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Gender Health SF


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Transgender Surgery Eligibility, Referral, and Readiness Process


Eligibility and Referral Process

PDF version of the Eligibility and Referral Process chart -
English | Spanish

THS Process Flowchart

Criteria for Surgery Referrals


Surgery Referrals Documents

Required For All Referrals
  1. E-Referral in LCR or for providers who don't have LCR, Surgery Referral Patient Summary Sheet
  2. Medical Evaluation
  3. Therapist Documentation Form for Evaluation for Transgender Surgery to be completed by 2 licensed mental health providers for genital surgeries, or 1 licensed mental health provider for chest surgeries. Learn more about the Guidelines for Psychosocial Assessments. Read the Executive Summary of the Guidelines.
  4. Release of Information (only required for clinics outside of the SFDPH network)
  5. Patient Education Documentation:

English

Spanish

Helpful But Not Required

Surgery Aftercare Referrals Packet (to be completed by provider in advance to line up resources for patient during recovery)


Patient Readiness for Surgery

Education and Preparation Program

Gender Health SF will work with all patients to provide a comprehensive education and preparation program (EPP) to ensure good outcomes. Completion of this program is required before surgery and varies in length and format depending on the specific surgery that the patient will be undergoing. Providers should notify Gender Health SF of their patient’s surgery date so that we can plan a timeline for completing the EPP in advance to ensure the best outcomes possible for surgery.


Reproduction

"Reproduction Fact Sheet!!!" A great reference for providers and patients.


Surgery Preparation and Aftercare Instructions for Patients

Initial Consultation for Surgery Appointment Preparation

Dr. Crane Pre-surgery Bowel Preparation
Dr. Crane Aftercare Instructions for Vaginoplasty
Dr. Crane Aftercare Instructions for Metoidioplasty
Dr. Crane Aftercare Instructions for Phalloplasty
Dr. Crane Hair Removal Diagram for Vaginoplasty
Dr. Crane Hair Removal Diagram for Phalloplasty (when donor site is arm)
Dr. Crane Hair Removal Diagram for Phalloplasty (when donor site is thigh)

Dr. Bowers Aftercare Instructions for Vaginoplasty
Dr. Bowers Aftercare Instructions for Simple Metoidioplasty
Dr. Bowers Aftercare Instructions for Ring Metoidioplasty
Dr. Bowers Aftercare Instructions for Ring Metoidioplasty/SP Tube
Dr. Bowers Hair Removal Diagram for Vaginoplasty

San Francisco General Hospital Hysterectomy Aftercare Instructions
San Francisco General Hospital Feminizing Mammoplasty Aftercare Instructions
San Francisco General Hospital Male Chest Reconstruction Surgery Aftercare Instructions
San Francisco General Hospital Male Chest Reconstruction Surgery Drain Instructions and Drain Record Sheet


Budgeting and Supply Lists

Vaginoplasty with Dr. Bowers
Vaginoplasty with Dr. Crane
Masculinizing Chest Surgery at San Francisco General Hospital


Limited Coverage for Hair Removal

San Francisco's largest Medi-Cal plan, the San Francisco Health Plan, now covers facial hair removal for trans patients who have also been approved for vaginoplasty. Gender Health SF is unable to help with submitting these hair removal referrals to insurance but we have created a comprehensive guide for primary care providers to reference in order to successfully achieve coverage for patients:

SFHP Facial Hair Removal Provider Guide

 

Gender Health SF
San Francisco Department of Public Health
415.206.7979
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