Surgery support.
Our specialism is hormones, not operations. We can't issue formal surgical referrals, but we can write supporting letters, manage your hormones around procedures, and recommend trusted UK private surgeons.
What we can do
Three ways we support your surgery.
Letters of support
If you've been seen by us in the last 2 years
We can draft a letter confirming your time on hormone therapy and the team's clinical backing for surgery. Some surgeons accept this as supplementary evidence; many require a psychiatrist referral as the primary one. Always check with your surgeon first.
Hormone management
Pause and restart around your op
Surgeons differ on hormone protocols: some pause oral oestrogen 2 weeks pre-op, others allow gels and patches throughout. Tell us your surgery date early; we align bloods, prescriptions, and post-op restart timing.
Private surgeon recommendations
UK names we know and trust
With NHS waits of 4-7 years, many patients self-fund. We can email a list of well-reviewed UK surgeons. Names like Mr Neale Watson (hysterectomies for transmasculine patients) come up regularly. We don't take fees from them.
Important to know
Why we can't issue formal surgical referrals.
Most surgeons require formal referrals from an HCPC-registered psychologist or GMC-registered psychiatrist, typically the same clinician who wrote your gender-dysphoria diagnosis letter. As a nurse-led service, our letters are accepted as supporting evidence in many cases but not as the primary referral.
Often the original hormone-therapy diagnosis is sufficient for surgery, especially if your surgeon doesn't require specific wording. If they do, a brief follow-up review with the clinician who issued your original diagnosis tends to be cheaper and faster than a full new assessment. Check with the surgical provider first to avoid duplication.
Getting a support letter
What we need to write your letter.
- Your full name and DOB
- The surgeon's name and the procedure date
- Specific wording the surgeon requires (if they've given you any)
- How urgent it is (flag if your op is in the next 4 weeks)
If your surgery was discussed at a recent review, the team can usually draft the letter the same day and flag for senior sign-off. We send direct to the surgeon and copy you. £59 for pay-as-you-go patients; included in your monthly plan.
Surgery on the horizon?
Send us an enquiry with your op date and surgeon. We'll plan hormone management and prepare your letter.