since June 2010, although his gender dysphoria
dates to childhood. He is a female to male transsexual. He has been
diagnosed with transsexualism, severe, 302.50 ICD 9 and Gender Identity
Disorder 302.85 DSM IVr. He has legally changed his name to reflect his
male identity and has been taking the male hormone testosterone since October
2010. Mr. Guy had a hysterectomy and bilateral oopherectomy In June 2011.
He had a chest reconstructive surgery to reflect his male identity a year
ago and is now ready to proceed with his final gender confirmation surgery,
phalloplasty.
Gender
reassignment surgery is considered medically necessary as outlined in this
excerpt from the standards of care of the World Professional Association of
Transgender Health (WPATH):
X. Surgery
Sex
Reassignment is Effective and Medically Indicated in Severe GID. In persons
diagnosed with transsexualism or profound GID, sex reassignment surgery, along
with hormone therapy and real-life experience, is a treatment that has proven to be
effective. Such a therapeutic regimen, when prescribed or recommended by qualified practitioners, is
medically indicated and medically necessary. Sex reassignment is not
“experimental”, “investigational, “elective”, “cosmetic”, or optional in any
meaningful sense. It constitutes
very
effective and appropriate treatment for transsexualism or profound GID.
Mr. Guy
meets the criteria of the WPATH Standards of Care for genital altering surgery,
which can be viewed at www.wpath.org Standards of
Care, version 7. Mr. Guy's mental health professionals indicate that he
is ready for genital surgery and can provide additional documentation of this
if needed. I have spoken with Mr. Guy many times over email and do agree
he would make a very good candidate for gender confirmation surgery. I am
meeting him in consultation early in 2013 to discuss the final surgical stage
to relieve his dysphoria.
Sincerely,
Curtis
Crane, MD
CC: Andrew Guy
